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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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History Of Vaginal Prolapse Surgery. Pain During Intercourse. Help

hello. I had vaginal prolapse surgery about three years ago. I have been in excruciating pain during intercourse ever since. I returned to my doctor several times. She told me I was "perfect" inside, but under examination she needed to use a childrens size device to look inside my vagina. She gave me the name of a doctor who specializes in womens vagina and sexual health. I went to him last summer. He had me put a glass dildo inside my vagina. It felt fine, but it was quite small. When he increased the diameter of the next one, it was too painful to insert. It felt like the scales of a fish were being pressed backwards, razor like pain. He then gave me one to take home that was I guessed to be the equivalent in size to my husband. I worked with it for a month, rubbing estrace cream on it and massaging myself and then entering it in me. It hurt a bit, felt tight, but the pain subsided as I my body relaxed and got lubricated. I was excited to have intercourse with my husband. When we tried, It was horrible, the pain was unbearable. I never went back to him and have just ignored the issue. I cant take it any longer. My husband has been so patient, but we have no sex life. I intend to go see the doctor again, but he is from washington and is only here 1x a month and he costs 600$ a visit. I cant afford this. I feel that i already spent so much to have the surgery. Honestly, I have never heard of anyone having this problem except for one woman I just discovered this evening on the website. I live in NY and was recommended to a highly regarded doctor in the field by an A++ doctor who specializes in menopause. Please, can someone help me, will I ever recover?

Mon, 4 Nov 2013
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OBGYN,  's  Response
Hi,

I understand your problem. Unfortunately this happens to a few women that have undergone prolapse surgery.

There are a few measures like regular dilatation with increasing size dilators over a period of 3-4 months that will increase the opening and help you. But this is a gradual process, you have to begin with the smallest tolerable size and gradually increase it say every 15 days or so. I would advise that avoid sexual contact till then as it may cause trauma as the vaginal opening is narrow. This will increase the scar formation and lead to further narrowing. So gradual dilatation, daily for 4 hrs morning and 4 hrs in the night or as long as tolerable will help.
After that sexual intercourse must be attempted very gently, if it still hurts, use slightly bigger dilator for another month and try. So it will be a trial and error process. But it usually helps if done properly and with patience.

If this does not help or if you want quicker result, a simple vaginoplasty or a surgery to dilate the vagina will help cure the condition. I suggest you find another doctor who may be able to help you.

So you will recover. Just stick to the treatment and have patience.
Thanks for the query and have a good day.
Dr. Madhuri Bagde
Consultant Obstetrician and Gynecologist.
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History Of Vaginal Prolapse Surgery. Pain During Intercourse. Help

Hi, I understand your problem. Unfortunately this happens to a few women that have undergone prolapse surgery. There are a few measures like regular dilatation with increasing size dilators over a period of 3-4 months that will increase the opening and help you. But this is a gradual process, you have to begin with the smallest tolerable size and gradually increase it say every 15 days or so. I would advise that avoid sexual contact till then as it may cause trauma as the vaginal opening is narrow. This will increase the scar formation and lead to further narrowing. So gradual dilatation, daily for 4 hrs morning and 4 hrs in the night or as long as tolerable will help. After that sexual intercourse must be attempted very gently, if it still hurts, use slightly bigger dilator for another month and try. So it will be a trial and error process. But it usually helps if done properly and with patience. If this does not help or if you want quicker result, a simple vaginoplasty or a surgery to dilate the vagina will help cure the condition. I suggest you find another doctor who may be able to help you. So you will recover. Just stick to the treatment and have patience. Thanks for the query and have a good day. Dr. Madhuri Bagde Consultant Obstetrician and Gynecologist.