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Anywhere, CO 80134
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Anywhere, CO 80127
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  • Select from over 100 symptoms to read more about managing your child's illness.

    Is Your Child Sick? TM


    Genital Injury - Female

    Is this your child's symptom?

    • Injuries to the female genital area (labia, vulva, vagina)

    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.

    When to Call for Genital Injury - Female

    When to Call for Genital Injury - Female

    Call 911 Now

    • Major bleeding that can't be stopped
    • Fainted or too weak to stand

    Call Doctor or Seek Care Now

    • Skin bleeding won't stop after 10 minutes of direct pressure
    • Bleeding from inside the vagina
    • Pointed object was put in the vagina, then taken out
    • Foreign body in the vagina and can't get out
    • Skin is split open or gaping and may need stitches
    • Pain or trouble passing urine
    • Blood in urine
    • Severe pain and not better 2 hours after taking pain medicine
    • Age less than 1 year old
    • Could have been caused by sexual abuse
    • You think your child has a serious injury
    • You think your child needs to be seen, and the problem is urgent

    Call Doctor Within 24 Hours

    • You think your child needs to be seen, but the problem is not urgent

    Call Doctor During Office Hours

    • Dirty cut and no tetanus shot in more than 5 years
    • Clean cut and no tetanus shot in more than 10 years
    • Genital pain or swelling lasts more than 7 days
    • You have other questions or concerns

    Self Care at Home

    • Minor genital injury

    Call 911 Now

    • Major bleeding that can't be stopped
    • Fainted or too weak to stand

    Call Doctor or Seek Care Now

    • Skin bleeding won't stop after 10 minutes of direct pressure
    • Bleeding from inside the vagina
    • Pointed object was put in the vagina, then taken out
    • Foreign body in the vagina and can't get out
    • Skin is split open or gaping and may need stitches
    • Pain or trouble passing urine
    • Blood in urine
    • Severe pain and not better 2 hours after taking pain medicine
    • Age less than 1 year old
    • Could have been caused by sexual abuse
    • You think your child has a serious injury
    • You think your child needs to be seen, and the problem is urgent

    Call Doctor Within 24 Hours

    • You think your child needs to be seen, but the problem is not urgent

    Call Doctor During Office Hours

    • Dirty cut and no tetanus shot in more than 5 years
    • Clean cut and no tetanus shot in more than 10 years
    • Genital pain or swelling lasts more than 7 days
    • You have other questions or concerns

    Self Care at Home

    • Minor genital injury

    Care Advice for Minor Genital Injuries

    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

    And remember, contact your doctor if your child develops any of the 'Call Your Doctor' symptoms.

    Disclaimer: this health information is for educational purposes only. You, the reader, assume full responsibility for how you choose to use it.

    Copyright 2000-2018. Schmitt Pediatric Guidelines LLC.