Vaginal trauma

Vaginal trauma
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Vaginal trauma is injury to the vagina. It can happen during childbirth, sexual assault, and accidental occurrences.

This injury often consists of bruising. But in some cases, severe hemorrhage can be a concern that requires immediate medical attention. In adults, the vagina is largely protected from trauma due to the protective function of the mons pubis and labia majora. This protection is lacking in girls who lack a protective fat layer to protect the vagina. Vaginal trauma can occur when something is inserted into the vagina, for example, a sharp object. Thus, causing penetrating trauma. Vaginal trauma can occur as a result of a painful sexual experience or sexual abuse. Vaginal trauma can occur in children as a result of a straddle injury. Most of these, though distressing, are not serious injuries.

In some instances, a severe injury occurs and requires immediate medical attention. Especially if the bleeding won't stop. Vaginal trauma also occurs during an episiotomy and vaginal childbirth. Avoiding vaginal injuries during childbirth will help to prevent depression, hospital readmissions, perineal pain. While also promoting pelvic floor strength, sexual function, and good care for the infant.

During childbirth, vaginal or cervical injuries can occur and will likely require surgery to correct them. The vagina is sometimes injured during the course of labor and perineal tears extend from the vagina to various points of the perineum.

Non-obstetric causes include:

A safe environment can be created for young children in addition to keeping small objects out of reach.

Treatment begins with a thorough assessment. The presence of someone to provide support during the examination is very beneficial. Such support is especially prioritized in cases of vaginal trauma due to sexual assault. A support person provides emotional support and can help minimize the risk of re-traumatization. Those treating victims employ sexual assault nurse/forensic examiners (SAN/FEs) with specific training to care for those who have experienced rape or sexual assault. They are able to conduct a focused medical-legal exam. If such a trained clinician is not available, the emergency department has a sexual assault protocol that has been established for treatment and the collection of evidence.

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