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The lining of the vagina may also be thinner and drier and contain scar tissue. This condition can result in pain during sexual intercourse or a pelvic exam . Vaginal stenosis is often caused by radiation therapy to the pelvis , an episiotomy , [ 3 ] or other forms of surgical procedures.
Incisions atop the V-incision can be flat, curved, or angled upwards, which incision is applied is determined by the degree of vaginal tightening to be achieved. [1] [2] Once the incision is made, any existing scar tissue and abnormal tissue fixations that resulted from previous injury or surgery or injury are removed. Depending upon the degree ...
Urine may collect underneath the scar, leaving the area under the skin constantly wet, which can lead to infection and the formation of small stones. The opening is larger in women who are sexually active or have given birth by vaginal delivery, but the urethra opening may still be obstructed by scar tissue.
Vaginal trauma can occur when something is inserted into the vagina, for example, a sharp object causing penetrating trauma. [1] Vaginal trauma can occur as a result of a painful sexual experience or sexual abuse. [2] Vaginal trauma can occur in children as a result of a straddle injury. Most of these, though distressing, are not serious injuries.
Additionally, hematometra may develop as a complication of uterine or cervical surgery such as endometrial ablation, where scar tissue in the endometrium can "wall off" sections of endometrial glands and stroma causing blood to accumulate in the uterine cavity. [1] It can also develop after abortion, [4] as well as after childbirth.
The hymen is a thin piece of mucosal tissue that surrounds or partially covers the vaginal introitus. A small percentage are born with hymens that are imperforate and completely obstruct the vaginal canal. It forms part of the vulva and is similar in structure to the vagina. [1] [2] The term comes straight from the Greek, for 'membrane'.
The condition may improve on its own following the vaginal delivery of a baby. [4] Cervical canal widening can be temporarily achieved by the insertion of dilators into the cervix. If the stenosis is caused by scar tissue, a laser treatment can be used to vaporize the scarring. [ 5 ]
During vaginal intercourse in the missionary position with legs tilted all the way back, the penis reaches its deepest penetration and the extreme rotation of the uterus leads to hyper distention of the vaginal wall, which in some cases can cause it to rupture. This position is the most likely position for vaginal laceration.