The tear extended into the mons veneris and down to
the rectum, and the finger could be introduced into the vaginal
wound to the depth of two inches. The patient recovered in four
weeks, but was still anemic from the loss of blood.
Crandall cites instances in which hemorrhage, immediately after
coitus of the marriage-night, was so active as to almost cause
death. One of his patients was married three weeks previously,
and was rapidly becoming exhausted from a constant flowing which
started immediately after her first coitus. Examination showed
this to be a case of active intrauterine hemorrhage excited by
coitus soon after the menstrual flow had ceased and while the
uterus and ovaries were highly congested. In another case the
patient commenced flooding while at the dinner table in the
Metropolitan Hotel in New York, and from the same cause an almost
fatal hemorrhage ensued. Hirst of Philadelphia has remarked that
brides have been found on their marital beds completely covered
with blood, and that the hemorrhage may have been so profuse as
to soak through the bed and fall on the floor. Lacerations of the
urethra from urethral coitus in instances of vaginal atresia or
imperforate hymen may also excite serious hemorrhage.
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