HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

How To Rectify The Stitches On Vaginal Region Post Episodomy?

I am 22 yr old will be 23 next week. 5'3.5 and 316 lbs. No serious health issues.I had a baby 4 mo ago. During the delivery the doctor had to preform a episodomy. I of course recieved stiches. My question is that its 4 mo later and I still feel tenderness and pain during sex and it seems to me that he sew me up too much and wrong because my vaginal opening seems a little off from where I remember it beind its more to the left than the center. I just don't know what to do.
Wed, 27 Jan 2016
Report Abuse
OBGYN 's  Response
Hi,
Sometimes, due to excessive wound induration, there can be a narrowing of the vaginal introitus or opening after an episiotomy. It is also possible that tight suturing of the incision can result in a narrowed introitus. Use of enzymes and sitz baths during the healing period help proper healing. Since you are four months post-delivery, you may need an assessment of the situation and surgical correction may be needed, if dilators fail. Please check with a specialist in person for local examination. Take care.
I find this answer helpful
OBGYN Dr. Shanti Vennam's  Response
Hello,
I have gone through your query and understood the concern. You could be right in guessing a misalignment of the tissues during the perineal repair. Also, sometimes the tissue induration after repair of the episiotomy wound may persist for a longer period, especially with tight suturing. What you need to do in the current scenario is to see a specialist for a local examination and see if you need a proper perineal repair to correct the problem. Proper perineal training also helps along with couple counselling if surgery is deemed not useful or needed. Hope this helps.
I find this answer helpful

Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 
Loading Online Doctors....
How To Rectify The Stitches On Vaginal Region Post Episodomy?

Hi, Sometimes, due to excessive wound induration, there can be a narrowing of the vaginal introitus or opening after an episiotomy. It is also possible that tight suturing of the incision can result in a narrowed introitus. Use of enzymes and sitz baths during the healing period help proper healing. Since you are four months post-delivery, you may need an assessment of the situation and surgical correction may be needed, if dilators fail. Please check with a specialist in person for local examination. Take care.