# Rare Non-obstetric Large Vulvar Hematoma Secondary to Consensual Sexual Intercourse: A Trial of Conservative Management

## TL;DR

This paper discusses a rare case of a large vulvar hematoma caused by consensual sexual activity and the treatment approaches used.

## Contribution

The paper presents a unique case of non-obstetric vulvar hematoma managed conservatively before surgical intervention.

## Key findings

- A large vulvar hematoma occurred due to forceful consensual sexual intercourse.
- Conservative management was attempted before surgical intervention was required.
- The case highlights the lack of standard guidelines for non-obstetric vulvar hematoma.

## Abstract

Outside of childbirth, a vulvar hematoma is an uncommon gynecological presentation that typically occurs secondary to blunt trauma to the perineum. Given the low incidence of non-obstetric vulvar hematoma, there is no standard guideline or consensus for managing such cases. There are two mainstay approaches: conservative management and surgical intervention. We present a case of a large vulvar hematoma secondary to forceful consensual sexual intercourse with a trial of conservative management followed by surgical intervention.