Genital Injury - Female

Types of Genital Injuries in Females

• The genital area in girls is protected. Serious injuries are rare.
• Minor injuries can cause lots of bleeding because of the rich blood supply.
• Cut. Minor cuts or scrapes heal quickly.
• Bruise. Bruises and swelling of the labia are most often from a straddle injury. They heal quickly.
• Hematoma (Blood Clot). Bleeding into the labia can form a pocket of blood (hematoma). A small clot will go away on its own. A large clot may need to be drained.
• Vaginal Laceration (Serious). Any penetrating injury of the vagina needs to be examined. There may be a cut or tear of the vagina. The main symptom is pain and bleeding that won't stop.
• Urethral Injury (Serious). This is not seen in females with external injuries. It can occur with pelvic fractures. The main symptoms are bloody urine and trouble passing urine.

Straddle Injuries

• An injury to the groin from falling on an object that is being straddled.
• Examples are playground equipment, crossbars of a bike, or a fence.
• Girls usually get a bruise or small cut of the outer labia. The vagina and urethra are protected by the labia and not harmed.

1. Bleeding - How to Stop:
   • For any bleeding, put direct pressure on the wound. Use a gauze pad or clean cloth. Press for 10 minutes or until the bleeding has stopped.
   • Note: Minor cuts in the genital area can bleed a lot. This is because of the rich blood supply.
   • For the same reason, the cut heals quickly.
2. Cut or Scrape Treatment:
   • Wash the wound with soap and water for 5 minutes.
   • For any dirt, scrub gently with a wash cloth.
   • Put on an antibiotic ointment (such as Polysporin). No prescription is needed. Use 2 times per day.
3. Cold Cloth for Bruise:
   • For bruises or swelling, put a cold wet washcloth on the skin.
   • Use once for 20 minutes, but only if tolerated.
   • Reason: Helps reduce the bleeding and pain.
4. Pain Medicine:
   • To help with the pain, give an acetaminophen product (such as Tylenol).
   • Another choice is an ibuprofen product (such as Advil).
   • Use as needed.
5. What to Expect:
   • Cuts and other minor injuries in the genital area heal quickly. Most often, they heal in 3 or 4 days.
6. Call Your Doctor If:
   • Pain becomes severe
   • Passing urine becomes painful or hard to do
   • You think your child needs to be seen
   • Your child becomes worse