Tight hymenal ring
ICD-10 N89.6 is a billable code used to indicate a diagnosis of tight hymenal ring.
A tight hymenal ring is a condition characterized by an unusually constricted hymen, which can lead to various complications, particularly in young females. The hymen is a thin membrane that partially covers the vaginal opening and can vary significantly in size and elasticity among individuals. In cases of a tight hymenal ring, the constriction can cause discomfort, pain during intercourse, or difficulty with tampon use and gynecological examinations. This condition may also lead to obstructive symptoms, such as urinary retention or difficulty with menstrual flow. Diagnosis is typically made through a physical examination, and treatment may involve surgical intervention to alleviate the tightness and restore normal function. It is essential for healthcare providers to recognize this condition to prevent complications and ensure appropriate management. The tight hymenal ring is classified under noninflammatory disorders of the female genital tract, which includes various anatomical and functional abnormalities that do not involve infection or inflammation.
Detailed physical examination notes, including hymenal assessment and any symptoms reported by the patient.
Young patients presenting with dyspareunia, difficulty with tampon insertion, or obstructive menstrual symptoms.
Ensure that the surgical necessity is well-documented if intervention is performed.
Thorough history taking, including developmental milestones and any related symptoms.
Prepubescent girls presenting with urinary issues or discomfort during physical activities.
Consider the psychosocial aspects of the condition in young patients.
Used when surgical intervention is necessary for a tight hymenal ring.
Document the indication for surgery and any preoperative assessments.
Gynecologists should ensure that all surgical notes are detailed and include the rationale for the procedure.
Common symptoms include pain during intercourse, difficulty using tampons, and obstructive menstrual flow. Some patients may also experience urinary retention.
