Perineoplasty?

Has anyone ever looked into perineoplasty? Repair to the perineum to tighten the vaginal opening after a traumatic birth? I had a forceps birth with episiotomy as well as a second degree perineal tear (16 months ago) and while the actual vaginal canal itself is back to normal the actual ‘opening’ to my vagina is absolutely not. I’ve lost so much of my self confidence because of it. It’s the opening that’s the issue, inside the vagina itself is normal but there’s just no grip around the opening whatsoever from where my perineum was literally cut, torn and then stitched back up. I’m so paranoid about what it feels like to my husband and while he reassures me that it doesn’t feel *much* different I know that isn’t true because even to me it feels loose. I don’t even like to perform ‘self love’ anymore or use tampons because I hate touching it and realising how different it is 😭

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I’ve been having pelvic floor physio after the same birth but with a third degree tear and she said it’s a pelvic floor issue from weak muscles. Might be worth looking at physio before surgery. Doing physio has made the world of difference to me and I’m now 7 months post partum and feel pretty much back to normal! I know how horrible it can be though to feel that everything is different!

@Gabrielle I went to see a pelvic floor specialist at around 12 weeks pp and she gave me a few exercises to do but she did say my pelvic floor tone was quite good. Since doing those exercises I don’t have any stress incontinence anymore (peeing while coughing and sneezing etc) but sadly haven’t noticed any difference in the size of my vaginal opening 😭

Aww I’m really sorry that’s been the case for you! Did she say it looked abnormal at all? I asked my physio if it looked normal and basically asked her to give me a tour of what was now going on down there which really helped me get my head round everything. Performing scar massage helped me as well, I felt sick touching the area at first but now have no issues! I know you said you hate touching it but that could help?

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