Doctor insights on:
Can I Masterbate After An Episiotomy
Infection, bleeding: It is best if a surgical procedure (like epis) is performed as seldom as possible. Most obs would cut one typically in a situation in which a tear is likely. To decrease risk of complications, an episiotomy is done after a woman's perineum ('bottom') has been cleaned with an antiseptic solution. Careful closure of most with stitches helps decrease the risk of bleeding. Discuss before labor. ...Read moreSee 1 more doctor answer
No: Scars in this area may need revision if the pain is such that it interrupts normal sexual intimacy. Search out an experienced uro-gynecologist. ...Read more
ASK YOUR OB: Who delivered you, that is your ob's job to tell you all of that before u go home, just like i tell all of my pts so call their office today and follow their instructions as they know what type of epsiotomy u had and if you had any other problems down there. ...Read more
Pelvic exam: It is not likely that you reinjured an old episiotomy unless the episiotomy was very recent. There are other causes of vaginal pain that should be evaluated.The next step is an examination by your Obgyn. ...Read more
I just had an episiotomy. Just wondering, will they cut me at the same area (scar) if I need to have another episiotomy next time?
Maybe...: The two most common types of episiotomy are: midline episiotomy and medio-lateral episiotomy. Some docs prefer one over the other in different situations. So its possible that if you have a different doc and a different delivery, you might get a midline when your prior episiotomy was a medio-lateral or vice versa. Its perhaps more likely that the episiotomy would be made in same place. ...Read moreSee 1 more doctor answer
How can episiotomy be avoided? Is there any procedure that can be pre applied to aid a woman months before labour is due? Can frequent sex help?
Not Needed: Episiotomy really has fallen out of favor & is rarely performed in our area. Studies have shown a better outcome with allowing the perineum to stretch, fewer extensive lacerations, and less pain for the mom. A well controlled delivery is vital & an attendant willing to allow stretching is needed. Epis usually done if lacerations start near the urethra/clitoris or for emergent delivery if needed. ...Read more
Baby 14months ago, and my episiotomy still hurts sometimes. It almost feels too tight when I wipe &, drying off after a shower I have to pat dry.
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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
See below: An episiotomy is a cut in the lower portion of the vulva / vagina to enable a quicker delivery of a baby vaginally -. ...Read more
Get checked: Call your obgyn - likely just a stitch. ...Read more
Communication!: The idea that automatic episiotomy is the standard of care stopped being the norm about 2 years ago and many physicians have adopted this belief. Make sure your doctor is on the same thought process as you! another idea is "perineal massage", whereby your partner gently massages/stretches the bottom of the vaginal opening with a gel (k-y jelly) for the last 8 weeks in preparation for delivery. ...Read moreSee 1 more doctor answer
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