Post natal vulval and perineal states
Moderator: talkhealth
Post natal vulval and perineal states
Hello! I gave birth vaginally about eleven and a half years ago. Things didn't quite go to plan and i ended up on my back and then episiotomy and grabbers... he's doing great, started upper school this year.
But. My stitches didn't hold and 'repair' wasn't done until he was almost four and the first stitch made quite a high shelf to enter over while the rest were quite loose and the scar tissue is loads and easily torn. Speculums are a nightmare, nevermind I've been sexual- penetration free for over twelve years.
I guess this is a vulval/perineal question. I've been told (by non gynae) that any repair to the vulva would be cosmetic, but i think it's functional, thank you very much, and I'd like your opinions. Also I'd like tho know if you have any knowledge of ways to strengthen scar tissue. I have bladder and bowel issues from some of this as well and that doesn't help the perineal tissue stay intact or infection free.
Yeah ok, i guess that's enough for now.

But. My stitches didn't hold and 'repair' wasn't done until he was almost four and the first stitch made quite a high shelf to enter over while the rest were quite loose and the scar tissue is loads and easily torn. Speculums are a nightmare, nevermind I've been sexual- penetration free for over twelve years.
I guess this is a vulval/perineal question. I've been told (by non gynae) that any repair to the vulva would be cosmetic, but i think it's functional, thank you very much, and I'd like your opinions. Also I'd like tho know if you have any knowledge of ways to strengthen scar tissue. I have bladder and bowel issues from some of this as well and that doesn't help the perineal tissue stay intact or infection free.
Yeah ok, i guess that's enough for now.


- Dr Emma Kirk
- Posts: 15
- Joined: Tue Mar 03, 2020 2:25 pm
Re: Post natal vulval and perineal states
This doesn’t sound cosmetic at all. It sounds appropriate to ask your GP to refer you to a pelvic floor clinic. Unfortunately some women do have to have surgery to ‘refashion’ their perineum after childbirth.
Dr Emma Kirk
Consultant Obstetrician and Gynaecologist - BSc, MBBS, MRCOG, MD
http://www.talkhealthpartnership.com/on ... a_kirk.php
Consultant Obstetrician and Gynaecologist - BSc, MBBS, MRCOG, MD
http://www.talkhealthpartnership.com/on ... a_kirk.php
Re: Post natal vulval and perineal states
Thanks for that. Sometimes it's just a confidence boost needed to overcome doubts tho ask fir the help. We'll see if that's what was needed!
Re: Post natal vulval and perineal states
I just found what used tho be called 'women's health' has become the 'pelvic health physiotherapy team'. I thought they had just disappeared. They were the ones who were my first confidence boost: "that's not a dent, it's a divot. Nope, that's an actual hole."