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Female consensual coital injuries.
Ejaz Ahmed1, Shahab Ahmed Syed, Naz Parveen
1Department of Gynaecology and Obstetrics, Fatima Medical Centre, Multan, Pakistan. drejaz43@hotmail.com
Summary
This study analyzed coital injuries in married females in Pakistan, finding varied presentations requiring careful evaluation for successful management. Timely diagnosis and treatment are crucial for minimizing morbidity from these sexual trauma cases.
Area of Science:
- Gynecology
- Sexual Health
- Trauma Care
Background:
- Coital injuries, though uncommon, can cause significant morbidity in married females.
- Understanding the patterns and management of these injuries is essential for healthcare providers.
Purpose of the Study:
- To determine the spectrum and management strategies for coital injuries among married women in Pakistan.
- To provide insights into the clinical presentation and treatment outcomes.
Main Methods:
- An observational case series was conducted over seven years (1997-2003) at Fatima Medical Centre, Multan.
- Records of 33 married females with coital injuries were analyzed, excluding cases of sexual assault or abuse.
Main Results:
- The most common injuries included vaginal wall lacerations (48%) and posterior fourchette injuries (27%), often requiring surgical repair (stitching).
- Hematomas and more severe injuries like ovarian cyst rupture, broad ligament hematoma, posterior fornix perforation, and ectopic pregnancy were managed surgically (laparoscopy or laparotomy).
- No mortality was reported in the series.
Conclusions:
- Coital injuries present diversely, necessitating thorough evaluation for accurate diagnosis.
- Prompt and appropriate management is key to achieving successful outcomes and reducing complications in affected women.