Abnormal scarring is often present after childbirth, where tearing or stitching is involved, after inadequate suturing methods, or in cases of intense vaginal trauma during vigorous intercourse where ripping may have occurred. Symptoms may include:
- Decreased sex drive; as a result of low self-confidence
- Nervousness about intercourse, leading to dryness
- Pain during sex
- Abnormal tissue elasticity
Following trauma or infection tissues can heal with abnormal scarring. This can be painful as the skin will be less flexible and may have joined together creating abnormal anatomy.
The factors that may increase a woman’s chance of developing abnormal scarring include:
- Complications during delivery: Scar tissue may form in cases where the vagina tears during delivery or episiotomy is performed.
- Infection: In the case of infection during the healing process, scarring is more likely to develop around the infected area.
- Low oestrogen levels: In cases where only small amounts of oestrogen are present, e.g., during breastfeeding, the vagina can become thin and acidic. This decreases the tissues ability to heal properly and can cause painful spots in the vagina.
Abnormal scarring can cause complications, including:
- Infection susceptibility
- Pain: Delayed or abnormal healing can lead to vaginal pain, which can effect daily activities, such as sitting or lifting.
- Pain during sex: Scar tissue causes the skin to become inflexible and can make it difficult for the vagina to stretch during intercourse.
There are many treatments for abnormal scarring, including:
- Antibiotics: Used initially to reduce infection and inflammation. This can reduce the risk for scarring and problems early on.
- Mona Lisa Touch: Where there are small areas of scarring, Mona Lisa Touch laser allows for appropriate healing.
Oestrogen levels after childbirth are often low, especially in cases where breast feeding is continuing.
Excision and re suturing: Restoring the anatomy and excising the scar tissue can reduce the pain.