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:
| Medicine | Helps with | Good to know |
|---|---|---|
| Pain relievers | Pain and swelling | Ask 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.