Severe Genital Tract Infection and Hymenal Disruption Associated With Chronic Masturbatory Practices in an Adolescent Undergraduate: A Case Report

Abstract

Background: Severe genital tract infection resulting from chronic masturbatory practices involving vaginal foreign-body insertion is rarely reported among adolescents.
Case Presentation: An 18-year-old undergraduate presented with a 3-month history of recurrent foul-smelling vaginal discharge and lower abdominal pain that persisted despite multiple courses of antibiotics. Although she initially denied sexual activity, a confidential consultation revealed chronic and vigorous masturbation since age 16, involving digital stimulation and repeated vaginal insertion of spoons, combs, and sticks. Pelvic examination demonstrated severe genital tract infection with hymenal disruption secondary to foreign-body insertion.
Management and Outcome: She was successfully managed with broad-spectrum antibiotics, supportive care, and comprehensive psychological, sexual, and reproductive health counselling, resulting in complete clinical resolution.
Conclusion: This case emphasizes the importance of confidential adolescent-friendly care, careful evaluation of persistent genital symptoms, and comprehensive sexuality education in preventing and managing avoidable reproductive health complications among adolescents.