Perineal pain pregnancy causes

5 Ways To Deal With Postpartum Perineal Pain

Having a baby is one of the biggest joys of being a woman, but it can also come with its own share of troubles and pain. While giving birth is painful, some women also undergo a lot of health issues post delivery.

One of such problems women face is the postpartum perineal pain. It is not easy to cope up with if one has had a normal delivery and could cause a lot of pain and trouble for a woman even as she tries to go around doing normal daily activity.

Defining Postpartum Perineal Pain:

If you are a woman who had a baby through normal labor pain and delivery, chances are you will most likely be inflicted or suffer the postpartum perineal pain.

  • The perineum is defined as the area between a woman’s vagina and the anus. A natural birth puts a lot of pressure on this area and all the adjoining muscles.
  • Thus, there is a lot of stretching or even tearing, or sometimes the doctor might decide to cut the muscles a little to deliver the baby. This could cause a lot of perineal pain.
  • Even if there was no surgical tear, sometimes it becomes swollen and tender and hence causes postpartum perineal pain after birth.

Duration Of Postpartum Perineal Pain:

Depending on the intensity and level of bruising or swelling is due to childbirth it could take a few days for swelling to go down and the pain to subside.

  • If there are stitches that the doctor has made it could take longer than a few days.
  • The healing will be complete with proper care and caution in a max of about 6 weeks.
  • One can resume all the physical strenuous activities based on the doctor’s approval.

5 Ways To Deal With Postpartum Perineal Pain:

This kind of pain makes most women dread the entire delivery process. But do not worry, there are many simple and easy ways to ensure that the perineum heals, the swelling subsides and the pain goes away.

1. Stay Clean And Wear Cotton:

It is important to ensure that the area is already tender and is not subjected to any more pain or infection causing bacteria. Keep your area clean to avoid irritation and wear cotton undergarments to keep the area dry and let it breathe.

2. Rest As Much As Possible:

After having had a baby, get as much rest as possible to avoid any unnecessary pressure on your lower body as it would cause the pain to increase and chances are if you have stitches, the stress could lead to damage.

3. Icepacks:

It might sound like a strange suggestion, but ice packs will help ease the pain and fasten the healing process. It will numb the paining sensation and bring relief from the perineal pain. Just make sure you use homemade ice packs, from filtered water!

4. Take Warm Baths:

Take some time out and soak yourself in a tub full of warm water to get instant relief and relax your whole body instantly. The warm water and soaking will help your post-delivery muscles relax and stimulate blood flow and circulation.

5. Kegal Exercises:

Most doctors recommend that once a woman has had a baby, she must start doing some kegal exercises to restore lost muscle strength, improve blood circulation and at the same time fasten the healing process.

When To See The Doctor?

While these are simple exercises and daily regimes that are recommended to soothe the postpartum perineal pain, it is important to ensure that you consult your doctor as well. There are certain treatments or medication that your doctor would recommend depending on their assessment of your health and the delivery complications.

You may follow these simple tips that are sure to help relieve you from acute perineal pain. Try them and share your experience to other new moms and moms-to-be!

Perineal pain

Perineal pain: Introduction

Perineal pain: pain in the area between the anus and the vulva in females or anus and the scrotum in males. See detailed information below for a List of 76 causes of Perineal pain, Symptom Checker, including diseases and drug side effect causes.

Causes of Perineal pain:

The following medical conditions are some of the possible causes of Perineal pain. There are likely to be other possible causes, so ask your doctor about your symptoms.

  • Acute prostate inflammation
  • Subacute prostate inflammation
  • Prostate abscess
  • Chronic prostatis
  • Prostate tuberculosis
  • Prostatic calculus
  • Adenomatous enlargement inprostate
  • Prostatic carcinoma
  • Acute inflammationof seminal vesicles
  • Tuberculosis of seminal vesciles
  • Congenital misplacement of testicles in perineum
  • Cystitis
  • Urinary bladder tuberculosis
  • Urinary bladder calculus
  • Urinary bladder carcinoma
  • Gonorrhoea
  • Urethral injury
  • Urethral rupture
  • Urethral stricture
  • Urethral fistula
  • Impacted calculus in prostate
  • Hemorrhoids
  • Anal fissure
  • Anal follicular abscess
  • Carbuncle
  • Anal ulcer
  • Anal carcinoma (SeeAnal symptoms)
  • Acute vaginal inflammation
  • Inflammation of Bartholin’s glands
  • Abscess of Bartholin’s glands
  • More causes. »

Common Causes of Perineal pain

Home Diagnostic Testing and Perineal pain

Home medical tests possibly related to Perineal pain:

Causes of Types of Perineal pain:

Perineal pain: Symptom Checker

Listed below are some combinations of symptoms associated with Perineal pain, as listed in our database. Visit the Symptom Checker, to add and remove symptoms and research your condition.

What causes perineal pain?

Quick Answer

One of the most common causes of perineal pain in men is prostatitis, while pelvic pain syndrome is one of the leading causes of perineal pain in women, notes New York Urology Specialists. The perineum is located between the urinary and excretory areas of the pelvis.

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Full Answer

Pain in any of the pelvic organs can cause perineal problems, therefore doctors claim perineal pain originates from several causes, according to New York Urology Specialists. Prostatic abnormalities may inflame the perineum in men. Women who suffer from vulvodynia, a chronic burning sensation in the vaginal area, may experience perineal pain. Causes of perineal pain in both men and women include urethral syndrome, perineal pain syndrome, interstitial cystitis, anal fissures and ischiorectal abscesses. Two other causes are pudendal nerve entrapment syndrome and levator ani syndrome.

Prostatitis occurs when the prostate gland becomes inflamed due to bacterial infections or prostatic abscesses. An enlarged prostate may also lead to perineal pain, notes New York Urology Specialists. Urethral syndrome, levator ani syndrome and perineal pain syndrome all delineate pain the pelvic area lasting more than three months. Interstitial cystitis denotes chronic inflammation of the bladder. Pudendal nerve entrapment occurs in cyclists due to compression of the perineal area from prolonged sitting.

Many patients that have chronic idiopathic perineal pain suffer from some kind of obstructive problem in the colon that leads to trouble defecating, notes a 2011 study published by the British journal Colorectal Disease. Fecal incontinence also attributed to perineal pain in more than half of the 59 patients studied.

Postpartum Perineal Pain – Cause and Relief

In this Article

You might think that labour and delivery are the most painful part of childbirth. But you may experience considerable pain even after the birthing experience. A baby can weigh around 6 to 8 pounds (2.5 – 3.5kgs) and might find it difficult in passing through a narrow opening, leading to vaginal tears or some form of discomfort in the perineal area.

What Is Postpartum Perineal Pain?

The perineum lies between the vagina and the anus, and it undergoes a lot of stretching and immense pressure during delivery. The intensity of pain coupled with the recovery time varies on the method of delivery. If you had a vaginal birth without any tears (episiotomy), discomfort in your perineal region might last for about 3-5 weeks. The pain could last for as long as 6 weeks if you underwent an episiotomy. Some perineal discomfort may be felt even after a C-section delivery, depending on how long you pushed.

To relive vaginal pain after birth, you can resort to the following measures.

  • Ensure the area is clean: You can spray warm water with the help of a squirt bottle over the painful area.
  • Apply a cold pack: Crushed ice with an inbuilt cold pack can be applied on the area to reduce the amount of swelling. It should be applied for a couple of hours, after 24 hours of the delivery.

Why Does The Perineum Become So Sore After Delivery?

In a vaginal birth, compression on the perineum is immense because it needs to be stretched for the head of the baby to be accommodated. During the process of birth, the perineum is prone to wear or tear, or your doctor may suggest an incision, creating a wider opening for your baby’s head. This procedure is termed as an episiotomy, and you will encounter immense soreness after birth if you are required to go through one.

As discussed earlier, if the birth is accomplished without a tear or episiotomy, chances are there that the perineum could be tender or swollen afterwards. It may heal in a week, or it could take a couple of more days to get back to normal. The healing period is longer if you went through an episiotomy.

How Long Does it Take to Heal Perineal Pain?

The process of healing varies from one woman to another. The deeper the cut, the longer the recovery procedure is expected to be. A tear of first-degree means more skin is involved than muscles, and you may not even need stitches. First-degree tears are known to cause a minimum amount of discomfort, as they tend to heal quickly.

When it is a second-degree tear, then both muscle and skin are involved. This requires stitches, and would need a couple of weeks to heal. During this time, the stitches dry out, and some women experience pain for a few days, whereas for others it may stretch to months as well.

If it’s a third or fourth-degree laceration, deeper sutures are required, and the pain could stretch to more than a month. Any individual could experience these tears, but chances will increase if you have had an episiotomy. After a few days of birth, you are likely to experience difficulty in bowel movements or urinating. There could be chances of an increase in passing motion and gas, which could prevail for several months.

How to Deal With The Pain And Heal The Area?

  • Your doctor or healthcare service provider is going to provide you with detailed inputs on how to take care of yourself. The onus of treatment mechanisms is centered around postpartum perineal pain relief.
  • Immediately after the birth of the baby, an ice pack needs to be applied with a smooth covering over the perineum. That is a primary requirement, and your nurse will provide you with one. This is going to reduce the discomfort along with swelling. Over a period of the next 12 days, apply a single ice pack each day.
  • Acetaminophen or Ibuprofen can reduce the pain. If you are breastfeeding, it is better to avoid aspirin. When you experience an unexpected tear, a pain medication prescription may be advocated.
  • Change the sanitary pad frequently during the day.
  • Do not sit for long hours at a single place till the perineum is sore.
  • A squirt bottle is generally provided by your hospital whereby you can spray warm-hot water on your perineum. This water has a soothing impact, and it does not burn much once contact is established with your skin.
  • The wound should be exposed to air as much as possible.
  • You can plan for warm soaks in the bathtub or a sit-in bath after 24 hours have passed since delivery. In this form of bath, a shallow basin is filled with hot water and put over your toilet seat. The utility of it is that you can soak your perineal area several times a day without having to get into a tub full of water and undress each time. Most hospitals have this form of bath in their repertoire, and if you desire, you can take it home as well. It is also available at most drug stores.
  • Try to take things easy and do not indulge in unnecessary chores. All your energy should be directed on taking care of the baby and speeding up your recovery.
  • If the tear happens to be of higher magnitude, ensure that your fluid intake is on the higher side and enough roughage is part of your diet so that you do not suffer from constipation.
  • Avoid any of rectal treatments along with enemas (fluid injected for bowel cleansing or to relieve constipation).
  • If you feel that the pain is not reducing within a few weeks, then it is better to seek professional help.

When to Seek Doctor’s Help?

Perineal pain after delivery is an inevitable part of the childbirth process, and as your hormone levels will be fluctuating, you might feel highly emotional during this time. An emotional counselor would be of immense help now. As a golden rule, if you feel that things are not on the right track as far as you and the baby are concerned, immediately seek the expert advice of a doctor.

Seek the doctor’s help if you encounter the following symptoms:

  • Any form of vaginal discharge with a strong odour
  • Dizziness or fainting
  • Difficulty in urinating or pain during the process
  • Vomiting at regular intervals
  • Breasts become sore and are too soft or red to touch
  • Any form of pain in your legs with swelling or redness

Your doctor is the right person to figure out the underlying causes of the above-mentioned symptoms. It is possible that you could have an infection.


Childbirth can be a painful process. There might be chances of developing anal fissures and haemorrhoids while pushing the baby out. This can be highly uncomfortable and at times extremely painful. But with good care, hygiene and time, perineal pain can heal quickly.

По материалам:

Http://www. momjunction. com/articles/ways-to-deal-with-postpartum-perineal-pain_0091389/

Http://www. rightdiagnosis. com/sym/perineal_pain. htm

Http://www. reference. com/health/causes-perineal-pain-1c7c07e1006a34aa

Http://parenting. firstcry. com/articles/postpartum-perineal-pain-cause-and-relief/