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Perineal Laceration
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Perineal Laceration

Please Help!
I delivered a 6lb 10oz baby boy (1st baby) 4 months ago and had
a very deep 2nd degree perineal laceration involving the skin of
rectum.  It was repaired after the birth and I was in agony for
2 months.  I am now left with a "Frankenstinian" scar and want to
know if there is anything I can do to make me look human again?
My perineum is misaligned,sunken inward and only half of what
it used to be.  I have extra skin flaps at the entrance of
my vagina and my anus.  I went back to my OB/GYN 3 times to
remove small painful lumps of scar tissue but she only made me
worse.  I am going crazy from pain and very depressed about
how bad it looks.  Any information would be greatly appreciated.
I would like to know if this kind of damage is common or could have been prevented.  I refused a 2nd degree mediolateral episiotomy.
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Well, your situation is complex.  Some people can develop severe scars, called Keloids, in response to perineal tearing.

Or, there could have been infection, or difficulties in the repair itself that led to the development of the pain/scarring.

You need to be seen by a gynecologist, preferably at a large university setting.  It probably won't help to just take off pieces of scar (as has been done to you already), you may have to have the whole thing opened up again, and revised.  No easy undertaking for you.

I strongly recommend getting another opinion at an academic setting if possible.  

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Avatar_n_tn
I had the same thing  happen when i had my first child, he is now 3 years old and I still have the piece of extra skin. It was painful for about 6 months and then slowly faded away. I talked with my doctors and they said I could have reconstructive surgery but I choose not to. With the embarrassing perspective, it was for a while but i soon got over that also. Hope everything goes well and keep me posted.
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