7-year-old girl with a crescent-shaped hymenal orifice
2-year-old with an annular orifice, located offcenter, visible with labial traction r W
6-year-old with a septate hymen causing two orifices. Traction is needed to visualize the two openings.
9-year-old girl with redundant labial tissue. Greater traction or a knee-chest position would reveal a normal orifice.
12-year-old girl with annular-shaped orifice and hormonal influence of puberty, causing thickened, pink tissue
(Source of photos: Reece R, Ludwig S (eds): Child Abuse: Medical Diagnosis and Management, 2nd ed., Philadelphia, Lippincott Williams & Wilkins, 2001.)
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