Gynecologic Trauma

Conditions

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Gynecologic trauma is any injury to the female genital area.

Trauma can be accidental or intentional, in the case of abuse.

Patients can be seen by Texas Children's experts in Pediatric and Adolescent Gynecology.

Common causes of trauma include:

Straddle injuries – falling and landing on an object between the legs, particularly while bike riding or playing on playground equipment; this is the most common type of trauma in girls 14 and under
Foreign objects inserted in the vagina – such as crayons or beads, particularly in girls under age 4
Sexual abuse
Sex for the first time
Penetrating injuries

Diagnosis starts with a detailed discussion of symptoms and how the trauma occurred, and a thorough physical examination, including the genital area.

Additional diagnostic testing may include:

Pelvic exam
X-ray or other imaging – to determine possible injury to internal reproductive organs
Laparoscopy – to view internal reproductive organs
Vaginal discharge sample – for testing for sexually transmitted infections

Treatment strategies may include:

If you have been sexually assaulted or suspect you have been abused, seek immediate medical help at the nearest emergency care facility.

Confidential resources are available to support you any time you want to speak with someone, including:

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