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Re: Healing from a 3rd degree tear

From: Laura (anonymous@obgyn.net)
Wed, 31 Jan 2001 22:13:34 -0600 (CST)


Oh Amy, ouch!! I had the same problem for 8 months! I had a 3rd degree tear get stitched, and though it looked healed at my follow-up visit, it hurt like crazy during intercourse. And no, it shouldn't really hurt like that after this much time, and if your doctor can't help, keep trying till someone can. I saw 3 OB/GYNS before I found one who was confident that he could help me. One possibility he said is that the tissue has "granulations". Basically, it didn't heal with the top side of one piece of tissue lined up to the top side of the other, so it remains very raw. In my case, the doctor could still feel the row of stitches! He was the only doctor to ask about whether I have any allergy problems. Turns out I am allergic to the chromic sutures. Instead of dissolving, they were encapsulated in scar tissue. The solution for both situations is usually surgery. That scared me at first, but let me tell you (and my husband will too!) - it was worth it! I had perineoplasty as out-patient surgery. It was basically like getting a new episiotomy. He used cotton sutures this time, which had to be removed after two weeks. It wasn't a ton of fun, but I healed completely and boy, was that a relief! It felt odd to be back to icepacks and the donut pillow without another baby to show for it! I hope you can find an answer that helps you. Incidentally, if it turns out that surgery will help you, and you are nursing, they told me not to nurse for 24 hours after the anesthetics because the kind I had could be excreted in the milk. So, you can stock up a little breastmilk or formula and pump and dump for a day or two. It didn't really bother my daughter because her Daddy took over for the feedings, so she expected a bottle when it was his turn. Hope you get relief soon! Laura

At Wed, 31 Jan 2001, Amy wrote: >
>I had my son 5 months ago and suffered 2 tears--an episiotomy that tore
>at the entrance of my vagina and about 2 inches back, another tear. At
>my 6 week postpartum the doc said all was well. Well, all is not well.
>The episotomy seems to be healed, but the tear farther back still causes
>me terrible pain during intercourse. My husband says he can feel the
>scar--like a skin flap or a rough area that he rubs against and it
>causes me a lot of pain. This tear still aches sometimes, too. Is this
>normal? How long will it take before it's better or before I should see
>a doctor about it? I thought 5 months after having a baby, I'd be able
>to tolerate intercourse again.
>
>Thank you for your help.




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