Cuts and Bleeding in the Vulvar Area: Causes and Concerns

Q: Cuts and Bleeding in the Vulvar Area: Causes and Concerns

Hello Miss Sherry： Based on your description, it seems to be a mild skin fissure. <br>This is usually caused by dry skin or prolonged use of topical ointments that can lead to thinning of the skin, or it may be due to scratches from the nails. <br>In most cases, as long as you av

Skin laceration with bleeding?

I have a red wound on the outer labia or at the junction of the vagina and anus that looks like a paper cut.
Occasionally, there are blood stains when I wipe with toilet paper, and sometimes I experience a stinging sensation while showering.
What could be the cause? Could it be related to a previous fungal infection?

Sherry, 30~39 year old female. Ask Date: 2018/10/30

Dr. Huang Yiwen reply Obstetrics and Gynecology

Hello Miss Sherry: Based on your description, it seems to be a mild skin fissure.
This is usually caused by dry skin or prolonged use of topical ointments that can lead to thinning of the skin, or it may be due to scratches from the nails.
In most cases, as long as you avoid infection, it will generally heal on its own, so there is no need to worry too much.
It is also possible that this is related to your previous fungal infection.
However, once your fungal infection has resolved, there should not be any major issues.

Reply Date: 2018/10/30

More Info

Understanding cuts and bleeding in the vulvar area can be concerning, especially when accompanied by symptoms such as pain or bleeding. Based on your description of a red cut-like injury on the outer labia or the area where the vagina meets the anus, there are several potential causes to consider.

1. Trauma or Irritation: The most common cause of such injuries is trauma or irritation. This can occur from various activities, including sexual intercourse, vigorous wiping with toilet paper, or even wearing tight clothing. The skin in this area is sensitive, and minor cuts can lead to bleeding, especially if the area is not kept clean or is subjected to friction.

2. Infections: Previous fungal infections, such as a yeast infection, can lead to changes in the skin that may make it more susceptible to injury. Yeast infections often cause itching and irritation, which can lead to scratching and subsequent cuts. Additionally, bacterial infections or sexually transmitted infections (STIs) can also present with similar symptoms, including pain, redness, and bleeding.

3. Skin Conditions: Conditions such as lichen sclerosus or lichen planus can cause skin changes that may lead to cuts or lesions in the vulvar area. These conditions often require specific treatments and can be diagnosed through a physical examination and possibly a biopsy.

4. Hormonal Changes: Hormonal fluctuations, particularly those related to menstrual cycles, pregnancy, or menopause, can affect the skin's integrity. Decreased estrogen levels, for example, can lead to thinning of the vaginal and vulvar tissues, making them more prone to injury.

5. Allergic Reactions: Allergies to soaps, detergents, or personal care products can cause dermatitis in the vulvar area, leading to redness, irritation, and potential cuts.

Given your symptoms of occasional bleeding when wiping and pain during bathing, it is essential to seek medical evaluation. A healthcare provider can perform a thorough examination to determine the underlying cause of your symptoms. They may recommend tests, such as swabs for infections or a skin biopsy if a skin condition is suspected.

In the meantime, here are some general recommendations to help manage your symptoms:
- Gentle Hygiene: Use mild, unscented soap and warm water to clean the area. Avoid harsh soaps or products that can irritate the skin.

- Avoid Irritants: Refrain from using scented products, douches, or other irritants that may exacerbate the condition.

- Wear Loose Clothing: Opt for breathable, loose-fitting underwear to reduce friction and irritation.

- Moisturize: If dryness is an issue, consider using a water-based lubricant or a gentle moisturizer specifically designed for sensitive areas.

- Avoid Scratching: If itching is present, try to avoid scratching, as this can worsen the injury.

In conclusion, while minor cuts and bleeding in the vulvar area can often be attributed to trauma or irritation, it is crucial to consult with a healthcare professional for an accurate diagnosis and appropriate treatment. Early intervention can help prevent complications and provide relief from discomfort.

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