QuestionI wrote to you not long ago reporting some problems in the postpartum period, such as light bleeding for a week and a sort of "closing " of the entrance of my vagina. You told me not to worry about the first, since the trauma of my episiotomy could delay full periods and, as for the second, you told me I'd probably have a cystocele, a rectocele or a descent of the uterus. This diagnosis was later confirmed by a nurse especialised in ob/gyn, who examined me and told me I have a cystocele and a descent of the cervix. Your answer was very enlightening, referred me to the whole woman book and made me feel there was light at the end of the tunnel, for which I'm very grateful to you.
Now, I'm back to the first issue again, that of the light bleeding. One month just after that, I had a full normal period, maybe slightly heavier than usual. So I thought "we're back to normal". But now, a cycle later, I'm on a very-light-almost-like-spotting period again. It's as if the periods after the episiotomy had this pattern: one light, one heavy, one light... Now I'm a bit worried since I understand that we menstruate with a different ovary each month, and I'm afraid one of them is not working as it used to before giving birth to my second child. Could it be the one on the episiotomy side? This reasoning probably reads very childish to you, but if you were so kind as to tell me whether this could be normal to me after the trauma
AnswerYour episiotomy shouldn't have any effect on your ovulation, unless you have extensive interior adhesions and scar tissue that extend up to your ovaries and are interfering with the process. This is possible, but pretty unlikely.
It is possible that you are only ovulating on one side, or at least every other cycle (you could still be using both ovaries, just not as often). One way to confirm whether or not you are ovulating is to use temperature charting and/or other natural family planning methods to confirm an ovulation date. This would give you more information about how your body is working right now. As long as you are having a period at least every 3-4 months, it's not usually something to worry about.
