Abstract
Microperforate hymen is a congenital defect where the hymenal ring covering the vaginal opening is abnormally small, leading to problems such as painful intercourse, difficulty inserting tampons, and complications during menstruation and pregnancy. The hymen, formed during fetal development, undergoes canalization before birth, with deviations in this process leading to conditions like imperforate or microperforate hymen. This case report discusses a 28-year-old primigravida diagnosed with a microperforate hymen during the management of a missed miscarriage. Following routine investigations, she underwent a hymenectomy and suction evacuation, which alleviated the immediate issue. Despite an uneventful post-operative period, the patient experienced dyspareunia three months later, necessitating further treatment with serial dilators. A microperforate hymen can cause significant reproductive health issues, including menstrual irregularities, recurrent infections, and infertility. Timely diagnosis and appropriate surgical intervention are crucial in managing this rare condition, improving patient outcomes and quality of life.