A pregnant virgin with microperforate hymen: A noteworthy obstetric case

Abstract

A Pinhead-sized hymenal opening can permit spontaneous pregnancy. A 26-year-old primigravida presented to our institution for antenatal care in the late 2^nd trimester. She reported to have conceived through contact of semen with her vulva, but had never had penetrative vaginal sex. On subsequent follow up, a decision to have an elective caesarean at 39 weeks was made. We report this example because management of such cases can be challenging especially if a timely diagnosis is not made due to lack of awareness and the patient presents when pregnant.

Keywords: Pregnant virgin, Elective caesarean, Microperforate hymen, Dilation