Perineal tear from intercourse: what to know

Friction, insufficient lubrication, forceful movement, a change in position or fragile tissue can cause a split at the vaginal entrance or perineum. Recent childbirth, stitches, scar tissue, hormonal dryness and skin conditions can increase tenderness. Pain may be sharp or burning, with spotting, swelling or a visible cut. A tear can be small, but its depth and source of bleeding cannot be judged reliably by appearance alone.

Stop intercourse and avoid inserting anything into the vagina until the area has healed and a clinician has advised you. Rinse gently with warm water, pat dry, wear loose breathable underwear and use recommended pain relief. Do not apply antiseptics, creams or household remedies unless prescribed. Perineal Repair explains care when a wound needs treatment; Postnatal Physiotherapy may help if pain, scar sensitivity or pelvic-floor tension continues.

Seek prompt assessment for ongoing or heavy bleeding, severe pain, a deep or gaping cut, increasing swelling, fever, pus, bad-smelling discharge or difficulty passing urine. Urgent care is needed for faintness, rapidly worsening symptoms or bleeding that does not settle with gentle pressure. Arrange review for recurrent tears or pain with penetration, because dryness, infection, scar tissue or another condition may need treatment.

Ask where the tear is, how deep it appears, whether it needs stitches and how long to avoid intercourse. Ask about lubrication, contraception, infection testing, scar care and when pelvic-floor therapy would be useful.