Q:

I tear at the base of my vagina after sex. How can I prevent this?

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A:

Answers (5)

EXPERT
Evelyn Resh MPH,CNM (Certified Sexuality Counselor & Nurse-Midwife) answered
Tearing at the base of the vagina (also called the Forchette) after penetrative sex is often due to the following factors: not enough lubrication, intercourse with someone who has a large penis, intercourse that is "athletic," or vaginal tissue that is not as elasticized as would be ideal. None of these factors are really abnormal or serious but I imagine that afterwards when you urinate the urine stings like crazy when it hits the slight tear in the skin. The best thing to do in this situation is to make sure that you have adequate lubrication at your vaginal opening before you have sex. I would recommend using one of the many lubricants available. There are several nice ones to chose from including those at local pharmacies. Experiment with different brands and find the one that has the thickness and consistency that suits you. This should help considerably. Also, after intercourse, you can use an over-the-counter 1% hydrocortisone cream right on the tear. This will speed up healing. But overall, don't worry. This is not an uncommon problem. If these suggestions aren't adequate, then I suggest a consult with your GYN provider.   
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EXPERT
James L. Whiteside commented
Using corticosteroid on the skin generally thins the skin and can be associated with more tearing. Steroids can help reorganize the tissue and may in some cases help prevent tearing but I would caution unsupervised use of corticosteroids on the vulva.
EXPERT
Dr. Charles Bollmann, M.D. (Ob/Gyn, Fellow Amer. Academy Cosmetic Surgery, Founding Member Amer. Holistic Medical Assn.) answered
This is a fairly common problem. It can be corrected with steroids as mentioned above if it is a one time thing.

However, if it recurs frequently it is usually a chronic problem and most times will not heal - tissues are chronically infected. In my practice, it is easy to correct in the office by a local anesthetic injection and then excising the tissue and re-suturing. This removes the chronically infected tissue and replaces it with healthy tissue. Or it can be done as an outpatient.
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EXPERT
Dr. Charles Bollmann, M.D. (Ob/Gyn, Fellow Amer. Academy Cosmetic Surgery, Founding Member Amer. Holistic Medical Assn.) answered
If you have bad itching that is not a yeast infection, then most likely it is caused by something you are doing, like douching, too much toilet paper, using the wrong toilet paper, bathing too frequently or too long, masturbation, dildos, etc.

Constant urinating can be infection, and you should see your gynecologist. Other causes can be a urethral stricture, which might need dilatation, an office procedure.

If you have a rash along with the constant itching, psoriasis can occur in the vulvar area.
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EXPERT
James L. Whiteside commented
It is very difficult to assess what your symptoms represent without more information. Urinary urgency certainly can be a symptom of a bladder infection. Urethral strictures are VERY UNCOMMON in women and could only be reasonably expected to exist among women with a history of urethral trauma (e.g. surgery, pelvic fracture, etc). Urethral dilation is RARELY indicated and is typically best predicted by the age of the recommending physician (although not always). I would recommend visiting a trusted clinician for evaluation of your symptoms.
EXPERT
James L. Whiteside (Ob/Gyn (Female Pelvic Medicine & Reconstructive Surgery Specialist)) answered
"Tearing" on the skin between the vagina and anus with intercourse is sometimes associated with yeast and can be quite painful.  Fissures that are not associated with yeast (i.e. a negative yeast culture has been confirmed) can be treated with steroids either applied topically or injected.  If this fails sometimes surgery is required.  The surgery is small and involves pulling a vaginal flap over the site of the fissure.
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Anonymous commented
And what if you also have bad itching and contant peeing... alway feeling the need to pee and bolted... also at times brown thick discharge
peppermintmint answered
I had all the suggestions posted on this site given to me by doctors, but none of the treatments worked and none of the diganoses was accurate. I had an Integrative Medicine doctor consult and he put me on Ultra Muscleze by BioCeuticals which fixed the chronic tearing for me (magnsesium).  I am 100% cured. p.s of COURSE it itches - it's a tear that keeps getting torn by sex and when it starts to dry or heal IT ITCHES! I only name that particular brand because it is said to be one if the most effective.
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Anonymous commented
100% cured! That sounds worth looking into. What was the extent of your tearing? Was your tearing at the base of the vaginal opening, near the perineum? I saw that the Ultra Muscleze is used for muscle relaxation... lubrication was not an issue for you at all? And have you noticed any side effects?