Main Page | See live article | Alphabetical index Note: Wikipedia does not provide medical advice. If you have a medical problem, you should seek expert help. Table of contents 1 Definition 2 Causes 3 Diagnosis 4 First Aid 5 Field Care (for EMTs) 6 Clinical Treatment 7 References 8 External Links Definition Gynecologic hemorrhage is uncontrolled bleeding from the vagina not associated with a menstrual period or cycle. Gynecologic hemorrhage is a medical emergency. Causes Trauma such as from penetrating injury or sexual assault. Ectopic pregnancy that has ruptured. Internal injuries from a blow to the abdomen, particularly in pregnancy. Rarely, some forms of uterine cancer. Diagnosis Bleeding in quantities greater than six ounces (half a can of soda) from the groin that does not slow or stop. Note that in many cultures the patient will attempt to hide their injuries out of embarrassment or fear. First Aid If at all possible care should be given by a same-gender individual. 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. Field Care (for EMTs) Transport immediately to hospital care. "Load and go." Follow local protocols. Clinical Treatment Coagulants and muscle agents by injection. If caused by trauma or ectopic pregnancy, immediate abdominal surgery. Supportive care including blood transfusions. References medical emergency External Links This is a stub article. Help Wikipedia by adding to it. This article is from Wikipedia. All text is available under the terms of the GNU Free Documentation License.