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Gynecologic hemorrhage is bleeding from the female reproductive system, including uncontrolled bleeding from the vagina other than that associated with a menstrual period or cycle.
Causes of gynecologic bleeding include trauma from penetrating injury or sexual assault, a ruptured ectopic pregnancy, internal injuries from a blow to the abdomen, particularly during pregnancy, placental abruption, and uterine cancer.
Bleeding in quantities greater than six ounces (half a can of soda) from the groin that does not slow or stop will generally require some diagnostic explanation. In many cultures the patient may attempt to hide her injuries out of embarrassment or fear.
In the urban setting, call for help immediately. Apply direct pressure to the outside of the vaginal cavity. Do not attempt to pack the vaginal cavity with cotton or any other item or object.
In wilderness first aid, immediate evacuation is indicated.
Transport immediately to hospital care. Follow local protocols.
Treatment depends on diagnosis and may include coagulants, muscle agents, [blood transfusion]] and immediate abdominal surgery.
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