Şeyhmus TUNÇ, Mehmet Rifat GÖKLÜ, Şerif AKSİN, Cengiz ANDAN

İlk Koitus Sonrası Gerçekleşen Genital Yaralanmaların Sonuçları

Öz. Amaç: Toplumda yeni evlenmiş çiftlerde sık rastlanan ilk koitus sonrası gerçekleşen vajinal yaralanmaların araştırılması amaçlanmıştır. Materyal ve Metod: Bu retrospektif çalışma Ocak 2017 ve Aralık 2020 tarihleri arasında vajinal ilişki sonrası kanama şikayetiyle hastanemizin kadın hastalıkları ve doğum kliniğine başvuran 89 hastayı kapsamaktadır. Bulgular: Postkoital yaralanma nedeniyle çalışmamıza dahil edilen 89 hastanın yaş ortalaması 26 ± 8 idi. 89 hastanın tamamındaki genital yaralanmaların ilk koitusa bağlı olduğu saptandı. Lezyonların ortalama sayısı 1.4 ± 0.73 ve ortalama uzunluğu 2.7 ± 0.96 cm idi. Hastaların % 65’inin ilkokul ve altı eğitim grubundan olduğu saptandı. Genital yaralanmalar en sık 29 hastada vajinal introitus bölgesinde saptanırken 13 hastada vajen sağ lateral duvarda, 10’ar hasta grubunda ise vajen sol lateral duvar ve forşette saptandı. Ortalama preoperative hemoglobin değeri 11.2 ± 1.78, postoperatif hemoglobin değeri 9.8 ± 1.3 bulundu. Ortalama müdahale süresi 21.2 ± 7 dakika ve hastanede kalış süresi 1.04 ±0.2 idi. Vajinal yaralanmaların onarım işlemi 19 hastada ofis koşullarında ve lokal anestezi altında, 70 hastada ise ameliyathane koşullarında spinal ya da sedo-analjezi altında gerçekleştirildi. Sonuç: Koitus sonrası vajinal yaralanmalar oldukça sıktır. Bu yaralanmalar sonrası hızlı gelişen ve hayatı tehdit edebilen kanamalar görülebilir. Evlilik öncesi çiftlerin psikoseksüel eğitim almaları, erken yaşta gebeliklerinin önlenmesi ve sosyokültürel temelli çalışmaların yapılması ilk cinsel ilişki sonrası genital yaralanmaların azalmasına yardımcı olabilir.

Anahtar Kelimeler:

ilk koitus, genital yaralanma, kanama

Outcomes of Genital İnjuries After the First Coitus

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.

Keywords:

first coitus, genital injury, bleeding,

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