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Healing from a 3rd degree tear--doctor's advice MORE ?s
From: Amy (anonymous@obgyn.net)
Tue, 6 Feb 2001 20:55:00 -0600 (CST)
Thanks to Dr. von Almen for your reply--I have a couple more questions.
My pain is VERY localized to the spot of the second tear and really only
there. Also, since the birth of my son I have had some fecal
incontinance--is this likely related to the tears. How long before this
improves? How long should I wait before I go to see a doctor? I was seen
during my entire pregnancy by a MFM doctor; if my condition doesn't
improve, should I call him back (he's only an OB) or should I see one of
his gyn associates?
At Sat, 3 Feb 2001, William F. von Almen, II, MD, FACOG wrote:
>
>At Sat, 3 Feb 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? Since having my baby I have had a Urinary Tract
>>Infection that has not gone away despite 10 days of IV antibiotics, 2
>>week long courses of antibiotics, and an entire month on Cipro. If my
>>tear is not reallyu healed, could that contribute to my eternal UTI? I
>>thought 5 months after having a baby, I'd be able to tolerate
>>intercourse again and feel better.
>>Thank you for your help.
>Amy
>
>You do not say if you are nursing. If you are, that can slow down the
>healing some. Otherwise, the urinary problems are a little drawn out,
>and I doubt the tear could cause them, but I am not sure I really
>understand where the tear is.
>the more intercourse you have, the more stretching will occur and that
>mayhelp. I would probably give it a little more time-using gentle
>techniques and lubrication. If it does not improve, call your md back.
>good Luck
>
>--
>William F. von Almen, II, MD, FACOG
>Editorial Advisor-Pregnancy and Birth
>Private Practice
>New Orleans, La.
>
>*Please understand I can not respond to private emails.
>
>*These comments are for educational purposes only. They are
>not meant to take the place of an examination by a qualified
>health care provider. They are not intended to be the start
>of a physician-patient relationship.
>
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