What causes vaginal opening enlargement and decreased pleasure with intercourse?
Many try to blame the use of episiotomy and forceps during delivery of a child as the cause for perineal enlargement and subsequent pelvic organ prolapse. Perhaps the question of how much those factors contribute rather than just the size of the baby relative to the mothers vaginal and perineal size and tissue elasticity, will never be fully answered. Large babies and long difficult labors in the pushing stage can, in some women, result in symptoms of incontinence, bladder and rectal dropping and enlargement of the vaginal opening called the genital hiatus. It has been established that the genital opening is indeed larger in women with pelvic prolapse (1). In fact it can be 2 or even 3 times larger in the increasing degrees of pelvic prolapse and even when the prolapse is corrected, it may not go back to normal size. In addition to a permanent enlargement of the opening, there is often injury to the nerve (pudendal) that controls sensation and muscle contraction of that muscle at the o
