Vaginal Laceration and Hemorrhagic Shock during Consensual Sexual Intercourse.

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Title: Vaginal Laceration and Hemorrhagic Shock during Consensual Sexual Intercourse.
Authors: Jeng, Cherng-Jye (AUTHOR), Wang, Lih-Rong (AUTHOR)
Source: Journal of Sex & Marital Therapy. May/Jun2007, Vol. 33 Issue 3, p249-253. 5p.
Subjects: Hemorrhagic shock, Vagina, Coitus interruptus, Sexual consent, Psychological consultation, Female reproductive organs, Sexual intercourse, Therapeutics, Human body, Wounds & injuries
Abstract: Coital injury causing severe vaginal laceration is not uncommon during first coitus. However, hemorrhagic shock during consensual sexual intercourse is quite rare. In this report, there was one 30-year-old, 20-year-old one, and one 24 year-old women who suffered severe vaginal laceration and bleeding during the process of consensual coitarche. All subjects were transferred to the hospital in the condition of impending shock. We found that the lacerated sites were located at right posterior fornices in all cases. We postulate that these vulnerable sites of vaginal laceration may be due to the dextro-rotation characteristics of the uterus and the distensibility of the vagina in this area. The vaginal fornix can be extremely distended during sexual intercourse, making it vulnerable to laceration in this area. Besides, there was a disproportionate genital size in all three cases which may be a cause of vaginal laceration. It is critical that such patients receive a prompt diagnosis to provide efficient management. It needs only simple surgical skills to cure the injury if the vital signs are stable. However, those survivors may need further psychological consultation to prevent negative impact on their future sexual functioning. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Sex & Marital Therapy is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Label: Title
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  Data: Vaginal Laceration and Hemorrhagic Shock during Consensual Sexual Intercourse.
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  Data: <searchLink fieldCode="AR" term="%22Jeng%2C+Cherng-Jye%22">Jeng, Cherng-Jye</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wang%2C+Lih-Rong%22">Wang, Lih-Rong</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Sex+%26+Marital+Therapy%22">Journal of Sex & Marital Therapy</searchLink>. May/Jun2007, Vol. 33 Issue 3, p249-253. 5p.
– Name: Subject
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  Data: <searchLink fieldCode="DE" term="%22Hemorrhagic+shock%22">Hemorrhagic shock</searchLink><br /><searchLink fieldCode="DE" term="%22Vagina%22">Vagina</searchLink><br /><searchLink fieldCode="DE" term="%22Coitus+interruptus%22">Coitus interruptus</searchLink><br /><searchLink fieldCode="DE" term="%22Sexual+consent%22">Sexual consent</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+consultation%22">Psychological consultation</searchLink><br /><searchLink fieldCode="DE" term="%22Female+reproductive+organs%22">Female reproductive organs</searchLink><br /><searchLink fieldCode="DE" term="%22Sexual+intercourse%22">Sexual intercourse</searchLink><br /><searchLink fieldCode="DE" term="%22Therapeutics%22">Therapeutics</searchLink><br /><searchLink fieldCode="DE" term="%22Human+body%22">Human body</searchLink><br /><searchLink fieldCode="DE" term="%22Wounds+%26+injuries%22">Wounds & injuries</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Coital injury causing severe vaginal laceration is not uncommon during first coitus. However, hemorrhagic shock during consensual sexual intercourse is quite rare. In this report, there was one 30-year-old, 20-year-old one, and one 24 year-old women who suffered severe vaginal laceration and bleeding during the process of consensual coitarche. All subjects were transferred to the hospital in the condition of impending shock. We found that the lacerated sites were located at right posterior fornices in all cases. We postulate that these vulnerable sites of vaginal laceration may be due to the dextro-rotation characteristics of the uterus and the distensibility of the vagina in this area. The vaginal fornix can be extremely distended during sexual intercourse, making it vulnerable to laceration in this area. Besides, there was a disproportionate genital size in all three cases which may be a cause of vaginal laceration. It is critical that such patients receive a prompt diagnosis to provide efficient management. It needs only simple surgical skills to cure the injury if the vital signs are stable. However, those survivors may need further psychological consultation to prevent negative impact on their future sexual functioning. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Journal of Sex & Marital Therapy is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/00926230701267910
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      – Code: eng
        Text: English
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      Pagination:
        PageCount: 5
        StartPage: 249
    Subjects:
      – SubjectFull: Hemorrhagic shock
        Type: general
      – SubjectFull: Vagina
        Type: general
      – SubjectFull: Coitus interruptus
        Type: general
      – SubjectFull: Sexual consent
        Type: general
      – SubjectFull: Psychological consultation
        Type: general
      – SubjectFull: Female reproductive organs
        Type: general
      – SubjectFull: Sexual intercourse
        Type: general
      – SubjectFull: Therapeutics
        Type: general
      – SubjectFull: Human body
        Type: general
      – SubjectFull: Wounds & injuries
        Type: general
    Titles:
      – TitleFull: Vaginal Laceration and Hemorrhagic Shock during Consensual Sexual Intercourse.
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          Name:
            NameFull: Jeng, Cherng-Jye
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          Name:
            NameFull: Wang, Lih-Rong
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            – D: 01
              M: 05
              Text: May/Jun2007
              Type: published
              Y: 2007
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            – TitleFull: Journal of Sex & Marital Therapy
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