Torn, perforated with the same item: How to handle it

This is an automatically translated article.

The article was professionally consulted by Specialist Doctor I Le Thi Phuong - Obstetrician and Gynecologist - Department of Obstetrics and Gynecology, Vinmec Ha Long International Hospital

1. What is the same item? What is torn, perforated with the same thing?

The same diagram is an anatomical structure in the female appendage. This is the junction between the vagina and the cervix.
The vagina is a tubular structure with two walls that are usually close together, an anterior and a posterior wall. One end of the vagina opens to the external genitalia, the other end connects to the cervix, entering the cervical canal to enter the uterine cavity. The cervix has a pyramidal shape, connecting with the walls of the vagina, forming an arc, called the sacrum.
Along the circumference of the same pericervical and vaginal tract, the same map is divided into the same anterior, the same posterior, and the same bilateral map. This area is not only a landmark marking the separation between the vagina and the uterus, but also a thin layer between the appendages and the abdominal cavity. This is the weakest point of the female internal genital organs before the components and organs in the abdominal cavity as well as plays a role in protecting the sterility in the vaginal environment and uterine cavity, against penetration. of microorganisms from the intestinal tract.

Because the continuous structure is just a diaphragm, even though it is located deep inside the hypogastrium, there is still a risk of injury when there is an external force acting directly along the vaginal line, causing tearing or damage. perforated with the same item. At this time, depending on the extent of damage, patients will show different symptoms. Common signs are mainly pain and sudden vaginal bleeding after trauma.
However, symptom severity does not predict severity of injury. Injuries with small items, but at the location of blood vessels or when the female reproductive organs are "excited", with a lot of blood supply to them, there is still a risk of severe acute bleeding, shock of blood loss. On the contrary, if the impact force is too great, the same thing will be broken, although the bleeding is not much, it will cause loss of abdominal integrity, herniation of organs or creating conditions for bacteria to enter, causing infection in the area. pelvis, peritonitis.
Therefore, right after sex, if a woman feels acute abdominal pain of severe intensity along with blood coming out of the vagina with a large amount or a little but oozing discharge, especially accompanied by dizziness , dizziness, blue skin, pale mucous membranes, sweating, low blood pressure, quickly think of the possibility of tearing, perforation and quickly taken to the emergency center of obstetrics and gynecology for timely intervention. .

2. Causes of tearing and perforation of the same item

The causes of tearing, perforation with the same item are quite diverse, but mainly due to a large degree of external force, which acts quickly and suddenly into the same object through the vagina. The most common scenario is rough sex with young women, "inexperienced" or "active" partners.
The favorable factor that makes the same thing more vulnerable is sex when the woman is not ready, not really excited because the glands in the vagina have not yet secreted enough mucus needed for lubrication; premature sex in adolescent girls when the anatomy and physiology of the genital organs are not fully developed; or due to the phenomenon of "dryness", the vagina loses its elasticity and elasticity when women enter perimenopause - menopause.

In addition, factors derived from sexual partners also play an important role. If the penis is too big or the sex is too violent or with unusual positions, using sex toys... it will also cause tearing.
Some cases leading to perforation, tearing and other rare items are due to rape, sadism, masturbation or the woman has previously undetected vaginal abnormalities such as congenital vaginal atrophy, septum compartment, short vagina...

3. What to do when the item is torn or punctured?

As soon as there are symptoms of suspected injury such as severe pain in the lower abdomen, vaginal bleeding, especially after sex or one of the above reasons, it is necessary to put aside concerns and shame. but must be brought to the emergency center of obstetrics and gynecology for timely intervention.
The doctor will examine and find the cause of abdominal pain, vaginal bleeding. If it is really caused by a tear or perforation of the same item, the doctor will evaluate the location, extent of damage at the site and surrounding organs to guide treatment.
If the pain and bleeding is caused by a tear of the hymen, the vaginal wall is accompanied by a simple chart, the patient will be anesthetized and stitched to stop the bleeding.
If the vagina and vaginal walls lose their integrity severely, causing massive bleeding, hypotension, the patient should be actively resuscitated against shock, fluid or blood resuscitation along with monitoring and treatment. in the operating room under anesthesia.
In addition, the patient is also prescribed systemic antibiotics to prevent infection, anti-inflammatory, pain relief and local hygiene in the following days. In addition, the woman needs to be active gently and abstain from sex for at least two weeks after this incident, to help the vagina and vagina have good conditions to heal.

4. How to prevent tearing and perforation with items

Injury and damage in general is a very rare condition. However, because of its dangerous level and severe consequences, the sense of caution and precaution in each marital life is a remarkable thing.
The sex must be gentle, both listen and understand each other, share the appropriate positions. It is necessary to avoid acts of "getting into battle" too quickly but having to have a "prelude" to increase arousal in a woman, because this is the time for the vagina to expand well and excrete enough lubricating fluid, limiting trauma mechanism. Do not experiment with unusual positions, use sex tools, or masturbate harshly, which are both vulnerable and increase the risk of pelvic infection.
Besides, after this incident, women often fall into fear and phobia, easily making their relationship with their partner tense and frigid. Therefore, sharing, understanding, encouraging with affection and responsibility from the other side will be a valuable medicine to heal wounds and overcome this fear.
In short, tearing or perforating clothes is a common injury after rough sex. This is a gynecological emergency, prompt intervention is required to prevent further progression, preserve the woman's reproductive organs and keep the couple's happiness.

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