Forensic Medicine Shaheed Suhrawardy Medical college, Dhaka. Definitions of virginity (Virgo intacta) & Defloration Virginity means inexperience of sexual intercourse on the part of a woman or Virginity may be defined as the state of a woman who had never been experienced in sexual intercourse Defloration is defined as loss of virginity ie, experiencing sexual intercourse by a woman for once at least Medico legal importance of virginity & defloration Loss of virginity before marriage is not a ground for nullity of marriage Virginity after marriage indicates non consummation of marriage by sexual intercourse & that is a ground for nullity of marriage or divorce, which may be due to impotence of the husband or the wife or frigidity of the wife Contd. Loss of virginity is related with rape committed on a virgin False allegation of loss of virginity of a female amounts to her defamation In short the legal issues are: Nullity of marriage or divorce, Rape, Defamation etc. Features of virginity in private parts Hymen: A virgin girl is expected to have intact hymen which is a wall-like flap of thin fibro mucosal tissue placed anterior to the vaginal orifice or the outlet with a central circular opening Types of Hymen Annular shaped hymen Semi lunar hymen Vertical hymen Cibriform hymen Septet hymen with two openings
Contd. Imperforated hymen Caranculae hymenalis Carunculae myrtiformis Features of defloration The hymen is usually ruptured at 5, 7 or 6 clock position posteriorly In sexually habituated woman there may be multiple ruptures with presence of tag of hymeneal tissue on the margins giving an appearance known as carunculae hymenalis
Contd. After per vaginal delivery, the hymen is almost abolished with presence of its remnants only near the marginal attachment as an irregular thick area- carunculae myrtiformis In deflorated woman: There may be intact hymen under the following conditions: Contd. When the victim is a young girl When the marginal tissue prevents the insertion of the penis in to the vagina When the hymen is thick & fleshy When the hymen is highly elastic & loose Contd. During the first act of coitus, the fourchette (the lower meeting point of both labia minora) may be ruptured to heal in a thick irregular line Changes in the Labia majora, Labia minora, fossa navicularis, vaginal wall, clitoris etc. may occur after repeated sexual intercourse
Contd.
Fossa navicularis: The depression between the fourchette & the vaginal opening, changes its appearance Contd. Labia minora: These are usually pinkish, smaller & mostly covered by labia majora in virgins, but in deflorated woman after frequent sexual intercourse- partly darkly pigmented, some how enlarged & separated from labia majora as projected out side
Contd.
Labia majora: These are firm & fleshy & both sides are in close apposition in virgins, but becomes lax, not in close apposition, have rather a gap between two sides Contd. Vaginal walls: In virgin woman there are rugosity & the vagina is not capacious, but with frequent sexual intercourse the rugosity is minimized & it becomes capacious Contd. The vestibule: It is narrow, the whole space between the labia minora & the above vaginal opening in a virgin girl becomes spacious due to appearance of folds by repeated sexual intercourse Contd. All signs of pregnancy, some are permanent & are signs of loss of virginity when pregnancy is the result of artificial insemination Extra genital Signs of virginity Breasts are hemispherical, firm, with smaller pinkish areola & small nipples in a virgins which does not change in defloration initially but in habituated woman, the breasts are enlarged, soft & may be slightly pendulous, nipples being large & raised Hymen may be ruptured in a virgin due to Surgical interference Ulceration Scratching due to chronic itching Disease like Diphtheria Regular use of sanitary
Contd. Deliberate rupture of the hymen to make a girl fit for sexual intercourse such as in case of sex workers In certain accidental injury False virgin It is a state of woman who has lost virginity but does not show the signs of defloration Here hymen is intact, so confusion may arise as it may remain intact in a few percentage of woman even after multiple acts of coitus Contd. This false virginity may occur: When the hymen is thick, tough, fleshy, elastic & loose In such cases, other signs of defloration may be present depending on the length of time of experience of sexual intercourse Thanks To everybody
Pengaruh Pemberian Air Rebusan Kunyit Terhadap Kejadian Keputihan Pada Remaja Putri Di Dusun Kampung Jawa Pasar Kecamatan Pangkatan Kabupaten Labuhan Batu