An episiotomy is a cut made during a vaginal birth, most often running down and to the side. It divides the vaginal wall, the perineal muscles and the skin.
The scar that forms is often tight, sensitive and less elastic than the tissue around it. It is one of the most common reasons why intercourse hurts after birth, and it can also make sitting uncomfortable.
Working on the scar restores its elasticity and desensitises it. Most women can start around week 6–8 after birth, once healing is complete and the gynaecologist has given the go-ahead.
Therapy
- Assessment of the scar and the pelvic floor
- Scar mobilisation
- Learning scar self-massage
- Releasing tension in the pelvic floor
- Desensitisation techniques
- Guidance on returning to intimacy