The Hymen Mystique

The hymen is the stuff of legend and lore in many cultures, the treasured prize a woman gives her husband on their wedding night.

To the extent this still holds true, you just have to read the steady stream of stories about women who are undergoing surgery to have their hymens "restored."

Most recently, the topic turned up in the international headlines. A few weeks ago, a French appeals court in the northern city of Douai ruled that virginity could not be considered an "essential quality" for a valid marriage.

Along the way, that case helped draw attention to the surge in demand in France for hymenoplasty, or surgical repair of the hymen, before a Muslim woman's wedding date.

What strikes me about this surgical trend--and what I don't hear being discussed enough--is the extent to which it shows how little anyone really seems to know about this particular body part.

Because of many women's ignorance about the hymen, they may be having their hymens "restored" to a condition they may never have had to begin with. People often do not know what it looks like or what really happens to it when virginity is lost.

Teens Wonder What It Means

I'm aware of this widespread confusion because of the adolescent patients I see in my work as a nurse practitioner providing health care to teens. Often, in my exam room, they'll ask, "What does it mean to be a virgin?"

Despite all the sex that teens are exposed to in the media--whether in the hit TV show "Gossip Girl" or reality shows on MTV such as "A Shot At Love With Tila Tequila"--I'm here to tell you that some are still wondering whether or not they are virgins!

For example, some of my teen patients have questions about a partner (male or female) inserting a finger into a vagina. Does that "de-virginize" her? If a girl uses a tampon does that cause her to lose her virginity? If she falls off her bike, might that affect her hymen, and thus her virginity?

Who loses their virginity to a bicycle? Well, it depends on how you define virginity, and what you know about hymens.

Contrary to popular belief, the hymen is not a flat piece of tissue covering the vagina, which is punctured during intercourse. If it were, girls would not be able to menstruate before they lose their virginity because there would be no outlet for menstrual blood.

Usually, the hymen looks like a fringe of tissue around the vaginal opening. It is not an intact piece of tissue draped across it. Some girls are born without a hymen, others have only a scanty fringe of tissue. Moreover, for all its fabled mystery, the hymen is just a body part.

Every Hyman Is Different

Like eyes, noses and breasts, everyone is a little different. Girls often disrupt the hymen during play. What actually happens when the hymen is "broken," whether by playing or by intercourse, is that a few areas of the hymen are torn. There is often some bleeding.

Nonetheless, the hymen is prized and parents (and teens) sometimes worry that the prize has been lost. Often, mothers bring their daughters to see me because they, or the father, want to know if the girl is a virgin.

Of course, in New York (and many states) teens have a right to confidential care so I cannot tell the mother anything unless the teen gives me permission to do so. But even if I am allowed to talk to the parent frankly, I often can't give the yes-no answer they want. It is not so easy to tell whether a girl is a virgin, because hymens are so varied. If there is not much of a hymen I have no way of knowing what happened to it. Was it a boyfriend or a bicycle? Or, perhaps, this girl did not have much tissue there to begin with.

The hymen is the focus of many traditions. In some cultures, the newlyweds are expected to consummate the marriage immediately after the wedding ceremony and then appear before their guests with the blood-stained sheet to prove that the bride was a virgin. But many women who have never had intercourse don't bleed during first intercourse because their hymen has already been disrupted.