Hello and welcome to HCM,
Perineal skin tears during child birth usually.
As you have mentioned that the perineal skin has become very thin and it tears easily, it seems this thinning is due to lack of estrogens in your body.
, the levels of estrogen drops and the genital skin that present in the perineum
, and vagina becomes thin.
This thinning can lead to tearing, and or infections.Hormone replacement therapy
helps to replace the estrogens in the body.
Topical estrogen cream helps the perineal skin, and the vaginal mucosa to become healthy ane strong.
Consult your gynecologist for clinical examination, and further management.
Thanks and take care
Dr Shailja P Wahal