Why Did My Vaginal Entrance Tear?

Update Date: Source: Network

Generally speaking, if the vagina is not exposed to sharp objects, it will not rupture. However, if there is vaginal itching and a woman scratches it with her hands, it can easily lead to some trauma, which can easily cause bacterial infection. If you find a wound on your vagina, it is best to go to the hospital for a check-up in time to avoid triggering gynecological diseases or viral infections.

Causes of Vulvar Ulcer

The vulva is adjacent to the urethra and anus, and is often contaminated by leucorrhea, menstrual blood, urine, and feces. Infants and postmenopausal women have low levels of estrogen, making the vulvar skin and mucosa vulnerable. Women of reproductive age have frequent sexual activity. Wearing tight synthetic underwear and sanitary napkins can cause poor local permeability, which can lead to pathogen infection and damage. The pathogens that cause vulvar ulceration include bacteria, fungi, and viruses. Behçet's syndrome can cause ulceration in the vulva, mouth, and eyes.

Clinical Manifestations of Vulvar Ulcer

1. Skin and mucosal breakdown and defects, with surrounding congestion, edema, and grayish white exudate at the bottom of the ulcer. 2. Local itching, pain, and burning sensation may be present. 3. Inguinal lymph nodes may be enlarged. 4. Fever, fatigue, and other systemic symptoms or manifestations of diseases in other parts of the body may be present. 5. Vulvar ulceration is often associated with sexually transmitted diseases. Repeated episodes should raise awareness of diabetes.

Differential Diagnosis of Vulvar Ulcer

1. Non-specific vulvitis is not associated with specific pathogens. Chronic cases are accompanied by thickening, roughness, chapping, and lichenoid changes of the vulvar skin. 2. Candida vulvitis is characterized by bean-dreg-like leucorrhea, and yeast hyphae and spores can be found in vaginal secretions. 3. Syphilis is associated with lesions of the skin, mucosa, and other organs throughout the body, and can be confirmed by specific serological tests. 4. Genital herpes is characterized by erosion or ulceration after the formation of papules and vesicles, accompanied by pain, fever, and other systemic symptoms. It can recur repeatedly. The pathogen is herpes simplex virus, which can be confirmed by laboratory tests. 5. Vulvar tuberculosis is rare and is usually accompanied by tuberculous lesions in other parts of the body. There is no obvious inflammation such as redness and swelling around the ulcer. Tuberculin test and local biopsy can confirm the diagnosis. 6. Vulvar cancer can be confirmed by biopsy.

Treatment of Vulvar Ulcer

1. Etiological treatment involves specific systemic and local treatment based on different causes. Drug treatment includes antifungal, antiviral, antituberculous, and anti-syphilitic agents. 2. Local treatment includes (1) maintaining cleanliness and dryness of the vulva, which can be achieved through suitable medicinal baths; (2) applying medication to the skin lesions, such as Daktarin cream (for fungal infections) or Acyclovir cream (for viral infections), depending on the causative pathogen; and (3) local physiotherapy, which can help promote healing of some vulvar ulcers.