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Gynecology  (Expert Forum)
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Painful sex after forceps delivery
Answered by
Keith Downing, MD - Obstetrics, Gynecology
MA
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This forum is for questions and support regarding gynecology issues such as: Cervical Disorders, Colposcopy, Cramps, Cystitis, Fallopian Tube Disorders, Menstruation, Ovarian Disorders, PAP Test, Pelvic Exam, PID, PMS, Surgery, Tests, Ultrasound, Uterine Disorders, Vaginal Disorders.

Painful sex after forceps delivery

by Jamie12269, Sep 30, 2007 09:43AM
I had my baby 5 months ago. I had a long labour that ended with forceps. They gave me a medio lateral episiotomy and as i understand i had a reasonable size cut. Although its been over 5 months, my vagina is still very sore. I absolutely cannot have sex at all. (have tried many times). Even the insertion of a finger is too uncomfortable. Is this normal? How can i make sex comfortable again? I feel like ive lost my sex life. Please help!

by Keith Downing, MD, Oct 01, 2007 12:16PM
Hello,

Painful intercourse after a vaginal delivery is not so uncommon.  This can definitely be exacerbated by having had an episiotomy.  You should be seen by your ob/gyn to make sure you healed properly.  Attempts at intercourse should only be made with adequate arousal (plenty of foreplay) and vaginal lubrication with the use of OTC lubricants (such as astroglide or ky jelly) if needed.  

Additionally, your physician may recommend vaginal/pelvic physical therapy with a specialist or the home use of vaginal dilators or vaginal weights to prepare your body for intercourse.

Best regards,

Dr. Downing
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