Treatment of vaginal tear

If a vaginal tear is detected during the examination, it is usually sutured. Only longitudinal tears can be treated conservatively. The wounds are usually sutured with a local anaesthetic injection.

Since the vagina is often somewhat numb after birth, suturing can be performed without anesthesia if desired. If bruises (haematomas) develop, they must be removed so as not to impair wound healing. The stitches are self-dissolving, so they do not have to be removed.

If the vagina is rarely torn from the uterus, also called colporrhexis, a small operation must be performed under general anesthesia. To support the healing process, disinfectant sitz baths or quark wraps can be helpful. Care should also be taken to keep the area clean and dry.It can be helpful to carefully clean the wound with clear water after going to the toilet.

Associated symptoms of vaginal tearing

The symptoms of a vaginal tear are very unspecific. On the one hand, there is a persistent bleeding, which can also be caused by the uterus. On the other hand, pain can occur in the area of the tear.

Especially the tear in the labia minora can be very painful, because there are many nevuses. Often these are not even noticed during the birth, but only afterwards. In addition to the pain, a burning or itching sensation similar to a cut can also occur.

The tearing of the vagina is usually not noticed during birth. Even shortly after birth a tear is often not noticed. Nevertheless, a vaginal tear is usually sutured with a local anesthetic.

During the healing process, a wound can cause slight pain, especially when it comes under mechanical stress. This can be the case, for example, when sitting down, with spread legs or tight trousers. During the healing process, the wound may itch.

A slight itching is usually not a cause for concern. However, depending on where the wound is located, itching can cause additional pain, for example when walking or rubbing. Furthermore, the wound can never be kept one hundred percent clean by the vaginal flow and urine, which can increase the itching.

If the wound starts to become inflamed, this can also be noticed by itching. A vaginal tear usually heals scarred. During wound healing, the injured tissue is replaced by the body with new tissue that is very rich in fibers.

This tissue no longer has the same properties as the original tissue. For example, it no longer contains sweat glands or hair roots. Due to the nature of a scar, it may itch, tighten or hurt.

A slight restriction of movement is also possible. In most cases, the vaginal tear occurs in the lateral or posterior part of the vagina. However, if the vagina tears in the upper part of the vaginal vault, this is called a high vaginal tear. This can bleed very heavily due to the proximity to the cervix.