Chronic radiodermatitis of the vulva with extensive telangiectasia and marked scarring of the perineum.

Anus of a sexually abused little girl showing tears, bruising and laxity with normal hymen above. (Courtesy Dr. G.D. Oliver.)

Same child (supine position) 2 years later with a healed scar at the 6 o’clock position.

Perineal laceration through the hymen and posterior fossa with hematoma formation and surrounding bruising in a raped child. (Courtesy Dr. G.D. Oliver.)

Vaginal stenosis and loss of vulva after radical vulvectomy for cancer. (Courtesy Dr. P. Bryson.)

Ring inserted through the clitoral area. (Courtesy Dr. Howard Bierman and Dr. Norman Goldstein.)

Trauma, Piercing

Vulvar hematoma and bleeding following surgery. (Courtesy Dr. P. Bryson.)