This article focuses on key aspects of postpartum healing, especially perineal healing and care for an episiotomy scar. Read our guide to find out how to support your body during this important phase.
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Childbirth is a natural process that can significantly strain a woman’s body. After childbirth, the body needs time and care to recover, especially in the perineal and vaginal areas. Healing can take several weeks to months, during which it is important to monitor your body and give it the necessary attention.
The perineum, the area between the vagina and the rectum, can be sensitive and prone to injury after childbirth. Therefore, it is important to take appropriate care of the area and avoid certain activities. “During the postpartum period, it is necessary to maintain increased hygiene, including more frequent showers, avoiding baths, strict sexual abstinence, and not inserting anything into the vagina,” says Dr. Kristýna Koutná. This applies to tampons, menstrual cups, and intimate care products.
The vagina undergoes significant changes during childbirth. Immediately after childbirth, it may be swollen and enlarged, which is normal. Over the next few weeks, it gradually returns to its original state, although it may remain slightly looser than before childbirth. Experts attribute this to a weakened pelvic floor or its dysfunction.
Sooner or later, every woman wonders, “When can I start having sex after childbirth?” You can theoretically resume sexual activity after six weeks if you do not experience any difficulties. However, you may not be ready for intercourse, and that’s okay. Resuming sexual activity is not just about physical recovery; psychology plays a role too, and it may need much more time.
An episiotomy is a surgical incision made during childbirth to facilitate the baby’s passage. Care for the resulting scar is crucial to prevent complications and speed up healing. The healing time varies for each individual, taking from a few days to weeks, and requires diligent hygiene and care.
Some deliveries are smooth, while others come with complications and consequences. For persistent issues—scar pain after an episiotomy, tension, feeling of a “loose” vagina, painful sex, incontinence—you may consider perineoplasty. This surgical procedure usually involves removing loose or excess tissue, possibly removing (excision) the episiotomy scar, and re-stitching and “tightening” the perineum and vaginal entrance. Since problems can persist for months after childbirth before completely disappearing, perineoplasty can be performed no earlier than a year after childbirth and if the woman is no longer breastfeeding.
Postpartum healing is an individual process that requires time and patience. With proper care, you can speed up recovery and return to your normal life. If you have any concerns or questions, do not hesitate to contact your doctor or midwife.
