8 weeks post op anterior, posterior , midline vaginal repair with mini arc . pain at midline repair only during intercourse?
Doctor Answers 2
Inelastic + Vaginal Tenderness after AP repair + Sling
If it's the sling site that bothers you, it's not going to go away. The material is inelastic and nonabsorbable. If it's the posterior vaginal wall and perineum that bother you, just keep having sex & it'll improve over time. Lubrication issues need a little more context. If you're in the menopause, vaginal estrogen is usually the first choice for women with a sling. If you're not in the menopause, vaginal infections are the primary reason.
Pain and dryness after Vaginoplasty, Perineoplasty
In this procedure, the surgical scar is in the mid-line at the opening, and not infrequently it "takes a while" to resolve and stretch. I recommend to my patients that they undergo a course of gentle vaginal stretching with local estrogen cream. You would have your surgeon Rx a tube of "estradiol" or "congugated estrogens" cream, and put ~ 1/2 gram (a small amount) just inside the vaginal opening with the applicator every evening for 2-3 months, massaging a bit into the incision line. Additionally, and separately, you can use your thumb, or your partner can use his or her fingers to, once or twice daily for several minutes, to gently stretch or "iron out" the opening posteriorly, using a silicone vaginal lubricant like "Wet Platinum" or "Pink Silicone," or a light vegetable oil. You will find that, most times, everything will resolve within 2-3 months.
These same lubricants may be used on the outside, lovingly and generously applied to your partner's penis and your opening, for outside lubrication (Enjoy!). Not infrequently, the openings of the "Bartholin's Glands," the lubricating glands located just outside the vaginal opening at ~ 5 and 7 o'clock, are removed along with the repair, resulting in diminished outer lubrication with sexual arousal.
Hope this helps. Very best,
Michael P Goodman MD