The surgical technique referred to in the study by Ganapathy et al. The limitation of this study is that it was a case series and, due to lack of treatment randomisation, the findings may be biased and overoptimistic [ 15 ].
Randomised controlled trials are therefore needed to evaluate the effectiveness of this procedure for superficial dyspareunia. The extent of dissection was limited and tailored to each individual case. We consider that excluding non-organic causes of postpartum dyspareunia and limiting surgical intervention to women who failed to respond to adequate and proper conservative management may be crucial to the success of the procedure.
Undoubtedly, results of this procedure will depend on appropriateness of case selection. BJOG 2 — Lancet — Article PubMed Google Scholar. Br J Obstet Gynaecol 3 — A randomised evaluation of two stage postpartum perineal repair leaving the skin unsutured.
Br J Obstet Gynaecol 4 — A prospective randomized study of three different methods of repair. Br J Obstet Gynaecol 93 5 — BJOG 1 — Am J Obstet Gynecol 3 — Am J Obstet Gynecol 5 — The Obstetrician and Gynaecologist — Article Google Scholar.
Wiley-Blackwell, New York. Google Scholar. J Obstet Gynaecol 28 6 — Obstet Gynecol 57 6 — Friedrich EG Jr Vulvar vestibulitis syndrome. J Reprod Med 32 2 — So good luck with it! HI Claudia I would wait and see how it feels when you do have sex again. Fentons I think is generally done if you have pain with penetration. I think its pretty normal for the vaginal opening to appear wider after delivery.
Does anyone else agree?? Birth trauma 3rd degree tear still not healed after nearly a year. Birth trauma Episiotomy. Hi Everyone I'm sorry to hear you've all had so many problems and to you Claudia to hear your husband left you what a rat!
It's fine otherwise although I rarely sit because my tailbone was also broken back on itself giving birth. Anyway, my husband hasn't even managed to penitrate me. It's like split lip and the smallest bit of pressure splits the length of the scar a bit open. I was referred to a psychosexual physiotherapist. Had to wait three months and her opening words were that it was a shame it had gone on so long as it will be even harder to mend now! She advocated using vaginal dilators and stretching out the tissue.
Said it had healed in a big gnarlled mess. That was all good and well and I did everything she said and it was a relief to insert the biggest vaginal dilator to know that I could accommodate something bigger than a penis and not tear but the logistics of intercourse after nearly a year isn't as simple as inserting a smooth piece of plastic into yourself and I split again.
That's where we parted company - I told her what happened but by then it had healed a bit again and she said it was all in my head and I was mistaking sensation for pain - while she brutally shoved her fingers into me and stretched out the tissue it was so distressing, reminded me of the birth and all these people doing painful things to you and just having to lie there - found it very traumatic.
At my next attempt at intercourse I perservered, to no avail and the split was so bad it hurt to walk and wee. So I booked an emergency appointment with my GP, who was pretty irritated I go there at least once a month for one ongoing birth injury or other.
She said I should have waited a week for a general appointment until she saw that I was indeed split open I don't think anyone believed me until then. So she's referred me to be resutred. Really, it's been long enough now. You may experience some bleeding. If so, please use sanitary towels or panty-liners rather than tampons to minimise the risk of infection. It is normal for the operation site to feel sensitive and for there to be a small amount of bruising. You will have stitches which are dissolvable.
They usually take around two weeks to dissolve. You can have a bath or shower 24 hours after the procedure. You may find it soothing to have a shower once or twice a day — this will also keep the wound clean. Please abstain from sexual intercourse for two weeks at least, until the area is healed and you feel comfortable. If you are unsure of surgery just at the moment, why don't you see your consultant or GP again and ask about the possibilities of your scar resolving over time?
If this seems unlikely, then further surgery would seem to be the quickest option for you to regain comfort. Getting back to pre-pregnancy condition. I haven't enjoyed sex since a forceps delivery. I'm going bald after giving birth. Is this postnatal depression? Losing weight after a pregnancy. Postnatal depression or the baby-blues?
Protecting the baby in the early months. Should my vaginal tear have healed by now?
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