Minor Vulvar Injuries: Care Tips and Treatment Options

There is some bleeding from a tear in the vulva?

Hello, Doctor! Last night before bed, I checked my vulva and while cleaning with tissue, I suddenly felt a small cut horizontally between my labia majora and labia minora.
I'm not sure if I cleaned too vigorously and caused a tear, as there was a little bleeding (which stopped after wiping with tissue).
This morning, when I checked, there was still a faint pinkish blood.
It hurts a bit when touched.
I was initially going to apply a topical ointment, but the medication stung too much when it came into contact with the wound, so I didn't apply it.
I would like to ask if I can use [Mei Kang Cream] or if I should apply another ointment, or just let it heal naturally? Thank you.

Xiao Bai, 20~29 year old female. Ask Date: 2018/04/25

Dr. Huang Jianzhong reply Obstetrics and Gynecology

Before bed, I checked my vulva and while cleaning with tissue, I suddenly noticed a small cut between the labia majora and labia minora! I'm not sure if I cleaned too vigorously and caused a tear, as there was a bit of bleeding (which was absorbed by the tissue).
This morning, when I wiped, there was still a faint pinkish blood! It hurts a bit when touched.
Last night, I intended to apply a small nurse ointment, but it was extremely painful when the medication touched the wound, so I didn't apply it! I would like to ask the doctor if I can use [MeiKang ointment] or if I should apply another ointment or let it heal naturally? Answer: You should apply an antibiotic ointment.

Reply Date: 2018/04/25

More Info

When dealing with minor vulvar injuries, such as the one you've described, it's essential to approach care with caution and understanding. The vulvar area is sensitive, and any injury can cause discomfort and pain. Here are some care tips and treatment options to consider:
1. Initial Care: Since you noticed a small cut between the labia and experienced some bleeding, the first step is to keep the area clean. You can gently wash the area with mild soap and water. Avoid using harsh soaps or products that may irritate the skin further. Pat the area dry with a clean towel instead of rubbing it.

2. Observation: Monitor the injury for any signs of infection, such as increased redness, swelling, warmth, or discharge that has a foul odor. If you notice any of these symptoms, it’s crucial to seek medical attention.

3. Pain Management: If the area is painful, you can consider taking over-the-counter pain relief medications like acetaminophen or ibuprofen, following the recommended dosages. Avoid applying any topical pain relief creams or ointments that are not specifically designed for sensitive areas unless advised by a healthcare professional.

4. Topical Treatments: Regarding the use of Meikang ointment (美康乳膏), it’s essential to check the ingredients and ensure that it is safe for use on sensitive skin. If it contains any irritants or is not specifically indicated for vulvar use, it may be best to avoid it. Instead, you might consider using a gentle, fragrance-free moisturizing ointment or a barrier cream designed for sensitive skin. If you are unsure, consult with a healthcare provider before applying any topical treatment.

5. Natural Healing: Allowing the injury to heal naturally is often a good approach, especially for minor cuts. The body has a remarkable ability to heal itself. Ensure you avoid any activities that may aggravate the injury, such as tight clothing or vigorous physical activity that could cause further irritation.

6. Hygiene Practices: Maintain good hygiene practices. Change sanitary pads or panty liners frequently if you are menstruating, and avoid using scented products in the genital area, as these can cause irritation.

7. Follow-Up: If the injury does not improve within a few days or if you have ongoing pain, it’s advisable to consult a healthcare provider. They can assess the injury and provide further treatment options if necessary.

8. Preventive Measures: In the future, be gentle when cleaning the area. Using soft, gentle motions can help prevent similar injuries. Consider using hypoallergenic wipes or gentle cleansers specifically designed for intimate areas.

In summary, minor vulvar injuries can often heal on their own with proper care. Keeping the area clean, monitoring for signs of infection, and avoiding irritants are key steps in the healing process. If you have any concerns or if the injury worsens, do not hesitate to seek medical advice.

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