Vaginal Dryness and Painful Sex Due to Episiotomy During Vaginal Delivery

In order to prevent some risks of frequent urination, chronic pelvic pain, and painful sex after childbirth, the gynecologists routinely perform an additional surgery in the surface area between the vulva and the anus, and the posterior vaginal wall.
Despite this surgical procedure (known as Episiotomy or Perineotomy) remain conflicted for such purposes, however, some evidences showed this offers better outcomes in both psychology and physical health status of postpartum women compared with a labor without episiotomy.
This surgical procedure is performed in order to deal with unexpected incidences of excessive tension of pelvic floor muscle that normally under voluntary control, the tissues are stretched by the baby’s head, or having a vaginal delivery as a whole. On the other hand, postpartum women may also experience with vaginal dryness and painful sex due to this procedure.
A study from Department of Woman and Child Health, Karonlinska Institutet, Stockhol, Sweden, found that, “Women who underwent episiotomy experienced a more complicated and emotionally difficult delivery. They reported a higher frequency of dyspareunia [painful sex]and insufficient lubrication than women who had given birth without episiotomy.”
They concluded, “Episiotomy may affect women’s sex life during the second year postpartum with more frequent pain and vaginal dryness at intercourse.”
Despite the mechanisms remained unclear, for the last decades the physicians have begun to re-evaluate the procedure because more evidences showed episiotomy contribute to more severe perineal lacerations and future pelvic floor dysfunction while the benefits of such mentioned above were lacking.
Furthermore, in the 57th annual meeting of the American College of Obstetricians and Gynecologists (ACOG) held on May 2009, the review of 10-year episiotomy during 1997 to 2006 concluded that there is substantial reduction in episiotomy rates across patient and many women refused episiotomy. In fact, some studies even recommended against routine episiotomy like 2005 Hartmann’s study.
Overall, regardless the pros and cons related to Episiotomy, this surgery still widely used for women undergo vaginal delivery, as well as the incidences of vaginal dryness and painful sex. To overcome these side effects of episiotomy, particularly with vaginal dryness and painful sex.
Also, if you are planning for birthing with vaginal delivery, you can also discuss with your doctor whether episiotomy should be performed or not in accordance to your health status, physical factors, and the fetus condition which can be analyzed by your doctor using medical ultrasonography. Final decision is in your hand.
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