Is Hymen Present In A Person With Congenital Adrenal Hyperplasia?

Posted on Tue, 22 Jul 2014

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Tue, 22 Jul 2014 Answered on

Thu, 7 Aug 2014 Last reviewed on

Question : I was born with an ambiguous genitalia due to congenital adrenal hyperplasia. I had an urogenital sinus. I have surgery to open the urogenital sinus. Do I have a hymen? Being that this is the case.

Answered by Dr. Deepak Kishore Kaltari (43 minutes later)

Brief Answer:
Hymen is likely to be absent

Detailed Answer:
Hi
Welcome to Healthcare-Magic
Greetings of the day

Majority of cases of Congenital Adrenal Hyperplasia with xx karyotype do not have hymen . As there is common vaginal and urethral channel there is underdevelopment of lower 1/3 of Vagina leading to absence of hymen in majority.
It would be helpful if you could send clinical photograph for further assessment.

Take care

Best regards
Dr Deepak XXXXXXX
MBBS, MS, MCh

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj