An episiotomy is a surgical cut between the vagina and the anus designed to provide more room for the baby to exit the birth canal. Sometimes an episiotomy is performed when there is a concern for the baby’s well-being and a need to speed up the delivery (often used with additional interventions such as forceps or vacuum). Episiotomies used to be a fairly routine part of giving birth, but the procedure is no longer performed except in these particular circumstances. In many cases where an episiotomy is not performed, the area tears naturally as the baby is born, but usually not to the same degree.
Healing After an Episiotomy
The average healing time for this procedure is between seven and ten days. Your healthcare professional will check the area for infection, and you may be prescribed oral antibiotics or a topical cream to help protect against infection. Whether you have had an episiotomy or vaginal tearing has occurred naturally during birth, there is a risk of the scar tissue becoming sensitive or stiff, leading to pain during sexual intercourse or significant apprehension to try.
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How can pelvic floor physiotherapy help?
Pelvic floor physiotherapy can help to improve perineal flexibility and reduce scar tissue sensitivity through gentle hands-on therapy, perineal stretches, and exercise. Returning to sex without pain is the most common goal that our clients who have experienced episiotomy or tearing during their delivery have. We understand that this can be a sensitive area and a sensitive topic for you. Our Toronto physiotherapists are experienced in creating a safe and supportive environment during your assessment and treatment sessions. If you would like to speak to someone before booking an appointment, please contact us and one of our therapists would be happy to contact you.
