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The hymen is a membrane that surrounds or partially covers the external vaginal opening. It forms part of the vulva, or external genitalia, and is similar in structure to the vagina.[1][2][3] In children, although a common appearance of the hymen is crescent-shaped, many shapes are possible.[1]
The effects of sexual intercourse and childbirth on the hymen are variable. If the hymen is sufficiently elastic, it may return to nearly its original condition. In other cases, there may be remnants (carunculae myrtiformes), or it may appear completely absent after repeated penetration.[3][4][5] Additionally, the hymen may be lacerated by disease, injury, medical examination, masturbation or even physical exercise. For these reasons, it is not possible to definitively determine whether or not a girl or woman is a virgin by examining her hymen.[2][4][5]
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