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Vaginal Cut Causes and How to Treat Vaginal Tearing after Childbirth, Menopause

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vaginal tearing and episiotomies can cause pain and discomfort. They occur mainly after childbirth and during menopause. When you do not have good care, perineal fissures can cause infections in the genital area. Here are the causes, treatments and home remedies to cure vulvar tears and cuts.

What is an episiotomy or vaginal tear? “ A cut or break (crack) vaginal or sores are a painful fracture, crack or break in the mucous membrane (skin) inside the vagina, on the inner or outer lips (vulva), in the perineum, or around the clitoris or the clitoral hood . “

Vaginal tearing and vaginal cuts during childbirth and menopause causes and treatments
tearing and cuts in the muscles of the vagina and the skin can cause discomfort and pain.

See also: What causes a vaginal itch? 12 cases and treatments.

vaginal tear is a very spontaneous laceration in the perineum (which is the area between the vagina and rectum) that occurs when the baby is being pushed out. During childbirth, the vagina must stretch enough to allow a baby whose head is always larger size, to come through it.

  • first-time mothers have a higher percentage chance of having some kind of vaginal tearing during birth especially since the tissue of the vagina is less flexible.

vaginal tear causes


Other factors may contribute to the likelihood of lacerations, as overweight or even have rapid delivery, because the tissue has much less time than may be able to adapt and even stretch when the baby is reduced; the position of the baby (those up, for example, a lot of extra pressure on the bottom of the vagina) is also another factor.

Having a vacuum or forceps assisted delivery or labor especially long that causes severe vaginal inflammation increases the risk of vaginal tears also.

1. cuts and vaginal tears during childbirth

When a person is giving birth, a new human being is going through the vagina, so no wonder that vaginal delivery needs to be stretched. Every other person who delivered through the vagina (and sometimes people who have prolonged labor before delivering via Caesarean section) might expect some of perineal pain after childbirth.

And it is very common, since the pressure of the baby’s head is pushing through, have vaginal tearing and lacerations of the perineum (this is the area between the vagina and anus) and sometimes the cervix as well. Like most women will have at least a small tear after birth, and anyone who delivered vaginally is also at risk.

2. Vaginal itching and scratching

The vulvar itching involves itching of the vulva. The vulva is the area of ​​the skin which is just outside of the vagina. Most women have a slight itching vulvar most of the time. But vulvar itching involves itching is persistent and leads to anxiety.

Itching may be particularly very bad especially at night and can disrupt sleep. About 1 woman every 10 visits to a physician on persistent itching vulva at some point in their lives. vulvar itching may also affect any woman at any age. It can also cause scratching and rubbing that could break the skin and can cause pain, bleeding, and skin infections.

3. sex rough

After experiencing a rough sex, but very pleasant with a loved one, sometimes you can feel a burning sensation in or around the vagina, even accompanied by localized pain and pain.

This uncomfortable condition usually gets worse when you try to urinate or even when urine wets the affected area. In fact, it sits on the flat surface could also aggravate the discomfort. Do not worry too much, you can be as vaginal tearing.

Make use of a very vigorous sex with a dry properly lubricated vagina and is not one of the most common causes of a vaginal tear. Sometimes the inappropriate use of sex toys can also destroy the walls of the vagina and can cause lacerations.

4. Sports, for example, skiing

sports such as water skiing, jet skiing can also put a lot of pressure in the vagina, thereby increasing the risk of vaginal tear.

5. Vaginal tears in menopause

physiological aging makes serious changes in the body of a woman can affect the anatomy , physiology and metabolism of the tissues.

For example, menopause or any other cause of hormonal imbalance can significantly increase the risk of vaginal tearing by lowering levels of estrogen, also alter blood circulation, thinning of the skin, irritation or even weaken the healing of old scars, etc.

Types of vaginal tears

There are up to 4 types of vaginal tears and vaginal cuts. Each grade has a different level of cut or severity of the wound.

1 st teardrop degree

(this is where only the skin is much more torn) and tears second grade (where the skin and vaginal muscles are broken) are the most common types of vaginal tearing.

  • perineal and vaginal tears can sometimes result in a lot of pain and can increase recovery time.
  • In many cases, a tear needs points (usually, are needed in the tears that are more than 2 cm, or even about 1 inch). After the tear is fully repaired, a person is likely to have sensitivity in place while it heals.

Like any other wound newly repaired, the area of ​​a laceration or episiotomy have time to heal, usually seven to about14 days. The wound is most likely hurt for many weeks, so you’ll have to take it easy in the meantime.

This tear is also a thin skin of perineal tear. No muscles are involved in any case. It is quite possible that a small number of stitches

may be necessary

2 nd tears degrees in the vagina

This more frequent laceration, tearing affects the vaginal lining and mucosal (sub) deeper tissues of the vagina and the need for stitches. Also it includes tearing the skin and muscle tissue.

  • Points are normally required and could take about two months to feel completely comfortable again.

An episiotomy is a cut made in the perineum to enlarge the vaginal opening. This is done to help the baby is born. An episiotomy however involves the same muscle and tissue as a second-degree tear in the vagina. However some of episiotomies could expand further, and when this happens that could be described as a third or even fourth full degree tear depending on their severity.

3rd tear degree

This type of laceration goes into the deeper layers of the vagina and the muscles that always make the anal sphincter. The doctor may be necessary to sew each of the layers separately, with special attention given to close the muscle layer which is supporting the sphincter.

This episiotomy, tear or laceration through the perineal muscles and the muscle layer surrounding the anal canal.

  • This has to be sewn and may take a little like a tear 2nd degree (three months or less), if not more, before the wound is completely healed and the area is much more comfortable.

4th tear degree

This type of a deep vaginal cut or tear involving the above and also extends through rectal mucosa. This is a delicate and careful repair has long since closed multiple layers. Fortunately, this is the least common of the tear is experienced. Normally, tears of third and fourth grade are very common when the baby’s shoulder gets stuck or even when a vacuum or forceps is applied.

  • This break is also passed through the anal sphincter all the way to the anal canal or rectum.
  • Most women who have the condition have none of the ongoing problems with the best management (including very good personal hygiene for you, diet, physical therapy, pain medication, and laxatives ).

However, some women may have problems with controlling the passage of urine, wind or even feces. This is known as incontinence (urinary and fecal incontinence) and will need ongoing review clinical or medical consultation.

Furthermore, although there is much rarer than a tear, a fistula rectovaginal may also develop. This is when the tube passage that connects the vagina and rectum. Signs of this are flatus and feces passing through the vagina.

  • is very important that you tell your doctor if you have any of these symptoms as the infection could result.

third and fourth breaks degree or fissures in the vagina is a very rare complication of childbirth that can affect the intestines of a normal woman, bladder and sexual functions short term and in some other cases, permanently.

If you experience a first or even a second degree tear, you might expect some discomfort, especially if you are sitting straight up, for a week or so. Experiencing a bowel movement or even do anything that leads to increased downward pressure, such as coughing or sneezing, even it hurt, too.

In the second week, the break must be well healed and the stitches to be dissolved, but the nerves and the entire muscle strength may take several weeks in order to heal, (Sex the first six weeks can probably be uncomfortable, depending on the location of the break, as well as the quality of the seam.

  • the healing of lacerations third and fourth grade period of time is taken longer, with two to three weeks of initial pain.
  • the discomfort during sexual intercourse, or having a bowel movement, can last many months.


feces and as a diet of high-fiber foods can help with the latter, like cold compresses and sitz baths herbal. from serious tears in the vagina or rectum can lead to pelvic floor dysfunction, and prolapse, urinary problems, bowel movement difficulties, and discomfort that comes during intercourse, it is very important to share all symptoms to your doctor, no matter how embarrassing it can be. Symptoms

Tears vaginal wall

Many women who present with tearing and subsequent cutting of the vagina are normally sexually active and symptoms also continue intercourse. Symptoms can be very mild, moderate or severe, even in intensity, and may resolve within a few days.

  • Pain in the vaginal penetration during intercourse
  • Pain in the insertion of vaginal buffer
  • The pain even during vaginal examination
  • tearing sensation
  • bleeding or spotting
  • Itchy vagina
  • burning sensation in the vagina
  • stinging in contact with semen, urine or water or any other liquid.

women affected may be premenopausal or even after menopause. vaginal tearing may happen in the first attempt intercourse or even many years later, in women who have had children or who have never had children. They may also have other symptoms including cracks in the skin folds in other parts of the vulva.

In careful clinical evaluation, there is normally a small fraction or a linear erosion in the midline of the base of the vagina in the perineal skin. Colposcopy (which is expanding with a bright light) can be very necessary to see the crack.

The rear fork can then form a tight band or even carp (membranous hypertrophy). In some other cases, the signals can be much more impressive and include:

  • marked sensitivity
  • deep, extensive ulceration of the vaginal walls
  • Redness of tissues surrounding
  • Swelling or lumps
  • healing

the vulva may also seem quite normal if the examination is carried out after fissure he has completely healed. But generally, a new fissure can be seen to appear while inside the vulva gently stretched.

How to treat vaginal cuts tears

expected some sort of pain, bleeding and swelling after childbirth, as well as a tear vaginal. With the permission of the doctor, there are several other ways you can relieve the discomfort at home and even promote healing. These are:

1. The application of ice packs

Applying ice packs especially to the affected area for about 20 minutes at a time could help reduce swelling. Many pharmacies sell ice packs that look like sanitary napkins normally fit in order to release the materials become very cold.

  • These can be used in underwear. If an ice pack is used, make sure you have a cover of clean cloth over it to protect the skin from damage caused by the cold.
  • Make sure you do not use an ice pack for more than 30 minutes at a time, as it can lead to nerve damage.

2. Taking a stool softener

The doctor may also prescribe a stool softener or even recommend a stool softener over-the -counter, such as sodium docusate (Colace). This can reduce the need to strain when having a bowel movement. Do not resist a bowel movement if he feels.

tear recovery Vaginal and healing

The treatment and cure or recovery for vaginal tearing always depend on the degree laceration. First-degree tears are superficial skin lacerations found in the vagina. second degree tears is the skin tissue and fat under the skin.

Third and fourth degree lacerations involve the deeper muscles in the vaginal wall. These injuries can lead to a lot of bleeding, requiring surgical repair. Thereafter, proper care should be taken to help speed up the recovery process and healing of vaginal cuts and tears.

perineal tear does not heal

times healing after a vaginal tear vary from one woman to another, but generally deeper is cut or tear, the longer the recovery time. A small, first-degree involves tearing of the skin instead of muscle, and can not even need stitches. Tears usually heal very quickly and lead to little discomfort.

If you have a very serious tear that extends to both the rectum (a third or fourth degree laceration) can cause pain and discomfort for a month or even longer. (The tears happen to anyone, but is likely to occur if you have an episiotomy.) In the first days after birth, you may have problems urinating and having bowel movements.

How to prevent vaginal tears

During the time of delivery, try to get into a good position gets very less pressure on the perineum and the vaginal floor like squatting upright or lateral decubitus. Hands and knees and even other positions more inclined forward can reduce vaginal tear, too.

also it helps if expulsion takes to the stage labor. On the other hand, when the mother goes to push as hard as you can, while someone who has, then there is a lot of extra pressure on the perineum, which could increase the chances of vaginal tearing.

Furthermore, it is possible to reduce the chances that the tear by using a heating pad in the perineum during the pushing phase of labor.

Finally, about four to six weeks before the due date, a mother has to practice a perineal massage about 10 to 15 minutes every day. Frequently massage the base of the vagina with oil or water based lubricant is said to soften the tissue, so it is very flexible and even improving its flexibility. Always consult your doctor before beginning practice, especially if you have a history of herpes, such as perineal massage practice with an active herpes outbreak may increase the risk of the spread of the virus throughout the genital tract.

How to know what is happening based on feel

The sores are very different, ulcers also feel different, strokes just they feel different. Think about how your mouth feels when damaged or when it receives an ulcer, and even compare the sensations – is the same type of tissue found inside the vagina, the lips of the mouth on the same tissue type as lips labia minora. the labia majora skin is similar to normal skin.

You are required to ensure that it is not a sore, blister, injury, or growth as these types of problems are usually caused by infections or other medical condition, and leaving them alone to heal is not going to to work .

When to see a doctor

You are required to check whether the courts or vaginal tear will not heal, appear to be infected, abnormal discharge occurs or is in so much pain that is not decreasing.

Treatment of vaginal fissures and cuts

This is usually treated as a sore in the mouth. It is in the raw mucous membrane and needs to be treated, so that nothing lasts. If you have compromised the ability of wound healing (such as diabetes, low nutrient status) or even immunity (HIV, chronic diseases), it might take a little longer for cuts and lacerations to heal.

1. No duche

Do not douche with anything, as this may alter the natural balance that protects the bacteria vaginal mucous membranes and maintain very healthy vagina. It has a bacteria that have a symbiotic relationship with mucous membranes.

You may have an infection of some sort anyway, but that needs to be treated in any other way, douching can not get rid of an infection of any kind.

2. Avoid sex

Sex and fiddling is out. Do not have sex until scratches and cuts heal properly, otherwise you may just reopen a recently closed meat, keeping the wound.

Intercourse, however mild, can build up in a rough experience especially when you have a cut that is cool or even one that is already healing.

3. Avoiding irritants episiotomies

not irritate the vulva or vagina by using the tampons, diaphragms, condoms or other vaginal device, lotions or potions until heal properly. No scratching, masturbating or even tight underwear.

  • Irritants can cause the affected area and encourage scratching. Scratching can easily worsen breakage, cracking or cutting and to extend the healing time.

4. Genital hygiene

Make sure you wash the vaginal area carefully, every day . Do not use soaps severe drying that could strip the delicate skin of moisture. Do not try to be rough -. The skin stitch together their proteins as healthy, and if you are very hard, they could separate

The fatty protective layer is a friend. Do not try to wash it. It is carried out in the same manner as, for example, diaper rash -. continuously stripping the skin of its natural protective layer means you can not do their job

4. Use a mild soap

Soap – make is very hypoallergenic, free of known irritants. Do not try to use soap in the vaginal opening, never. Adhere to the outer labial folds.

  • The vaginal mucous membranes (such as the nose and lungs) do not require washing.

5. Calmar vulvar fissures

Calmar vulvar fissures (outside the labial skin only) using a small amount of healing aloe vera gel, ointment papaya, vitamin E oil or other non-antibacterial soothing oil (which want to keep the good bacteria).

Do not try to insert any creams or gels even in the vagina unless prescribed by the doctor, particularly antibacterial creams. Their mucous membranes are irritated and that will end up with vaginal rashes and bumps .

  • If the lips are very spicy, dry or sweet, try a warm oatmeal bath – oats are soothing to the skin. They also reduce itching and inflammation, and usually makes the person feel good.

6. Eat a balanced diet

are literally grow new skin and mend the wounds, so having a healthy diet well-balanced and will help your skin heal quickly. If you build your temple of soft drinks and takeaways, and is not expected strong healthy skin, including your vulva. Matter.

infection perineal tear

His body recovery can be much more vulnerable to some after having a baby infections. Some of the post-partum infections starts normally work during brewing, although not normally manifest themselves for several days or even weeks – -. After delivery

The most common infections are:

  • endometritis, an infection of the endometrium (lining of the uterus that is)
  • incision Infected
  • urinary tract infection

Here there is a video in vaginal fissures, cuts and tears.

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