Torn Labia
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Torn Labia
Yes, It's Possible To Tear Your Labia—And It's More Common Than You'd Think
It sounds crazy, but doctors say they see it all the time. Here's what it takes to recover.
Korin is a former New Yorker who now lives at the beach. She received a double B.A. in International Relations and Marketing from The College of William & Mary (which she doesn't use at all now) and an M.A. in Interactive Journalism from American University. Korin has been published in... Read more
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After being thrown from a moving car in 2010, fitness blogger Megan Torio was left with a slew of life-altering injuries. Among her more “minor” injuries: A torn labia, which left her unable to have sex for a year.
“I was nervous about having sex again,” she told the U.K.’s Daily Mail . “I was done with men.” Doctors eventually were able to reconstruct her labia using skin from her back. “You would never know in a million years I’d had surgery there,” she said.
While a torn labia sounds like a one in a million injury, doctors say it’s actually fairly common.
“As an ob/gyn, it’s something that we see more often than you’d think,” Jason James, M.D., medical director at Miami's FemCare Ob-Gyn , tells SELF. However, severe tears from trauma that require reconstruction like Torio suffered are fairly rare, he says, since that area is typically protected between your legs .
But James says labia injuries are much more common in childbirth , especially when the baby’s head is coming through the vagina. “During that process, there’s a lot of stretching occurring and sometimes, at that last moment, there’s a quick phase of acceleration where the labia can stretch so much that it tears,” he says.
Labia injuries can also occur during vigorous sex, says women’s health expert Jennifer Wider , M.D. (It can get caught and pull, ripping the labia in the process.)
James has even seen them from waxing. “Sometimes a woman might yank too hard, or there’s not good counter-pressure to the labia,” he explains.
Experts say you’d probably know if you tore your labia, but Wider cites pain in that area, bleeding, and discomfort during urination as the main symptoms and, depending on how severe the tear is, you may even be able to see it.
Just like a lot of injuries, there is a wide spectrum to torn labias. Smaller tears can often heal on their own without medical intervention, Wider says. But for bigger tears, stitches may be required.
Luckily, James says these tears tend to heal quickly. “There is a very good blood supply to that area, which is really good for healing,” he says. “A lot of times, you won’t scar very much and the area will look similar to how it did before the injury.”
Think (or know) you might have torn your labia? If it’s during normal business hours, James recommends calling your ob/gyn and asking to be seen right away. If it’s after-hours or you’re experiencing severe pain and bleeding, it’s time to head to the ER.
Photo Credit: Letizia McCall / Getty Images
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Peter Weiss, MD, is a board-certified OB/GYN and expert in women's health.
Vaginal cuts are injuries of the vaginal tissues, including the vagina or the vulva , which is the external genitals. Severe vaginal tears (called lacerations) are often caused by childbirth; some may need stitches. But smaller vaginal cuts, sometimes referred to as micro-cuts, are very common and usually heal on their own.
This article covers the most common causes of vaginal cuts, how they are treated, and when you should see your healthcare provider.
Cuts or splits to the external genitalia are sometimes visible to the naked eye. But smaller injuries, especially those to the internal vaginal tissue, may not be obvious. Symptoms of vaginal cuts may include:
If you think you have a vaginal cut, do a self-exam and keep an eye on the area to see if the injury gets worse or may be infected.
Most vaginal cuts should heal on their own in a few days. However, some may need medical care. For example, a tear in the V-shaped fold of skin at the bottom of the entrance to the vagina (posterior fourchette fissure) can develop into a deeper tear. It requires prompt medical attention. 1
If you have a vaginal injury, consult your healthcare provider if you experience:
Talk to your healthcare provider right away if you have large, deep, or numerous vaginal cuts, or if you think you have an infection. Signs of an infection may include foul-smelling discharge, fever, and pain that doesn't improve with medication. 3
Anyone who has been sexually assaulted , raped, or sexually abused should seek emergency medical attention immediately. Any time an unexplained vaginal tear or cut is found in a child or infant, adult caregivers should consult with a healthcare provider right away.
Vaginal cuts can occur from a wide range of underlying causes, but the most common cause of vaginal cuts is having sex, usually without proper lubrication. 4
Shaving and waxing pubic hair are other common causes of vaginal cuts. In fact, a 2017 study found that 25.6% of all people who groomed their pubic hair reported injuries.
The most common injury was vaginal cuts in women. A small percentage of people in the study needed antibiotics or surgery to treat them. 5
Some other causes of vaginal tears include:
If you have any of the following skin conditions, you may be more likely to experience vaginal cuts:
Vaginal cuts are common and often result from everyday activities such as sex and hair removal. Most are minor and heal on their own. Contact a healthcare provider if cuts are numerous, do not heal, or you experience other symptoms such as pain, fever, or unusual discharge.
To diagnose a vaginal cut, your healthcare provider will need to perform a physical examination and take your medical history. This helps them understand your symptoms, as well as any other medical conditions or other factors that could be the reason for the injury. The healthcare provider will also ask if the symptoms are new or recurring to find out if you have a history of vaginal cuts.
When vaginal cuts are small, the healthcare provider may need to use a surgical instrument with a bright light (a colposcope) to magnify the injured area during the examination.
Usually, tests aren't needed to diagnose and treat vaginal cuts when the history is known (e.g., happened after shaving) and the cuts appear minor and infection-free.
Sometimes, though, tests are helpful to check for any conditions that contributed to the injury. These tests could include:
Vaginal cuts usually heal up quickly with no scarring and only slight bleeding.
If bleeding or pain does not clear up within a few days after the injury occurs, call your healthcare provider.
Treating vaginal cuts will involve self-care but may also require medical treatment.
Most minor vaginal cuts are treatable at home. Self-care for simple cuts focuses on keeping the injury clean and dry, avoiding products that could irritate the area, and avoiding activity that could make your injury worse.
In many instances, and with proper self care, vaginal cuts can be left to heal on their own, provided there are no signs or symptoms of infection.
If your vaginal cuts are caused by underlying conditions, or if they are not healing well or get infected, they may need to be treated by a medical professional.
In some cases, your provider may recommend treatments such as:
If a vaginal cut results in a severe infection, it could lead to an abscess that might need to be drained.
Large or severe cuts may need stitches. Deep tears and cuts that reoccur or leave scars may need to be repaired surgically. 2
Prevention measures for recurrence of vaginal cuts depend on several factors:
Prevention tips for simple vaginal cuts caused by sexual activity include:
Sexual activity should not normally be painful and it should not result in injuries or bleeding. Be sure to learn how to communicate with your partner if sex is causing any type of discomfort, even if it’s awkward to talk about.
The best way to prevent vaginal cuts from shaving or waxing is to avoid grooming your pubic hair. However, if you decide to shave or wax, here are some tips to avoid vaginal cuts:
Be gentle when pulling out tampons and make sure that they have been left in long enough to absorb moisture (usually a couple of hours) and are not dry when removing them. Never yank a tampon out suddenly; rather, remove it slowly.
A common cause of damage to the vaginal tissue is removing a tampon that has not been adequately moistened, then immediately putting another one in. After you remove a dry tampon, consider using a pad or period underwear instead.
Pubic hair grooming (by shaving or waxing), can cause damage to the sensitive genital tissue, as can some sexual activities or tampon use. To avoid vaginal cuts from these activities, be sure that you have plenty of lubrication (for both sex and for tampon use) and if you groom your public area, do so carefully.
Skin in the genital region is delicate, sensitive, and can be prone to injuries. In some cases, underlying medical conditions may make your skin even more fragile. If you have a vaginal cut or injury to your vaginal tissue, understanding what caused it is important so that you can prevent it from happening again.
Vaginal cuts are never pleasant. While some can be serious, rest assured that most are not.
Keep the area clean and have some patience—it's very likely that a minor cut will be a thing of the past in a few days. Don't hesitate to contact your healthcare provider if you experience odd discharge, persistent pain, or other symptoms of a significant tear or infection.
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Truesdale MD, Osterberg EC, Gaither TW, et al. Prevalence of pubic hair grooming-related injuries and identification of high-risk individuals in the United States. JAMA Dermatol . 2017;153(11):1114-1121. doi:10.1001/jamadermatol.2017.2815
Pi W, Ryu JS, Roh J. Lactobacillus acidophilus contributes to a healthy environment for vaginal epithelial cells . Korean J Parasitol . 2011;49(3):295-8. doi:10.3347/kjp.2011.49.3.295
Harvard Health Publishing. Harvard Medical School. Managing common vulvar skin conditions .
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Labial Tear Labiaplasty – Cosmetic Vaginal Surgery
Labial Tear Labiaplasty – Cosmetic Vaginal Surgery
Labial tears are best repaired using a type of labiaplasty which is defined as plastic surgery on the labia.
This is an 18-year-old female who comes to Miklos and Moore Urogynecology for cosmetic repair of a torn labia. Her tear did not occur with childbirth like many women but instead due to a childhood injury while playing. She injured her labia while on a playground swing. Many patients complain of similar injuries from bicycle accidents or running alongside a pool and one leg slip into the pool and the other remains on the pool deck.
This patient has seen more than a half dozen doctors including obstetricians, gynecologists and cosmetic and plastic surgeons and none of these surgeons had any experience repairing such a tear. ( Figure 1 )
Figure 1 : Torn right (patient’s right side) labia minora
She finally saw Dr’s Miklos & Moore and they recommended a labia revision surgery and gave her two options including: removing the torn portion or revising the torn portion to give her better symmetry to opposite labia. She chose a revision labiaplasty to make them appear symmetrical. ( Figure 2 )
Figure 2 : Before and After labiaplasty for labial tear
The patients post op results were successful as the patient was very happy with the results of her labial tear repair. As explained to the patient the slight lumpiness of the repair would most likely resolve over the next 6 months but if it did not it could be improved with a 2nd simple revision requiring a reduction of the bump.
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