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Fenton's repair - what is it??

Ever since I first had sex (about 3 years ago), I've had constant pain when my boyfriend enters me.
I've seen numerous specialists and they all seem a bit vague about the problem.
The last one I've seen has advised me to undergo a Fenton's repair operation and says she feels this is the only thing that could help me.
She told me to go away and look it up on the internet and get back to her if I decide to go ahead.
Trouble is I've been on loads of websites and I can't find anything about it!!
Has anybody had this and can tell me more about it or maybe where I could get the information from??
Thanks :)
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Avatar universal
I live in Canada and in a remote area of Canada. So I can't research doctors and find someone who has experience with this. I basically have to go to my family doctor and be referred to someone. I have insurance yes, because everyone in Canada does but that also makes it harder because I can't go privately to find a doc. My gyno sent away the skin from my initial operation (where she removed the scar tissue) and the lab said it was just scar tissue (no other conditions), well I'm assuming they would have check for that. I don't think I have Vulvodynia, because I don't have any other pain with my vagina, well nothing major. It's sensitive but not to touch or insert tampons. I am sure my nervousness now about tearing doesn't help the situation though. I'm not as relaxed during penetration as I use to be.

I understand what you are saying about the friends and their sex life! I feel the exact same way! I hate hearing about them enjoying sex and even more than enjoying it, I hate hearing that they can do it whenever they want to or whenever them and their partner are in the mood. I can't do that! I am glad you have such a supportive partner! My relationship is new! We are actually living in different parts of the country and trying to work on being together! He knows about my condition but doesn't realize that it's so hard to treat! He asks to have sex more often on this visit (cause this i only a recent thing, my first surgery that made things worse was mid October and this is the first time I saw him since then) and he kinda pushes for it but I tell him I can't. He's supportive saying don't feel bad and it's not my fault, but I feel like a failure! a disappointment to him.  I've showed him my tears so he can at least see what is going on down there. My biggest frustration is that the first op made it worse. I was dealing with this the best could and it was manageable, then try to make it even better and messed it up completely!

Okay, one more question about the surgery itself? Is the diamond they cut longer horizontally or vertically!  My skin is clearly not that stretchy either! But my other skin on my vagina is very stretchy. The labia minora is very stretch... I don't understand why that one area (the base) is so not stretchy.

Well at least your surgery looking better! I am not sure how that works with the wound healing from the inside out! It will leave a scar for sure and scar tissue doesn't stretch properly but neither does our normal skin either so what's the difference really. But the widening itself may help with less stretching!  And thanks for offering to check for me for doctors etc, It's appreciated and if I was in New Zealand I'd surely take that opportunity. And yes, please keep me updated! :) Thanks again!
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Avatar universal
Oh No! You're doctors seem to have their heads in the sand as much as mine! What is the problem with the canestan? is it the cream? or tablets that you insert? You can't insert them? Have you tried the over the counter Pill for yeast infections! I have used those and really have found that they are the only thing that work! Also, get yourself a pro biotic that you take orally everyday! or you can get it in a pill or liquid form! It's for digestion but helps with yeast infections too!  So far it has been helping me! It will maybe make you have more frequent bowel movements (sorry for the details here, but just though I'd let you know) but that also dies down after taking them for a while.  I've been taking it for 2 and a half months with no yeast infections (the longest I've went in a long long time). I think that is half of my problem. I had yeast infections for a long time and they made my skin sensitive (when I had them) and I didn't realize the damage the sex with a yeast infection was doing. It damaged my skin and then they gave me steroid cream to help the sensitivity and then the skin got thin and well you know the story! We use different positions usually. Do you know any specific ones that are worst for causing tears? I am not sure which ones are best or ones to avoid. Cause if I did I would definitely avoid them!
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Avatar universal
Hey Anne

Yes it's a diamond shape they cut and then stitch up horizontally.  Unfortunately i got an infection and the stitches broke down, meaning i now have a diamond shaped wound of raw flash.  I've been told it can't be restitched so i just have to let the diamond shape heal from the inside out, which i think will mean scar tissue, and i don't know how painful that is going to be.  But i guess at least it means it shouldn't be able to tear the actual wound site open as thats already happened?
In terms of how they close it it looks like they just stretch skin from inside the opening backwards.  It's meant to be very stretchy down there (for normal women), but i'm guessing mine isn't that normal, so maybe that put extra pressure on the stitches?  The surgeon said she also suspected i have lichen sclerosis (due to very pale skin down there which was only noticed during the op), so she's sent the removed skin away to be assessed for this.  I don't know much about it, but it sounds like it just causes pain down there is general, and can cause the entrance of the vagina to narrow.  I think it's treated with steroid cream.
Ahh thats such a bugger you can't see a psychotherapist.  I know it's not actually treating any of the physical problems, but it's amazing how much it can help restore mental health.  My partner (of 8 years now) and i broke up a few years ago almost entirely due to this.  I wasn't dealing with it properly.  My way of coping was to ignore it, which meant sex was extremely painful.  This made me resent it, and resent my partner because he didn't feel any pain.  Every time we had sex i almost felt abused, but every time we didn't i felt terribly guilty and hated myself.  I never talked to him about this, and of course one thing led to another.  Luckily we did get back together, and got some counselling (although initially not with someone who knew about my condition and could take that into account).  He's come along to some of my psychotherapy sessions and we've gotten much better at communicating through that.  Maybe you could Skype a psychotherapist? Or if you have medical insurance would it cover you flying out to see someone?  Don't underestimate how big a part mental health plays, and from what you're saying you really need someone there to bat for you!
I'm with you regarding not understanding how such a seemingly simple thing is unfixable!! Hearing my friends talk about their sex lives around me just kills me!  How can it be so enjoyable for them and so hideous for me?
My partner was 18 when we got together, so he's had to listen to all his friends talk about wild crazy sex, and all the time he's had to hide what he's been dealing with.  After our break up i told him to talk to a few of his friends about it, so at least he now has people around him who understand and who he can talk to.  It's hard because it's such a private issue, not something you can just bring up with people.
If i was you, i think the next best option is to research doctors who actually know about things like vulvadynia and lichen sclerorus  (which are problems that arent just associated with pregnancy) and save up to go and see someone.  You just need to make sure it's someone who actually has some people skills as well, so they don't leave you feeling worse.  Whereabouts do you live?  I'm in New Zealand, but i could try asking my therapist incase she knows people internationally?
In terms of my progress, things are feeling a little better today, although i still have some bleeding.  But hearing my partner yesterday say that it is actually looking a little better has just made me feel a million times more positive.
Hang in there Anne.  It's so easy to let this all seem overwhelming and hopeless, but we gotta keep believing that there's something we can do to fix it! x
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Avatar universal
I saw a GP in the practice who used to be a Gynae, I went to her because my usual GP thought she would deal with things better being a Gynae. I had already been prescribed heavy duty course of anti-thrush meds. Gynae GP looked and said you don't have thrush, took a swab which was very painful. She then went on about wanting a smear done. I explained I didn't need a smear doing, she said one needs doing, either here or under GA at hospital. For a GP and a Gynae she didn't seem to read the notes on the screen, about my having vaginitis, vulvodynia and thrush. I went away and a couple of days later I had a phonecall off her, she said you've got thrush, she didn't apologise for telling me adamantly in the consultation room that I hadn't got thrush. She said I've left you a prescription. The prescription was several applicators for canestan, I find those things nigh on impossible to entertain, so they are still in the boxes. Due to the fact she told me to stop the heavy duty anti-thrush treatment my GP put me on, the thrush is now back. I will have to book and see my GP and have a chat with him. I seem to suffer repeatedly with thrush, I've tried everything to rid me of it, and I do wonder what long term thrush can do to you down there. Please let me know how you get on with everything. Try a different position in bed and see if that lessens the tearing.
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Avatar universal
Hi Moonstone,
Yeah I guess the Gyno didn't think of that! And I knew it would create a new scar but I thought maybe the new skin on skin would hold up better for tearing then the old scar tissue! I don't know! I should have left it alone! I can't believe this is such an unfix-able issue! I read someone, They can turn a man into a woman and a woman into a man, but they can't stop my vagina from tearing when I have sex.. SERIOUSLY! I'm sorry, I'm just frustrated and stressed! It's been 4 days and my vagina is just beginning to heal up! I've used antibiotic cream to help with the itching and healing! I just know as soon as I have sex again this is gonna be my routine! Not acceptable or anything to look forward too!
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Avatar universal
Thank you StaceyLo,
This is one of the most frustrating things ever! I feel like I'm a disappointment to my partner! He lives away now and he's home on a vacation and I can't even have intercourse with him! He's understanding but at the same time I know he's disappointed! We have done other sexual activities, but still! He's understanding now, but this wasn't such a problem for me before!  Like I mentioned earlier, we could have sex after a couple days, because initially my tear wasn't so severe. I mean, it was workable but still not what a normal person should be like. And I am upset with my doctor because she said "well try it, because it can't make it any worse...and it did." I just wish I had left well enough alone... And I think we have the same situation because my doctor told me I am also VERY SENSITIVE down there! I don't have any other conditions that I know of, but I do have a lot of yeast infections. I am getting those under control more now in the last couple month (by using a pro biotic) but I think that has added to the problem!  Thin Skin, lack of elasticity, not enough self lubricant and irritated skin, which caused the initial splits! Now it's just prone to split! As for the Psychotherapist, thanks for advice and I am really glad it's helping you! I'm pretty sure that there isn't one in my community! I live in a pretty small town!  What is dermal Cream?? What was it's purpose? It's just one giant issues, my tearing causes anxiety and my anxiety causes stress and affects other areas of my life, my eating, sleeping etc. I would appreciate so much if you would update me on your progress! and let me know if it worked for you! I have read by a few people in our situation that it doesn't work. But a lot have said, I just had it done! I don't see anyone saying, yes I had it done for tears (no childbirth) and it worked. I don't tear anymore! I haven't seen one single person say that. I have read success stories but It seems to work best for the ladies who have NORMAL vaginas but had tears due to giving birth! Which makes sense. They have normal skin there! I want to know if it helps you! Cause if it helps, then I will consider trying the Fenton's. Maybe widening the vagina will reduce the friction and more than that make it so that it doesn't stretch so much during penetration! Like I said before My biggest fear is that I have a vertical split now and if they cut a diamond shaped and sew horizontally (as I read it's done... can you help me with this too?? how does that widen the vagina?? maybe you know more about how that works) that if I split again horizontally also, it will be one giant hole! A horizontal opening and then the vertical opening... Can you imagine how long that will take to heal?? so upsetting!  Anyway, thank you for your response. You are the only person that has responded to my posts! I am interested to know if this helps you not tear anymore! Thanks and best of luck to you! I know what you are going through!
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