• J Sex Med · Aug 2013

    Case Reports

    Postcoital vaginal rupture in a young woman with no prior pelvic surgery.

    • Jennifer M Austin, Christie M Cooksey, Laura L Minikel, and Eve F Zaritsky.
    • Kaiser Permanente, Oakland, CA, USA. doctorjenn@gmail.com
    • J Sex Med. 2013 Aug 1;10(8):2121-4.

    IntroductionReports of postcoital vaginal rupture in the literature are limited to cases involving women who are postmenopausal, have recently undergone pelvic surgery, or have suffered genitourinary trauma.AimWe report a case of postcoital vaginal rupture in a 23-year-old woman with no prior surgical history who complained of acute onset, severe vaginal pain after consensual intercourse.ResultsExamination under anesthesia revealed a 6-cm laceration of the posterior fornix, which extended into the abdominal cavity. The laceration was repaired using a combined vaginal and laparoscopic approach.ConclusionsCoitus-induced vaginal rupture in a reproductive aged woman with no prior pelvic surgery or other risk factors is a rare clinical presentation. Prior reports of rupture in premenopausal women have recommended repair via laparotomy. This case documents successful transvaginal and laparoscopic repair, and reviews the etiological mechanisms for coitus-induced injury.© 2012 International Society for Sexual Medicine.

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