A 7-Year Retrospective Analysis of Hymenoplasty: Profiles From a Specialized Gynecological Cosmetic Surgery Practice

Abstract

Background Hymenoplasty, the surgical hymen reconstruction, is on the rise in Turkey, reflecting the enduring importance of virginity rooted in sociocultural and religious beliefs. Demographic factors shape women's decisions for this procedure. A seven-year retrospective analysis of 4259 patient records at a private clinic explores motivations and societal pressures, emphasizing the need for understanding and support amidst the cultural fixation on virginity. Objectives This investigation delves into multifaceted perceptions around virginity and hymenoplasty in Turkey, examining the impact of sociocultural and religious beliefs on women's decisions. It also explores demographic influences, offering insights into the societal and cultural backdrop of hymenoplasty. Methods A retrospective analysis of 4259 patient records (2015-2022) at a private clinic was conducted, meticulously analyzing data for demographics and shared decision-making dynamics using statistical tools. Results In the examined cohort (83.3%), permanent hymenoplasty was prevalent among individuals aged 14-49, with 58.6% being engaged and seeking the procedure a week before marriage. Notably, 91.0% were accompanied by friends during consultations, and a minority disclosed childbirth history or forced intercourse experiences. An increasing trend in first-time and post-assault hymenoplasty procedures was observed in 2021. Geographically, the majority resided in Istanbul, representing all Turkish regions. Additional procedures like vaginoplasty were common, with mostly successful postprocedural outcomes and minor complications. Conclusions This study highlights the enduring social importance of virginity in Turkey, emphasizing hymenoplasty as a coping strategy for psychological and societal challenges. It calls for comprehensive patient support and societal progress in respecting women's bodily autonomy, urging a shift away from the cultural fixation on virginity.