The muscles of the vagina, supporting tissues, fascia during childbirth, namely during the passage of the child, stretch and even break. This leads to an increase in the vagina, gaping of the genital fissure and characteristic external changes, and of course sexual dysfunctions due to a decrease in contact.

In many cases, especially in young primiparous women, everything can return to its original state after a few months..

However, after several births, due to frequent stretching, as well as with age, the vaginal muscles lose their elasticity, the fascia is damaged. As a result, this process becomes irreversible..

A slight tear of the perineum This is almost a natural situation in childbirth.. Obstetricians don't even consider it a problem.. Muscles are preserved at the same time.

In some cases, even if the woman is young and the childbirth was alone, the damage to the pelvic floor, the vagina itself, the perineum is so pronounced that they immediately need to be restored.

Traumatic childbirth, large fetus, rapid labor, the imposition of obstetric forceps, incisions of the perineum with inadequate suturing, all these moments lead to a complete divergence of the muscles and prolapse of the walls of the vagina and even the uterus.

Severe rupture of the perineum.

It may be obvious, then it is already recognized as a complication in childbirth and requires certain explanations from doctors.

Most often, against the background of an incipient rupture, a perineotomy, an incision is performed, and this is already a "

Another common problem is "

It is just now accepted, especially with " In fact, further the situation unfolds in the direction of the prolapse of the walls of the vagina due to the lack of muscles.

In modern obstetrics, unfortunately, there are fewer real perineotomies, and more and more gaps.

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