Vaginal Injuries Following Consensual Sexual Intercourse and Trauma- A Case Series

Abstract

Vaginal injuries following consensual intercourse are commonly encountered in clinical practice. They cause significant morbidity among sexually active women. Consensual vaginal intercourse may lead to minor hymenal or vaginal tears to rectovaginal fistula and in some cases severe haemorrhage shock can occur. It commonly results due to inadequate foreplay prior to penetration. Hereby, authors present four cases of vaginal lacerations of different age groups. The first patient bled profusely from the laceration and was haemodynamically stable; the second patient bled profusely and went into shock; the third patient presented with rectovaginal fistula who was newly married; and fourth patient was 13-year-old girl with third degree tear following trauma. The various risk factors for vaginal injury following consensual sexual intercourse are lack of foreplay, rigid perineum, vaginal atrophy and hindrance from partner. This case series highlights need of clinicians for proper and prompt diagnosis of condition and early surgical intervention in the management of the injuries and giving proper sexual education for the women.

Keywords

• consensual sex
• haemorrhagic shock
• rectovaginal fistula
• vaginal injuries