Read below about vaginal bruise, including causes, treatment options and remedies. Or get a personalized analysis of your vaginal bruise from our A.I. health assistant. At Buoy, we build tools that help you know what’s wrong right now and how to get the right care.

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Vaginal Bruise Symptoms

Since it may not be our first thought when it comes to vaginal pain, bruising can be overlooked as a cause of discomfort. Symptoms can overlap with other causes of vaginal pain, and your doctor can best determine the underlying cause with a detailed examination and testing.

Vaginal tenderness may be accompanied by:

Vaginal Bruise Causes Overview

A bruise, or hematoma, is a collection of blood that accumulates underneath the skin. It can be quite painful, though usually resolves overtime. The most common cause is physical injury or trauma. However, it is also possible to feel soreness like a bruise from many others causes.

Trauma:

  • Bikes: Bike seats can be notoriously uncomfortable and may be dangerous for amateur riders. Biking for a prolonged time especially on a poorly padded seat or on rough terrain can injure the vaginal area and cause vaginal bruise symptoms.
  • Horseback riding: Sitting in a saddle exposes the area between the legs to pressure and irritation and especially riding at faster speeds.
  • Athletics: Certain activities like gymnastics may lead to injuries between the legs.
  • Rough sex : The vagina can feel sore and uncomfortable after particularly aggressive sexual intercourse, especially with inadequate lubrication.

Vaginal problems:

  • Dryness: As we age, the body produces less natural lubricant in the vagina. This can lead to an uncomfortable sensation and makes the area more vulnerable to bruising during sex.
  • Atrophy: Aging can thin the natural walls of the vagina and lead to inflammation that may feel sore and make the area more susceptible to injury.
  • Douching: Cleaning the vagina with harsh tools or chemicals may bruise the surface and lead to discomfort.
  • Abscess: A collection of pus under the skin due to an infection can be painful and mistaken for a bruise.
  • Swollen gland: The natural lubricating glands of the vagina can sometimes become clogged, leading to pain and swelling that some may confuse for a bruise.
  • Cyst: Fluid can collect underneath the skin, leading to soreness and pressure in the surrounding area.
  • Foreign body: Inserting objects into the vagina can cause bruising and damage if not done with care.

3 Potential Vaginal Bruise Causes

Disclaimer: The article does not replace an evaluation by a physician. Information on this page is provided as an information resource only, and is not to be used or relied on for any diagnostic or treatment purposes.

  1. 1.Yeast Infection

    Yeast infections are caused by a fungus called "Candida." Candida is the scientific name for yeast that lives almost everywhere, including in the human body. Typically, our immune system keeps it under control, but if you take antibiotics or gets sick, the fungus can multiply and cause an infection. In this case, it is happening in the vagina.

    50% of women have relapses within 2 months, and 9% have more than 4 episodes per year. For those, maintenance therapy is possible.

    Rarity:
    Common
    Top Symptoms:
    vaginal itch or burning, white/gray vaginal discharge, thick vaginal discharge, vaginal pain, vulvovaginal redness
    Urgency:
    Self-treatment

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  2. 2.Vaginal Trichomonas Infection

    Trichomonas vaginalis infection (or "Trichomoniasis" or "trich") is a common sexually transmitted disease caused by a parasite of the same name. It affects over 3 million people per year, but only about 30% have any symptoms.

    Treatment leads to a 100% cure rate in 7-14 days

    Rarity:
    Rare
    Top Symptoms:
    vaginal discharge, vulvovaginal odor, vaginal itch or burning, vaginal bleeding, white/gray vaginal discharge
    Symptoms that always occur with vaginal trichomonas infection:
    vaginal discharge
    Symptoms that never occur with vaginal trichomonas infection:
    vaginal ulcer
    Urgency:
    Primary care doctor
  3. 3.Bacterial Vaginosis

    Bacterial vaginosis (BV) is an infection caused when too much of certain bacteria change the normal balance of bacteria in the vagina. BV is not a sexually transmitted infection and is not caused by poor hygiene (in fact, excessive washing of the vagina may increase the risk). Its symptoms are usually mild, consisting primarily of a white-gray vaginal discharge that has a fishy smell.

    5-7 days antibiotic treatment. May resolve on its own.

    Rarity:
    Uncommon
    Top Symptoms:
    vaginal itch or burning, vulvovaginal odor, bloody vaginal discharge, white/gray vaginal discharge, thick vaginal discharge
    Urgency:
    Primary care doctor

Vaginal Bruise Treatments and Relief

Since vaginal pain and bruising can be attributed to several different causes, the treatment can vary. Mild pain or swelling may resolve on its own within a few days, but symptoms that persist or are particularly severe should be evaluated by a doctor. Your gynecologist is best equipped to deal with vaginal bruising and other similar problems.

At-home treatments:

  • Rest: Leaving things alone for some time is usually the best treatment. Don't do anything to irritate the area for at least several days or until symptoms improve.
  • Ice: Application of an ice pack is an easy and inexpensive solution that reduces swelling and pain.
  • Painkillers: Over-the-counter medications like acetaminophen or NSAIDs such as ibuprofen alleviate mild to moderate pain and swelling.
  • Elevate: If there is particularly bothersome swelling, put your legs up and elevate the pelvis with a pillow.

Professional treatments:

  • Pelvic exam: Any evaluation by a doctor should include an external and internal examination of the vagina. This may involve the use of a speculum.
  • Topical creams: Prescription ointments can help reduce pain and address other complicating issues like dryness or swelling.
  • Prescription medications: Drugs can be given to treat pain or the underlying cause of your vaginal discomfort.
  • Imaging: Your doctor may order a study like an ultrasound to get a better look at the area of discomfort and investigate potential causes. In some cases, a CT scan or MRI may be indicated.
  • Drainage: Rarely, a collection of fluid may need to be drained after making a small cut in the skin.

You should seek help without delay if you have:

Questions Your Doctor May Ask About Vaginal Bruise

  • Q.Have you ever had a yeast infection?
  • Q.Do you feel pain when you urinate?
  • Q.When was your last menstrual period?
  • Q.Are you sexually active?

If you've answered yes to one or more of these questions, try our vaginal bruise symptom checker to find out more.

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Vaginal Bruise Symptom Checker Statistics

  • People who have experienced vaginal bruise have also experienced:

    • 21% Vaginal Itch or Burning
    • 10% Vaginal Discharge
    • 10% Vaginal Swelling
  • People who have experienced vaginal bruise had symptoms persist for:

    • 53% Less Than a Week
    • 25% Less Than a Day
    • 12% Over a Month
  • People who have experienced vaginal bruise were most often matched with:

    • 14% Yeast Infection
    • 6% Bacterial Vaginosis
    • 5% Vaginal Trichomonas Infection
  • Source: Aggregated and anonymized results from visits to the Buoy AI health assistant (check it out by clicking on “Take Quiz”).

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