International Journal of Gynecology & Obstetrics
Volume 107, Issue 3 , Pages 266-269, December 2009

Hymen reconstruction: Ethical and legal issues

  • Rebecca J. Cook
  • ,
  • Bernard M. Dickens

      Affiliations

    • Corresponding Author InformationCorresponding author. Faculty of Law, University of Toronto, 84 Queen's Park, Toronto, Canada M5S 2C5. Tel.: +1 416 978 4849; fax: +1 416 978 7899.

Faculty of Law, Faculty of Medicine and Joint Centre for Bioethics, University of Toronto, Toronto, Canada

published online 01 September 2009.

Abstract 

A hymen may be ruptured by sexual intercourse and several other means. In cultures prizing unmarried women's virginity, premarital rupture may shame a woman, and her family. Women, including brides whose virginity is not proven at marriage, face humiliation, ostracism, divorce, and violence—at the extreme, “honor” killing. Nevertheless, gynecologists may oppose hymen reconstruction on grounds that it is deceptive, not medically required, or that the requirement of evidence of virginity discriminates against women and the procedure supports holding them to higher standards of virtue than are required of men. Gynecologists may justify the procedure, however, as serving health, which includes patients' mental and social well-being and women's human rights to control their own bodies. Further, many adolescents lose their virginity innocently, by rape or coercion, and, without hymen reconstruction, women may face violence and even death. The procedure is usually lawful, and distinguishable from female genital cutting or mutilation.

Keywords: Cosmetic surgery, Discrimination, Genital surgery, “Honor” killing, Hymen reconstruction, Revirgination, Virginity

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PII: S0020-7292(09)00412-3

doi:10.1016/j.ijgo.2009.07.032

International Journal of Gynecology & Obstetrics
Volume 107, Issue 3 , Pages 266-269, December 2009