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An episiotomy is a surgical incision of the perineum (the area between the vagina and the anus) that is made while a woman is giving birth in order to enlarge the vaginal opening for delivery. Following the birth, the doctor then sutures the area closed. After a few weeks, most women no longer experience pain around their stitches, though doctors generally recommend that a woman wait six weeks to have sex again.

When women continue to experience pain near the episiotomy site after six weeks has passed, it is a sign that adhesions may have formed. When any part of the body is injured, collagen rushes to the area to contain incoming bacteria, prevent the loss of blood, and enable the area to be healed. However, this sticky collagen builds to form adhesions that can also adhere to neighboring structures or constrict the tissues it covers.

Women who have episiotomies experience trauma to the peritoneum, pelvic floor muscle, and vagina. If the pelvic floor muscle has adhesions, a woman may experience pelvic pain, painful intercourse, urinary incontinence, and infertility (see Secondary Infertility). The peritoneum and vagina are very pain-sensitive structures and minimal adhesion formation can cause great pain, especially during intercourse or urination.

The “hands-on” work practiced at Clear Passage Therapies® clinics (see About the Wurn Technique) is designed to reduce or eliminate adhesions, crosslink by crosslink. After treatment, many women find that the constant pulling or tightness sensation is gone, intercourse pain is eliminated, and sexual function is increased.