Pelvic hematoma
Hello Dr.
Chen, I would like to ask you about an incident that happened while I was preparing for sexual activity with my girlfriend.
I accidentally got pricked by a new stainless steel pin that she had hanging from her waist, which injured the glans.
There was some bleeding at the time, but it stopped later.
The next day, I noticed some blue-purple bruising around the area.
Since the injury is in a sensitive location, I didn't apply ice initially and only started warm compresses three days later.
It's been a week now, and the bruising hasn't completely resolved.
Should I seek medical attention for this, or is it normal for bruising in this area to take longer to heal?
A Yi, 30~39 year old female. Ask Date: 2017/05/06
Dr. Chen Taicheng reply Family Medicine
The blood flow in the penile area is significant, and there may be considerable bruising, which could take two to three weeks to gradually subside.
However, due to the high blood flow in that area and the possibility of needle puncture, there is a risk of bacterial infection.
Please monitor for any signs of redness, swelling, heat, pain, or fever.
If there are no discomforts, you may observe the situation; however, if you experience any discomfort or if healing is prolonged, it is advisable to consult a urologist for further evaluation and treatment.
Wishing you a speedy recovery, Dr.
Chen Tai-Cheng from Taoyuan Hospital Family Medicine Department is concerned about your well-being.
Reply Date: 2017/05/06
More Info
When it comes to bruising in sensitive areas, especially after an injury like the one you described, it’s important to understand the healing process and when to seek medical attention. Bruising occurs when small blood vessels under the skin break, causing blood to leak into the surrounding tissue. This can happen due to trauma, such as the injury you experienced with the stainless steel pin.
In sensitive areas, such as the genital region, bruising can be more pronounced and may take longer to heal due to the increased vascularity and sensitivity of the tissue. The fact that you experienced some bleeding initially is also a sign that there was a significant impact to the area. Typically, bruises will change color over time, starting from red to purple or blue, and eventually fading to green or yellow as they heal. This process can take anywhere from a few days to a couple of weeks, depending on the severity of the bruise and the individual’s healing capacity.
Given that it has been a week since your injury and the bruise has not fully resolved, there are a few considerations to keep in mind:
1. Pain and Discomfort: If you are experiencing significant pain, swelling, or discomfort that is worsening rather than improving, it may be a sign that you should seek medical attention. Pain that is disproportionate to the injury can indicate a more serious underlying issue, such as a fracture or significant soft tissue injury.
2. Signs of Infection: If you notice any signs of infection, such as increased redness, warmth, swelling, or discharge from the area, it is crucial to see a healthcare provider. Infections can complicate the healing process and require medical intervention.
3. Persistent Symptoms: If the bruise does not begin to fade after two weeks or if you notice any new symptoms, such as changes in sensation, numbness, or tingling in the area, it is advisable to consult a healthcare professional. These could indicate nerve involvement or other complications.
4. Underlying Health Conditions: If you have any underlying health conditions that affect blood clotting or circulation, such as hemophilia or certain medications that thin the blood, it is particularly important to seek medical advice sooner rather than later.
In your case, since you mentioned that the bruise is still present after a week and you have not seen significant improvement, it would be wise to consult a healthcare provider. They can perform a physical examination and may recommend imaging studies if they suspect any deeper injuries. Additionally, they can provide guidance on pain management and appropriate care for the bruised area.
In summary, while bruising in sensitive areas can take time to heal, it is important to monitor your symptoms closely. If you experience worsening pain, signs of infection, or if the bruise does not improve, do not hesitate to seek medical attention. Your health and well-being should always come first, and a healthcare professional can provide the necessary support and treatment.
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