Normal hymen variants - Anogenital in
The appearance of the hymen changes with age in response to hormonal influences. Peripartum estrogen causes the newborn's hymen to have a thick, pale, elastic, and redundant appearance. This effect often lasts until ages 2-3 years and then reappears at puberty. During this time, the hymen is small enough that to adequately visualize it and determine if there are notches or clefts or disruptions requires magnification. Between infancy and adolescence, the prepubertal unestrogenized hymen is typically characterized as thin, vascular, reddened, and often innervated, leading to increased sensitivity.
– Normal Condition -- no billing code
289616009 – Vaginal hymen normal
Differential Diagnosis & Pitfalls