Doctor insights on:
Exam: The cause could be several things. You may have healed with a neuroma (a sensitive ball of nerves), or you may have incompletely healed leaving a scar, or you may have a fistula (a connection from the rectum to the perineum or vagina). All these should be determined in a pelvic exam. ...Read more
Several weeks: Usually by 6 week visit totally healed but the extent of episiotomy can determine how quickly. ...Read more
Possibly scar tissue: I'm not sure if you have had persistent pain or if this just started to occur. If it has been persistent pain for two years, the pain is often related to scar tissue. If it's recent pain it may be due to an inflammatory process or an infection. No matter what you should be evaluated by your obgyn. ...Read more
Always reasonable: There are several reasons this may occur. Scar tissue, an inclusion cyst, or suture granuloma may have occured. There may be hypertrophic scarring or less commonly a keloid forming. Certianly to evaulate for infection is a good reason to visit the ob/gyn. He or she can usually rapidly determine if anything further needs to be done. ...Read more
Sir, I am suffering from scar endo metrosis for the last 15 years near perineum after episiotomy duing first delivery. Can mirena (levonorgestrel) cure this problem.?
Perineal pain: If you had adequate surgery then the endo is probably not the issue. You may have other problems, like pudendal neuralgia/vulvodynia, pelvic floor muscle pain. Mirena (levonorgestrel) could help as well as Danazol suppositories. But you need to be evaluated by a pelvic pain specialist. ...Read more
5 weeks after episiotomy I think I may have torn while trying to pass a form bowel movement. Is this possible?
Not likely: Episiotomy tends to heal very quickly because of the rich blood supply to that tissue. Although it is possible to tear the episiotomy open by passing a large hard bowel movement, it is unlikely that this would occur after 5 weeks. If you did cause a tear, you would see bleeding, but blood could also come from the rectum. Even if you did cause a tear it should heal without a problem. ...Read more
Call your OB MD: Call your OB MD who delivered you and ask as most want you to wait until after the post partum checkup appointment. ...Read more
Nearly 2 years after my episiotomy - I always suffer itchiness and its always sore. Stitches fell out early. Should I worry?
Examination: Have an Obgyn examine the area. They can see if you have any abnormalities or scar tissue. In some cases surgical correction can be done to fix the problem. ...Read more
I have episiotomy after givng birth 7yrs ago. I feel the episiotomy is getting unstitched and slit frm vag. To anus. Is that would be a health prob?
Yes: Episiotomy is when the skin between the vagina and anus is cut to enlarge the birth canal. It is typically only used if it is suspected that the baby will get stuck as it is being born, or in emergency situations during labor. Having a hemorrhoidectomy in the past should not prevent you from having a normal vaginal delivery. ...Read more
I feel some stretching at my episiotomy site after 50 days of delivery. What can I do to get relief from that.
Use it or lose it.: I assume you have had your 6-week gyn check after having your baby, &have been given the "all clear! " to have sex again. Vaginal tissue is very forgiving, and will stretch and accomodate wonderfully. The problem here is that you now have stitches and a scar where there was once normal vagina. Continue to have sex regularly to "work it out." this will be a matter of time and patience. All is good. ...Read more
Varies: You should wait till all bleeding and lochia cease-about 4-6 weeks and check with your doctor. Ask your pediatrician about the baby. I wouldn't rush things, ...Read more
It really depend how bad the episiotomy is,
first you have to allow enough time for the wound to heal, and that take up to 30 days, could be more.
second you have to give the uterus enough time to heal, and stop bleeding, and that take anyway between 30-40 days.
third you have to give enough time for the cervix to completely close and become tight, to prevent any infection,
last ask your doctor. ...Read more
Hmmm: No sure what that cream is. Episiotomies heal well. In general no scar is visible. So need for a cream most likely not there. ...Read more
Is it safe to vaginally deliver after having a previous episiotomy and then a sphincterotomy surgery which was due to fissures?
Ask your ob-gyn doc: The things in life tends to continually pile up attesting: Life is a one-way street of accumulation, modification, and continuation. Your surgical history in genito-anal region as reported may increase the odd to have childbirth-related vaginal injury, but not an absolute contraindication for vaginal delivery. To decide if reasonably to proceed with vaginal delivery, it is logical to ask your doc. ...Read more
I'm uninsured. I've had urine leaking out of my vagina, burns on thighs, 2 succ vag births, recurrent episiotomy infection after 1st preg. Whatcanido?
County Health: You need medical attention. Please contact your county public health clinic for an appointment. ...Read more
Episiotomy: It is also known as perineotomy, a surgically planned incision on the perineum and the posterior vaginal wall during second stage of labor. The incision, which can be mid line or at an angle from the posterior end of the vulva, is performed under local anesthetic (pudendal anesthesia), and is sutured closed after delivery. ...Read more
Cutting vagina: An episiotomy is a small incision made during vaginal delivery to create more space for the baby. It used to be used routinely, but recent studies show it is not necessary in most cases. Most doctors do not routinely cut episiotomies anymore. I rarely use this option except in emergencies or extreme circumstances. ...Read more
In delivery room: If needed, it is best if a surgical procedure (like epis) is performed under sterile or the cleanest conditions possible. That would typically be in a dr after a woman's perineum ('bottom') has been cleaned with an antiseptic solution and local anesthesia has been given. Sometimes, however, mother nature does not wait so episiotomy and delivery are carried out in nonsterile but clean conditions. ...Read more
Generally not: The current trend in obstetrics (according to my colleagues) is not to do surgical episiotomies, as there is a great deal of evidence that healing is better if the posterior birth canal is allowed to tear naturally. However, this tearing often requires repair with sutures by the obstetrician. My understanding is that surgical episiotomies are now rarely done. ...Read more
Episiotomy: Episiotomy is a procedure done at the time of delivery to facilitate the process. It is done for several reasons and is a judgement call by the delivering physician done at the time of delivery. Here in new jersey, the average rate can be anywhere between 3% - 30%. I would pressume that approximately 10-15% of women will get an episiotomy during a vaginal delivery. ...Read more