İlk Koitus Sonrası Gerçekleşen Genital Yaralanmaların Sonuçları

Abstract

Abstract Background: In this study, we aimed to investigate the outcomes of the first coitus injuries in newly married couples, which are common in our society. Material and Methods: This is a retrospective study involving 89 patients admitted to the obstetrics and gynecology clinic of our hospital with the complaint of bleeding secondary to postcoital vaginal discharge between January 2017 and December 2020. Results: The mean age of 89 patients admitted due to postcoital genital injury was 26 ± 8 years. All 89 of the patients had genital injury in the first coitus. The mean number of lesions was 1.4 ± 0.73 and their dimensions were 2.7 ± 0.96 cm. 65% of the patients were in primary and lower education groups. The main localizations of genital injuries were 29 in the vaginal introitus, 13 in the right lateral, 10 in the left lateral, and 10 in the posterior fourchette. Preoperative mean hemoglobin level was 11.2 ± 1.78 and postoperative hemoglobin level was 9.8 ± 1.3. The mean operation time was 21.2 ± 7 minutes and the hospital stay was 1.04 ±0.2 days. 19 of the interventions were repaired under local anesthesia under office conditions and 70 were repaired under spinal anesthesia or sedoanalgesia in the operating room. Conclusions: Vaginal injuries after coitus are considerably high. After these injuries, there is rapidly developing and life-threatening bleeding. Premarital couples receiving psychosexual education, preventing pregnancies at an early age, and conducting socio cultural-based studies may help to reduce genital injuries after the first coitus.