Following the birth of a child, many women notice significant changes including physical issues related to the pelvis. The pelvic area carries important organs- the vagina, uterus, bladder, and bowel. It is especially important when it comes to controlling the passing of urine. But it can develop a weakness through childbirth when it stretches for the baby to come out of the womb. Example of birth trauma issues are as follows:
Changes in the appearance of labia
Damage to the perineum (the part between the vagina and anus)
Vaginal pain during sexual intercourse
Fecal incontinence
A dragging sensation or heaviness in the vagina
Your gynecologist may suggest pelvic rehabilitation therapy to strengthen a weak pelvic floor and mitigate the symptoms. A physical therapist examines the pelvis to determine the root cause of inflamed tissues and vulva pain. Book an appointment with a specialist if symptoms are negatively affecting the quality of your life. You need energy to take good care of your baby and a medical consultation is the first step to healing.
Is Vaginal Scarring Normal?
Naturally, the vagina is designed to stretch so it can accommodate an infant. But there’s a possibility the perineum will stretch too much to the point of causing tearing that may need stitching. Tearing is very common especially during the first childbirth. Depending on the type of stitch and degree of tearing, the stitches dissolve after 4 to 6 weeks. Then the vagina and perineum continue to heal for some months postpartum. But in some cases, distortion or scarring occurs where whereby some areas don’t heal properly. Though scarring doesn’t have symptoms, it can be painful during sex and may cause low libido. Such a condition can be managed with vaginal dilators that break downs the scar tissue. Or the doctor can stretch the vagina if it had shortened or narrowed. Refashioning of the vagina and perineum is usually the last resort when all treatment options have been exhausted.
Birth trauma is common but most women recover completely weeks or months after birth. But it is generally recommended to continue with pelvic floor exercises to prevent further issues or a prolapse. Some women endure ongoing pain and scarring that put their sexual life at risk. It is crucial to communicate such distress rather than ignore it. Not every mother needs surgery to solve a weak pelvic floor problem. Treatment is tailored to individual symptoms and needs. The doctor also considers your future plans regarding childbearing before administering any treatment.
