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AAP Grand Rounds 11:67 (2004) Virginal Myths Regarding the Intact HymenSource: Adams JA, Botash AS, Kellogg N. Differences in hymenal morphology between adolescent girls with and without a history of consensual sexual intercourse. Arch Pediatr Adolesc Med. 2004;158:280285.
Eighty-five adolescent girls age 1319 years were recruited from an academic adolescent ambulatory clinic in San Diego, Calif, for participation in a study by researchers from the University of California, San Diego, Upstate Medical University, Syracuse, NY, and the University of Texas, San Antonio. The purpose of the study was to correlate morphology of the hymen with sexual activity. Participants completed a detailed questionnaire that included questions about sexual history and tampon use. Exclusionary criteria included prior pregnancy, abortion, forced sexual intercourse, anorexia nervosa, or anxiety disorder. Subjects underwent unblinded colposcopic examination by 1 of the authors. Photographs taken during examination were reviewed by 2 separate investigators blinded to sexual history. All examiners and reviewers had conducted
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