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

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.