Hymenal Tags in Girls: Not to Be Mistaken for Sexual Abuse

Although hymenal tags are not uncommon in newborn girls, there is a paucity of literature on this condition. Few photo images of hymenal tags have been published. We report the case of a four-month-old girl with a large hymenal tag noted at birth. Approximately 30% of hymenal tags may persist at three years of age. As the number of prepubertal girls who require evaluation for sexual abuse increases, physicians should familiarize themselves with the appearance of a hymenal tag to differentiate it from signs of sexual abuse, especially in older girls whose hymenal tags have not resolved.