Vaginal Cuts and Tears: Symptoms, Causes, Treatment, and


Vaginal cuts are damage to the tissues of the vagina, including the vagina or vulva , which are the external genitalia. Severe vaginal tears (called tears) often occur during childbirth; some may need stitches. But smaller vaginal cuts, sometimes called micro-cuts, are very common and usually heal on their own.

This article looks at the most common causes of vaginal cuts, how to treat them, and when to see your doctor.

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Symptoms of vaginal cutting

Cuts or fissures on the vulva are sometimes visible to the naked eye. But small injuries, especially damage to the internal tissue of the vagina, may not be obvious. Symptoms of vaginal cuts can include:

  • Weak pain
  • Burning sensation when urinating (urinate) or after contact with water or semen
  • Discomfort when inserting a tampon or during intercourse
  • Light bleeding or spotting
  • Itching, burning, or tearing

If you think you have a cut in your vagina, do a self- exam and look closely at the area to see if the injury is getting worse or if there is an infection.

When to call your healthcare provider

Most vaginal cuts will heal on their own in a few days. However, some may require medical attention. For example, a tear in a V-shaped skin fold at the bottom of the vaginal opening (posterior fissure) can develop into a deeper tear. Immediate medical attention is required.

If you have a vaginal injury, see your doctor if you experience:

  • Symptoms that get worse
  • Symptoms that don't go away after a few days.
  • Any symptoms that bother you
  • Any discolored discharge or smelly discharge
  • Heavy bleeding that won't stop
  • Repetitive vaginal cuts
  • Numbness or tingling
  • Fever or chills
  • Dizziness, weakness, or fainting

Talk to your doctor right away if you have large, deep, or multiple cuts to your vagina, or if you think you have an infection. Signs of infection may include a foul-smelling discharge, fever, and pain that persists with the medication.

Anyone who has been assaulted , raped, or sexually assaulted should seek emergency medical attention immediately. Anytime a child or baby has an unexplained vaginal cut or tear, the adults who care for them should see a doctor right away.


Vaginal cuts can be caused by many underlying causes, but the most common cause of vaginal cuts is intercourse, usually without proper lubrication.

Shaving and plucking pubic hair is another common cause of vaginal cuts. In fact, a 2017 study found that 25.6% of all people who cared for pubic hair reported injuries.

The most common injury in women was vaginal cuts. A small percentage of people in the study required antibiotics or surgery to treat them.

Some other causes of vaginal tears include:

  • Sexual intercourse or foreplay (especially rough sex)
  • Putting a foreign object into the vagina
  • Improper insertion and removal of tampons.
  • Vaginal dryness (which makes the skin more prone to vaginal tears)
  • Thinning of vaginal tissue due to aging
  • Taking steroids (which make skin tissues more prone to breakdown)
  • Yeast infections
  • Other reasons

If you have any of the following skin conditions, you are more likely to have vaginal cuts:

  • Eczema is a skin disorder in which red patches become inflamed, cracked, and itchy. Depending on the part of the genital area affected, symptoms can also include fluid loss, crusting, and a burning sensation.
  • Lichen planus , an inflammatory condition that can cause pain, burning, or redness (if the skin on the vulva is affected), as well as a sticky yellow discharge and tissue erosion (if the vagina is affected)
  • Psoriasis is a skin disorder with dry, scaly, itchy patches. On the vulva, where the skin is too wet to be dry and flaky, psoriasis often appears as pinkish patches with well-defined edges.
  • Lichen sclerosus , a chronic (long-term) inflammatory skin disorder that usually affects the skin of the vulva and the skin around the anus. Inflamed skin is more vulnerable to tears or cracks (cracks in the skin).
  • Vulvovaginal atrophy (atrophic vaginitis) is a condition in which the tissue in the vagina becomes drier, thinner, and less elastic. This makes you more prone to vaginal tears.
  • Vaginal scarring or tissue damage can result from surgery or radiation therapy to the pelvic area.
  • Vulvovaginitis , an infection caused by Candida albicans , commonly called thrush.
  • Genital herpes (herpes simplex infection), which can cause clumps of blisters from which fluid can drain and then break open. Herpes can appear as a small straight cut in the vagina.


Vaginal cuts are common and often occur as a result of daily activities such as sex and waxing. Most are minor and heal on their own. See your doctor if the cuts are numerous, do not heal, or if you experience other symptoms such as pain, fever, or unusual discharge.


To diagnose a vaginal cut, your healthcare provider must perform a physical exam and review your medical history. This will help them understand your symptoms, as well as any other medical conditions or other factors that may be causing the injury. Your doctor will also ask if your symptoms are new or recurring to see if you have a history of vaginal cuts.

When vaginal cuts are small, the doctor may need to use a bright light surgical instrument (colposcope) to enlarge the damaged area during the exam.

Diagnostic tests

Tests to diagnose and treat vaginal cuts are generally not required if their history is known (for example, after shaving) and the cuts appear minor and are not infected.

However, tests sometimes help detect any conditions that contributed to the injury. These tests can include:

  • Culture : the vaginal discharge is taken with a swab and sent to the laboratory. This is done to detect vaginal infections, such as bacterial vaginosis or Candida albicans (yeast infections), so that the appropriate treatment can be prescribed later. Other smears can detect sexually transmitted infections (such as herpes ).
  • Biopsy : A tissue sample is taken and sent to a laboratory to diagnose the underlying causes of recurrent vaginal ruptures (such as lichen sclerosus).

Watch out

Vaginal cuts usually heal quickly, without scarring and with only a little bleeding.

If bleeding or pain persists for a few days after the injury, call your doctor.

Treatment of vaginal cuts requires personal care, but may also require treatment.


Most small cuts in the vagina can be cured at home. Self-care for simple cuts involves keeping the injury clean and dry, avoiding foods that can irritate, and avoiding activities that could make the injury worse.

Self-care tips include:

  • Avoid sex and any type of foreplay while the cut heals.
  • Wear only comfortable cotton underwear (or, if possible, don't wear it).
  • Keep the place clean and dry.
  • Make sure the vaginal area is completely dry before dressing.
  • Do not touch the affected area.
  • Bathe or shower every day.
  • Don't use tampons; use sanitary napkins or anti-crisis underwear until the affected area heals.
  • Examine the area to make sure it is not getting worse (for example, increased redness, drainage, or other symptoms).
  • Avoid any type of scented soaps, spermicides, or lubricants that can cause irritation.
  • Bathe with a little lukewarm water for 10-15 minutes several times a day.
  • Use mild cleansers without harsh chemicals like Cetaphil Ultra Gentle Body Wash.
  • To reduce the tingling sensation when urinating, pour warm water over the vaginal opening while urinating and increase the amount of water you drink to make your urine less acidic.

In many cases, and with proper personal care, cuts in the vagina can heal on their own, as long as there are no signs or symptoms of infection.

Medical treatment

If the cuts in the vagina are caused by underlying medical conditions, are not healing well, or are infected, you may need to receive treatment from a healthcare professional.

In some cases, your doctor may recommend treatments such as:

  • Antibiotic creams or gels to treat infections.
  • Antifungal cream for yeast infections
  • Antiviral Medications for People with a Herpes Outbreak
  • Estrogen vaginal cream for atrophic vaginitis
  • Steroid cream for dermatitis, psoriasis, or other conditions that cause local inflammation.
  • Pain reliever for severe pain

If the vaginal incision results in a severe infection, it can lead to an abscess that may need to be drained.

Large or severe cuts may require stitches. Deep tears and cuts that reappear or leave scars may require surgery.


Prevention of recurrent vaginal cuts depends on several factors:

  • Reason Prevention is avoiding the root cause (such as shaving or trimming pubic hair) or using caution when the person plans to continue activities that caused the vaginal cuts (such as sexual activity or tampon use).
  • Severity of the condition : Minor tears can be avoided by taking simple steps like being careful when caring for your pubic hair and using a lubricant during sex. More serious tears may require ongoing treatment (such as estrogen therapy) or changes in care (such as a C-section after a vaginal delivery) to prevent them from coming back.
  • Underlying conditions : It is important to diagnose and treat any underlying conditions that contribute to vaginal cuts.

Sexual activity

Tips for preventing simple vaginal cuts caused by sexual activity include:

  • Use lots of lubricant during sex. Choose water-based lubricants, as oil-based lubricants can damage condoms, resulting in ineffective birth control and protection against sexually transmitted diseases. Oil-based lubricants are also more likely to irritate the skin.
  • Avoid using sex toys.
  • Try different sexual positions, such as a face with a vagina on top.
  • Before having sex, set aside time for lubrication of sexual arousal.
  • Shower before intercourse to relax your vaginal muscles.

Sexual activity should generally not be painful, traumatic, or bleeding. Make sure you learn to communicate with your partner if sex bothers you, even if it's embarrassing to talk about it.

Shaved off

The best way to prevent vaginal cuts from shaving or waxing is not to brush your pubic hair. However, if you decide to shave or wax, here are some tips to avoid cutting your vagina:

  • Avoid using dull or dirty razors.
  • Dampen your skin and use a shaving cream or gel before shaving.
  • When shaving, rinse the razor after each stroke.
  • Be very careful and shave very gently when shaving around bumps like pimples.
  • Shave your hair in the direction of hair growth, downward.
  • Avoid shaving while lying down; standing is best for shaving or trimming.
  • Don't let others shave – they're more likely to cut themselves when someone else shaves.
  • Avoid waxing or shaving if your skin is irritated or injured.
  • Make sure your skin is clean and dry before waxing.
  • Apply the wax in the same direction that the hair grows and remove it in the opposite direction of the hair growth.
  • Hold the skin firmly as you apply and remove the wax.


Take care when removing tampons and make sure you leave them in long enough to absorb moisture (usually a couple of hours) and do not dry out when you remove them. Never remove the tampon suddenly; rather, remove it slowly.

A common cause of vaginal tissue damage is removing an insufficiently moistened tampon and immediately inserting another tampon. After removing the dry tampon, consider wearing a sanitary napkin or menstrual underwear.


Caring for pubic hair (by shaving or waxing) can damage sensitive genital tissue, as can some sexual activities or the use of tampons. To avoid cuts to the vagina from these activities, make sure you have enough lubrication (both for sex and to use a tampon), and if you are caring for a public place, do so with care.


The skin around the genitals is sensitive, sensitive and prone to injury. In some cases, comorbid conditions can make your skin even more fragile. If you have a vaginal cut or vaginal tissue damage, it is important to understand what is causing it to prevent it from happening again.

Get the word of drug information

Vaginal cuts are never pleasant. While some of them may be serious, rest assured that most are not.

Keep the area clean and be patient, a small cut will most likely be a thing of the past in a few days. Feel free to contact your doctor if you experience a strange discharge, persistent pain, or other symptoms of a major breakout or infection.

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