Continuous hymenal rim following first Penile–Vaginal intercourse: A case series and review

IF 1.7 4区医学 Q3 MEDICINE, LEGAL

Journal of forensic and legal medicine Pub Date : 2026-05-01 Epub Date: 2026-04-17 DOI:10.1016/j.jflm.2026.103146

Mohanad Jaber , Alaa R. AL-Ihribat

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引用次数: 0

Abstract

Background

The hymen has long been symbolically associated with virginity, particularly in conservative societies. However, from a medical and anatomical standpoint, the presence of an intact hymen is not a reliable indicator of sexual history.

Objective

To document and analyze seven clinical cases in which women presented with intact hymens following consensual first sexual intercourse, and to compare these findings with the existing scientific literature.

Methods

Seven women between ages 19–23 presented to a forensic medicine clinic between January 2024 and May 2025. All underwent detailed clinical examination with documentation. A literature review was conducted using PubMed and Scopus.

Results

All patients demonstrated estrogenized hymens with a central orifice and a continuous hymenal rim, without complete posterior transection, despite reported penile–vaginal penetration. Examination revealed structural patterns that support distension without rupture.

Conclusion

Hymen integrity is anatomically variable and does not confirm or negate previous sexual activity. Misconceptions about its role in determining virginity must be challenged through education, legal reform, and forensic objectivity.

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第一次阴茎-阴道性交后连续的处女膜边缘：一个病例系列和回顾

处女膜长期以来一直象征着童贞，尤其是在保守的社会中。然而，从医学和解剖学的角度来看，完整处女膜的存在并不是性史的可靠指标。目的对7例女性经双方同意的首次性交后处女膜完好的临床病例进行记录和分析，并与现有的科学文献进行比较。方法于2024年1月至2025年5月在法医学门诊就诊的7名女性，年龄19-23岁。所有患者均接受了详细的临床检查，并有文献记录。使用PubMed和Scopus进行文献综述。结果所有患者均表现出雌性化的处女膜，有中心开口和连续的处女膜边缘，尽管报告了阴茎阴道插入，但没有完全的后横断。检查显示结构模式支持膨胀而不破裂。结论处女膜完整性在解剖学上是可变的，并不能证实或否定以前的性行为。必须通过教育、法律改革和司法客观来挑战对其在判定童贞中的作用的误解。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of forensic and legal medicine MEDICINE, LEGAL-

CiteScore

2.70

自引率

6.70%

发文量

106

审稿时长

57 days

期刊介绍： The Journal of Forensic and Legal Medicine publishes topical articles on aspects of forensic and legal medicine. Specifically the Journal supports research that explores the medical principles of care and forensic assessment of individuals, whether adult or child, in contact with the judicial system. It is a fully peer-review hybrid journal with a broad international perspective. The Journal accepts submissions of original research, review articles, and pertinent case studies, editorials, and commentaries in relevant areas of Forensic and Legal Medicine, Context of Practice, and Education and Training. The Journal adheres to strict publication ethical guidelines, and actively supports a culture of inclusive and representative publication.