Brief Answer:
Hi and welcome to XXXXXXX
Detailed Answer:
Yes,this is complex problem after such procedures. Not just radioth,but also surgery causes certain damage to vaginal wall and healing may take up to 6-10 months.
Also,vagina may be too short and during intercourse it can lead to certain difficulties.
Discharge is also commonly seen and it is sign of infection,but also it can be sign of
sinus or fistula inside vagina and she should do gynecological exam with
colposcopy to rule this out. IF there is vagina wall defect, it can be repaired surgically.
To rule out infection she should do vaginal smear and blood tests and then the right antibiotic can be used.
Treatment is not easy and even if infection is healed,dispareunia may persist. She can try with lubricants and inform her partner to be more gentle during the intercourse.
Vaginal dryness may be improved with estrogens.
All in all,I know that this is very bothering,but she should be patient and wait for some time till everything heals. Of course,if there is infection or fistula,it should be managed properly. Wish you good health. Feel free to ask. Regards
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