Can childbirth trauma lead to chronic dyspareunia?
Yes, trauma from childbirth—including tears, episiotomy, or pelvic floor injury—can lead to long-term or chronic dyspareunia in some women.
Detailed Medical Explanation
Perineal trauma, surgical repair, or nerve injury from childbirth can result in persistent pain, scarring, or tightness in the pelvic area. Psychological impacts, such as birth-related trauma or anxiety, may also contribute. Pelvic floor physiotherapy, medical management, and counselling support are important for recovery. NHS: Recovery after birth.
Clinical Context
Women with persistent pain after childbirth should seek specialist assessment. Early intervention can improve function, intimacy, and emotional wellbeing.
Evidence-Based Approaches
NICE and RCOG guidelines support pelvic floor rehabilitation and multidisciplinary care for postpartum dyspareunia. Most women recover with appropriate support. RCOG: Perineal Tear.