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Vulvar hematoma (bruise and swelling)

Also called: Vulvar hematoma

A painful, swollen bruise of the vulva after injury or childbirth.

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Overview

A vulvar hematoma is a collection of blood under the skin from a fall, straddle injury, or childbirth.

Symptoms

Common signs:

  • Swollen, painful vulva
  • Painful, swollen bruise of the vulva after an injury or birth

Less common

  • Bruising

When to get medical care

Call 911Can't pee or fast-growing swelling.
Get care todaySwelling after injury.
See a doctor soonSymptoms that last or keep coming back.

Causes

Injury.

Diagnosis

Exam.

Treatment

Ice and rest.

Self-care

  • Use cold packs
  • Sit on a cushion

Medicines

Medicines that may help:

MedicineHelps withGood to know
Pain relievers
Pain and swellingAsk first if you have kidney, stomach, or heart problems.

OwieClear doesn't give doses: follow the label or your healthcare professional. Medicine names here are examples, not a full list.

Prevention

To lower your risk or prevent problems:

  • Use bike seats that fit

Which doctor treats this

  • Urgent care or the ER can treat it first. For minor problems, your primary care provider can help.
  • They may send you to a gynecologist (OB-GYN).

Back to school, work, or sports

  • Recovery time varies. Ask your care team when you can drive, lift, work, and exercise.

Children, pregnancy, and older adults

  • Girls on bikes: Common cause.

Outlook

Heals.

Most heal in weeks.

Getting ready for your visit

Bring a list of your symptoms and medicines.

What to bring

  • A list of your medicines and supplements
  • Notes on when symptoms started and what makes them better or worse

Questions to ask

  • Will it need to be drained?

Research studies

Research studies test new ways to find and treat health problems. Some are looking for volunteers. Talk with your doctor before joining one.

Search ClinicalTrials.gov for studies on Vulvar hematoma (bruise and swelling)

Sources

Last updated 2026-11-12.