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Avatar EllaT...
I am petrified because I am almost 25 weeks pregnant with my 2nd baby, and I have just been diagnosed with vaginal scarring (16 months after the birth of my first baby). How could this impact my upcoming delivery and how do they 'fix' things...?

I gave birth to my daughter 16 months ago, and have never 'felt the same' internally or externally. Intercourse has always been painful and I have a feeling like there is a lot of pressure not far inside. Hard to lift my legs to put undies on, even when I go to the toilet I feel like everything is about to fall out. I have seen a pelvic floor physiotherapist who has said everything is fine, although she said it looks like I had some irritation (this was a year ago...). I have been in a lot of discomfort, it seems I had slipped through the system too. My 6 week check up my dr failed to even take a look at my vagina (which I thought was half the point), the dr that sent me to the pelvic floor physio didn't even have a look, and I had a pap smear done just over 6 months ago before we (painfully) started trying for our second baby and the dr didn't notice anything unusual. I finally built up the courage again to see a different dr who has referred me to a Gynecologist (waiting on an appt still) and noted that there appears to be excess scar tissue inside, and inflammation inside and out. I was prescribed Cortic, an cream to use on the outer parts and am waiting nervously for my call from the Gynecologist. I am almost 25 weeks pregnant and am petrified about how this could impact on my upcoming delivery, and possible solutions to rid me of scarring etc. I intended to give birth again naturally, but I guess there is a high chance that I will be told it would be safer for me to have a c-section. Any advice that you have would be great, as the wait for my phonecall/appointment is sending my nerves into a spin! I have felt like all my attempts (drs) until now have failed, and it is upsetting beyond belief to imagine how much better life would be for me if they had have checked me over at 6 weeks and when I went in at a few months after the first birth. I am angry to think of the pain that I have gone through this whole time and wish they had have picked up on it earlier, so that is adding to my nerves and frustrations too!! Sorry about the essay, I am quite emotional :)

Sarah...
Answer: Hi, Thank you for your enquiry. It is more common than you would think to have problems with pain and scarring in the vagina after your first baby. The good news is that with second and subsequent births the pushing phase is very quick and far easier and usually assists in improving pain after birth. However, everyone is different so you should see the specialist for a check up to assess the amount of damage that may be present. Best wishes, Alex
Answered: 08 May 2012