What is the first treatment for a perineal tear?

Short answer
The first treatment for a perineal tear is an examination to assess its depth, followed by Perineal Repair when the tissue needs stitching.
This answers one question. It is not a diagnosis and does not replace an assessment by a licensed doctor.
At a glance
- First step
- Examination of the tear
- Repair
- Stitches may be needed for deeper or gaping wounds
Why assessment comes first
A perineal tear affects the skin and tissues between the vagina and anus during birth. A clinician checks the wound, bleeding, muscle involvement and anal sphincter area before deciding whether it can heal without stitches or needs repair. Deeper tears need careful follow-up because they can affect bowel control, comfort and pelvic floor function.
Care after assessment
Follow the wound-care instructions, keep the area clean, take prescribed or recommended pain relief, and prevent constipation with fluids, fibre and any advised medicine. Rest from activities that increase discomfort, and use cold packs as directed. Postnatal Physiotherapy can later address pelvic floor recovery, scar discomfort and bowel or bladder symptoms.
When to seek care
Contact your maternity team if pain is worsening, the wound opens, discharge smells unpleasant, redness spreads, or you develop a fever. Seek urgent help for heavy bleeding, severe pain, inability to pass urine, or new loss of bowel control.
Questions for your doctor
Ask which degree of tear you have, whether the anal sphincter is involved, how to care for the repair, which bowel symptoms need review, and when physiotherapy should begin.
Find care
General Clinics & Polyclinics in Abu Dhabi
That answer is general. If you want it applied to your own case, these are licensed general clinics & polyclinics listed in Abu Dhabi.
27 Ar Ruwwad St - Shakhbout City - MSH4 - Abu Dhabi - United Arab Emirates
Accepts: Daman, Thiqa, Cigna, MetLife +20 more
Al Ruwais, Al Dhafrah
Accepts: Daman, Thiqa, AXA, Cigna +16 more
Al Bahyah - Al Bahyah Old - Abu Dhabi - United Arab Emirates
Accepts: Daman, Thiqa, Cigna, Allianz Care +18 more
Abu Dhabi
Accepts: Daman, Thiqa, AXA, Cigna +27 more
Ordered by verification status and how complete each clinic's public record is, then alphabetically. This is a directory listing, not a ranking — Zavis does not rate or recommend providers.
A factual listing drawn from the DHA, DOH and MOHAP licence registers. It is not a referral, an endorsement, or advice that any of these providers is right for you.
Questions people ask
Do all perineal tears need stitches?
No. Small, well-aligned tears may heal without repair, while deeper or bleeding wounds may need stitching.
When can pelvic floor exercises start?
Gentle exercises may be introduced after assessment, with timing adjusted for pain, swelling and the type of tear.
Related
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Medical disclaimer. This page is general health information, not medical advice, and it cannot diagnose you. Always consult a licensed healthcare provider about your own symptoms and treatment. In an emergency in the UAE, call 998 for an ambulance.