Postpartum Pain and Growth: Addressing Concerns About Polyps

Q: Postpartum Pain and Growth: Addressing Concerns About Polyps

Hello： We are here to help you, but please come in for an examination. <br>After the examination, we will discuss the results with you and provide recommendations. <br>Thank you! Hsinchu City Hospital, Department of Obstetrics and Gynecology.

I have noticed a polyp of varying sizes in the area of my postpartum wound?

Hello Doctor: I gave birth naturally in March of last year.
At that time, I experienced persistent pain from a tear in the birth canal that did not heal properly.
I consulted the attending physician several times, and they mentioned that it was swollen.
After giving birth, I underwent a Pap smear, but it reopened with just a little pressure.
The doctor advised me to perform squatting exercises, and after about two months, the pain subsided, and it seemed to heal.
However, when I resumed sexual activity, I experienced severe pain.
I asked the same doctor for advice, and they suggested that having more sexual intercourse would help, but it was painful for me, so I abstained for over four months.

In the area of the wound, I noticed the development of painful and itchy polyps, which have grown along the suture line, resulting in several red, fleshy growths of varying sizes.
We are very cautious about safety during intercourse, so I am puzzled as to why this is happening.
Are these polyps similar to keloids? What should I do? I cannot find any cases similar to mine, and I am afraid to see a doctor because I fear that a physical examination will cause pain.
I am very anxious about this.

chilin, 30~39 year old female. Ask Date: 2007/02/10

Dr. Li Guanghan reply Obstetrics and Gynecology

Hello: We are here to help you, but please come in for an examination.
After the examination, we will discuss the results with you and provide recommendations.
Thank you! Hsinchu City Hospital, Department of Obstetrics and Gynecology.

Reply Date: 2007/02/10

More Info

Postpartum pain and the development of polyps can be concerning issues for many women after childbirth. It sounds like you have been through a challenging recovery process, and your concerns are valid. Let’s break down your situation and address your questions regarding the pain, the growth of polyps, and what steps you can take moving forward.

Firstly, postpartum pain, especially related to perineal tears or episiotomies, is not uncommon. The healing process can vary significantly from person to person, and factors such as the extent of the tear, individual pain tolerance, and overall health can influence recovery. It’s important to note that while some discomfort is expected, persistent pain, especially during sexual intercourse, should be evaluated further.

The growth of polyps in the area where you experienced tearing could be related to the healing process. Polyps are typically benign growths that can occur on mucous membranes, and they can arise due to irritation or inflammation. In your case, the trauma from childbirth and subsequent healing may have contributed to the formation of these polyps. The fact that they are tender and cause pain when touched suggests that they may be inflamed or irritated.

You mentioned the possibility of these growths being similar to keloids (蟹足腫), which are thickened areas of scar tissue that can develop after an injury. While keloids typically form on the skin, the concept of abnormal healing can apply to mucosal surfaces as well. However, polyps and keloids are different entities, and a healthcare professional would be able to provide a more accurate diagnosis.

Regarding your fear of seeing a doctor due to the anticipated pain of a physical examination, it’s essential to communicate your concerns to your healthcare provider. Many practitioners are understanding of postpartum pain and can take measures to minimize discomfort during examinations. They may also offer options such as local anesthesia or gentle techniques to help you feel more comfortable.

In terms of treatment, if the polyps are causing significant pain or discomfort, your doctor may recommend removal. This can often be done in a minimally invasive manner, and the procedure is typically quick with a relatively short recovery time. Additionally, if the polyps are found to be benign, their removal can alleviate the pain and discomfort you are experiencing.

As for your concerns about sexual activity, it’s crucial to listen to your body. If intercourse is painful, it’s a sign that your body may not be ready yet. Gradual reintroduction of sexual activity, along with open communication with your partner, can help ease anxiety and discomfort. Lubrication and taking things slowly can also be beneficial.

In summary, your experience is not uncommon, and it’s essential to seek medical advice to address your concerns about the pain and the growth of polyps. A healthcare provider can offer a thorough examination, discuss treatment options, and help you navigate your recovery process. Remember, prioritizing your health and well-being is crucial, and addressing these issues can lead to improved comfort and quality of life. Don’t hesitate to reach out for the support and care you deserve.

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