Patient's question:
I am 27 years old. Recently, I have noticed that every time I go to the toilet and have a bowel movement, there is a slight tearing pain near the anus, accompanied by a little blood. At first, I thought it was hemorrhoids. Additionally, every time I have sex with my husband, there is also some bleeding (very minimal), which I initially thought was vaginal bleeding.However, I have just realized in the past few days that there are two to three blood vessels in the area where the base of the vaginal opening (behind) connects to the anus. My husband said it might be due to my muscles not being able to withstand friction, and that the area is always quite moist, which is why it hasn’t healed. Now, I don’t know what to do. I haven’t had sex recently, fearing it might worsen the condition. So, I hope a doctor can provide some guidance.
Doctor's answer:
You have an episiotomy. It's always quite moist, so it's not healing well. First, avoid sexual activity for the time being. Second, use povidone-iodine for disinfection. Change your underwear to cotton, avoid synthetic materials. When resting at night, try not to wear underwear to allow better ventilation. The occurrence of gynecological inflammation not only affects women's health but can also lead to gynecological diseases. Therefore, it's best to visit the gynecology department of a hospital for a vaginal discharge test. After identifying the cause, symptomatic treatment should be administered. Pay attention to dietary adjustments in daily life, consuming light and easily digestible foods. Avoid spicy, stimulating, and cold foods.