What is the cause of perineal tear in relationship? [Perineal repair method]

March 8, 1403
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Between the vagina and the anus, there is a thin tissue called the perineum, which may be torn for many reasons. including natural childbirth, trauma, overexertion in sports, lifting heavy objects, as well as sex. In this article from the medical journal of Dr. Mojdeh Namdari, we find the cause of perineal tears during sexual intercourse and we also examine the methods of perineum repair and prevention of excessive tears.

Table of Contents

What is the perineum and where is it?

perineum is a part of the body that is between the genitals and the anus; In women, this part is between the vagina and the anus, and in men, it is between the testicles and the anus. The perineum plays an important role in various body functions such as supporting the pelvic organs, controlling excretion, helping sexual function and childbirth. Because of these vital functions, the health and care of the perineum is very important.

Now that we understand what the perineum is and where it is located, let's examine the reasons for its rupture.

Perineal tear and its causes

When a wound or gap occurs in the perineum, we say that a perineal tear has occurred. One of the most common reasons for tearing the perineum is in women during natural childbirth. But it may also occur as a result of violent sex, excessive stretching, dry skin or trauma and physical injuries.

Perineal tears can be superficial (first degree) and cause only a slight burning sensation. In some cases, it may turn into deep wounds (second degree) and cause pain, bleeding and even the need for stitches. If a tear occurs,seeing a doctor and health care is very important.

The reason for tearing the perineum during sex

vaginal perineum tear during sex may occur for various reasons. In the following, we examine the most important reasons for this problem:

Vaginal dryness: lack of moisture in the vagina increases friction and damages the skin of the perineum. This problem can be caused by lack of foreplay, hormonal changes, taking certain medications or stress.
💉 Excessive pressure and stretching: If sexual intercourse is done with high intensity, the perineum is under a lot of tension and may tear. Also, the large size of the male penis and the inappropriate angle of penetration are also influential.
🩹 rough sex: sudden movements, rapid penetration or high pressure can damage the tissues of the perineum and cause tears.
💊 Unpreparedness of the body: If the body is not yet ready for intercourse, the perineal muscles remain tight and resist stretching, which can lead to sores or tears.
🧪 Not using lubricant: In case of lack of natural moisture, using water-based or silicone-based lubricants (lubricant) can prevent excessive friction and damage.
🩺 genital area infection: some infections such as fungal or bacterial infection cause inflammation and thinning of the skin and make the perineum more vulnerable.
🧫 Thinning of the skin: Factors such as previous birth, aging, hormonal changes or the use of certain medications can cause the perineal skin to become thinner and less flexible.
🔪 Introduction of foreign objects: Using inappropriate sex toys or large objects can cause damage and rupture of the perineum.
😷 Allergy to chemicals: Some lubricants, condoms or hygiene products may cause irritation, inflammation and sensitivity of the perineal skin and increase the possibility of tearing.
🥼 Skin diseases: Some skin diseases such as lichen sclerosus, psoriasis or estrogen deficiency may cause thinning of the skin and increase the risk of tearing.

More Know everything about vaginal rejuvenation

Perineal repair methods

Repairing the perineum depends on the severity of the tear and is usually time-consuming. If the tear is minor, it may heal by itself, but in more severe cases, a doctor's treatment is needed. Here we examine some of the perineum repair methods:

Perineal surgery: Perineal surgery or perinorrhaphy is recommended to treat problems such as prolapse of the perineum, severe tears especially during childbirth or weakness of the perineal muscles.
Rest and care: Rest and avoiding strenuous activities can help you recover. At this time, avoid putting too much pressure on the perineum area.
Use of restorative creams and ointments: To help wounds heal faster, the doctor may prescribe restorative and antiseptic ointments, which you must use on time and as directed.
Perineal suture: Several stitches are needed to repair a severe tear. Sutures are performed by a gynecologist or midwife.
Use of painkillers: To reduce pain and discomfort, you can use painkillers or painkillers prescribed by the doctor.

Perineal cosmetic surgery or perinorrhaphy

Perineal cosmetic surgery or Perinorrhaphy It is one of the cosmetic and reconstructive surgeries for women, in which the muscles of the perineum and vaginal entrance are tightened. In fact, perinorrhaphy is performed with the aim of repairing the damaged tissues of this area, correcting vaginal laxity, increasing the strength of the pelvic floor muscles and improving the beauty of the vagina.

Since perinorrhaphy is a light and minimally invasive operation, you can perform it simultaneously with other cosmetic and reconstructive operations of the genital area. Among the operations that you can perform at the same time as perinoraphy, are:

🔴 Labiaplasty to shrink, correct symmetry and change the shape of minor labia. 🔴 Hodectomy to remove excess skin on the clitoris in order to increase beauty and increase sexual pleasure. 🔴 Fat or gel injection into the bikini for volumizing, shaping and rejuvenating the genital area. 🔴 Vagina lightening using methods such as laser or carboxytherapy. 🔴 Vaginal lifting and tighteningthrough laser, RF or lifting threads.

Methods to prevent tearing of the perineum

To prevent rupture of the perineum, you can use different methods and solutions:

Kegel exercises: Strengthening the pelvic floor muscles through Kegel exercises will help increase the strength and flexibility of your perineum muscles and can reduce the risk of rupture.
Massage of the perineum before delivery: performing massage of the perineum in the last weeks of pregnancy (around week 34 onwards) makes the skin of the perineum soft and flexible and reduces the risk of tearing.
Controlled delivery: Carrying out a calm and controlled delivery (for example, by changing the position of the mother or using less painful methods) can reduce the high pressure on the perineum.
Choosing the right delivery method: In some cases, the doctor may suggest a Cesarean delivery due to the risk of tearing the perineum. Especially if there is a history of tearing or special conditions.
Consumption of vitamins and nutrients: Taking care of the skin and perineal tissues by taking vitamins and nutrients (such as vitamin E and folic acid) can help improve the flexibility of the skin and reduce the possibility of tearing.

perinorrhoea depends on various factors such as doctor's method, type of clinic, and simultaneity with other surgeries. For detailed information on the cost, it is better to contact Dr. Mozhdeh Namdari's office.

href="https://dr-namdari.ir/235023/%d8%ac%d8%b1%d8%a7%d8%ad%db%8c-%d9%88%d8%a7% vaginoplasty, Perinorrhaphy and vaginal stricture are possible with thread and all these methods have a permanent and permanent durability.

The insurances of Dr. Mojdeh Namdari, Dr. Mojdeh Namdari, are the parties to the contract with Bank Saderat, Sepeh, Trade and Agriculture Insurance.

Can patients infected with HPV type 16 undergo cosmetic surgery? problem, then proceed to surgery.

Can women who have cervical inflammation or endometriosis cysts, perform perineural surgery? Cervical inflammation should be carefully checked first. Also, the patient should be checked for HPV virus. For this purpose, it is necessary to perform a colposcopy and piece removal test so that the doctor realizes that the problem is not serious and finally the inflammation or wound can be removed with a laser. Endometriosis cyst has nothing to do with this procedure and must be treated separately. Who can use perineurphy? Usually, perineurphy is used for those who have perineal tissue damage or trauma, which is very effective. In addition to that, it is also effective in removing wrinkles around the perineum.

Does the perinorrhoea cause the vagina to narrow? You should know that in this operation, only about three centimeters of the beginning of the vagina is narrowed so that the tissue of the perineum and its surrounding areas look beautiful and natural. In fact, there are other methods that should be used to tighten the entire vagina.

What effect does perinorrhaphy have on rejuvenation? In fact, this surgery is one of the successful operations in the field of returning the genital appearance of a person to the age of virginity, which plays a significant role in improving the beauty of a person's genital area.

How much does perinorrhaphy surgery cost? Basically, the cost of this operation varies for each person. In fact, the exact cost is determined by the doctor after a careful examination of the person.

Does health insurance cover cosmetic surgery? Unfortunately, many insurance companies do not pay the cost of cosmetic plastic surgery.

Categories: Perinorrhaphy

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Dr. Mozhdeh Namdari

Surgeon and specialist in obstetrics and gynecology and infertility

Aparat Dr. Namdari Instagram Youtube X-twitter Dr. Mozhdeh Namdari is a surgeon and specialist in gynecology, obstetrics and sterility in Tehran and a member of the academic faculty of the university. Dr. Namdari has 4 years of surgical experience in the densely populated cities of Khuzestan province and has been practicing medicine since 2006. Dr. Namdari is engaged in various complementary courses of gynecology with a focus on female cosmetic surgery, with modern techniques and the use of the best carboxytherapy, plasma jet, plasma DBD, RF surgical and microneedling medical activities and is ready to provide medical and beauty services to women.

To receive consultation or an appointment from the office of Dr. Mozhdeh Namdari, a gynecologist in Tehran, we are responding to you via the following numbers.

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Sorry, my wife is not very into relationships, what should I do
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Hi, my vagina is dilated and my perineum is torn, what should I do?
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