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I read all faq s and tried lignocaine 2 percent but had zero numbness and it was very painful i have a tight hymen dyspareunia. Doctor answers on symptoms, diagnosis, treatment, and more dr. Reyna on what is an imperforate anus an imperforate anus is a congenital anomaly in which a baby is born without an anal opening altogether, one that is too small, or one that is located in the wrong place (for example, opening into the vagina in a girl or into the bladder in a boy). An anal fissure is a break or tear in the skin of the anal canal. Anal fissures may be noticed by bright red anal bleeding on toilet paper and undergarments, or sometimes in the toilet. If acute they are painful after defecation, but with chronic fissures, pain intensity often reduces. Anal fissures usually extend from the anal opening and are usually located posteriorly in the midline, probably because of the relatively unsupported nature and poor perfusion of the anal wall in that location. Pillai classified the findings as normal (remaining hymen, appendices, and slots) and nonspecific (erythema, vaginal secretions, friability of the posterior commissure, close hymen, anal fissures, venous congestion, anal dilatations smaller than 2 cm, and fecal soiling), and diagnosis of sexual abuse (positive culture for neisseria gonorrheae outside the neonatal period) confirmed diagnosis of.

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