QuestionI had an episiotomy during my labor 4 months ago. I found out a gap on the top of the episiotomy site. It looks like a cut, the tissue failed to fuse together. The gap is like 0.5mm long, it makes my vagina opening bigger. Also, I found some tissue (Scar tissue?) inside the vagina growing up to the top and it seems like trying to cover up the gap, but it won't because the gap (about 0.4 mm in depth) is separated tissue from it. I am guessing the top stitch came apart and cause the gap which makes me looks unattractive and this really bothers me.
Questions:
1. Do you the gap is a defect of episiotomy? Does it happen often?
2. Will the gap be fused by itself? The edges seem like completely healed.
3. If the gap never goes away, will it be a vulnerable place for me to tear when I vaginally deliver another baby?
4. My doctor didn't paid much attention on the gap, even it bothers me a lot; she doesn't want to restitch it since she thinks it will form star tissue and hence result possible intercourse pain. What do you think?
AnswerDear Yayra
The gap is definitely a defect that should be repaired. However, it is not advised to be repaired unless 3 months after delivery. Since you had the episeotomy 4 moths ago, it is time to repair. Repair consists of excising the excess scar tissue and closing the wound propely.
The gap can be fused by itselfbut, in this case, healing will be by something known as secondary intention meaning more prominent scar tissue adding some problems and one of them is painful intercourse.
If your doctor does not pay attention and is not interested in repairing, Please seek another opinion. It is my opinion based on your description that repair is mandatory. Clinical examination is a must in your case.
Good Luck
