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How to manage perineal tear and pelvic weakness in women?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am 29 years old. I think I may have a fissure or tear in my perineum. It is causing some discomfort. My last sexual contact was about two months ago, and I have not been very sexually active over the past three years. I have not had any recent childbirth or surgeries.

Kindly help.

Thank you.

Answered by Dr. Obinna Ugwuoke

Education:

Fellowship in Obstetrics and Gynecology

Professional Bio:

Dr. Obinna Ugwuoke is a dedicated Medical Professional who achieved a Fellowship in Obstetrics and Gynecology from the West African College of Surgeons in 2022. With three years of clinical experience. He contributes his expertise to NAF Hospital in Lagos, Nigeria. Driven by passion and skill, he continues to make significant strides in women's healthcare.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I read your query and understood your concern.

It is completely normal for you to be concerned about anything that is likely to impact your sexual life, as it may ultimately affect your mental health. However, the distance between the posterior fourchette (posterior end) of your labia and the anus is normal.

If you have a midline tear or a fissure, that distance will be compromised, or there will be some form of muscle spasm. Additionally, a fissure or tear (perineal tear) will cause significant pain during sexual intercourse.

Mild urinary incontinence occurs in women who have carried a pregnancy to an advanced age and also in women who have had a vaginal delivery. This is because pregnancy weakens the muscles of the pelvic floor that are responsible for preventing such incidences of incontinence.

As you grow older, the incontinence may worsen. To appropriately manage it, you should start doing Kegel exercises, as this will help strengthen the pelvic floor muscles and stop the incontinence. Keep me updated about the progress of your Kegel exercises.

I hope that this answers your query.

Kindly follow up if you have more doubts.

Thank you.

Medically reviewed by iCliniq medical review team
Published At January 7, 2026
Reviewed At January 12, 2026

Education:

Fellowship in Obstetrics and Gynecology

Professional Bio:

Dr. Obinna Ugwuoke is a dedicated Medical Professional who achieved a Fellowship in Obstetrics and Gynecology from the West African College of Surgeons in 2022. With three years of clinical experience. He contributes his expertise to NAF Hospital in Lagos, Nigeria. Driven by passion and skill, he continues to make significant strides in women's healthcare.

This doctor is not available for online consultations on the platform anymore.

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Companion

Perineal Tear and Pelvic Weakness Companion

How it works

Perineal tears and pelvic weakness can cause discomfort and impact quality of life. Understanding these conditions is the first step towards effective management.

1

Perineal
Tears

2

Pelvic
Weakness

3

Perineal
Symptoms

4

Pelvic
Symptoms

5

Kegel
Exercises

6

Seek
Advice

This information is based on general medical guidance. It is not a substitute for professional medical advice; consult a qualified clinician.

Always consult a doctor before taking medication; self-medication carries serious health risks. Take exact prescribed doses, and never start, change, or stop treatment without medical supervision.

Education:

Fellowship in Obstetrics and Gynecology

Professional Bio:

Dr. Obinna Ugwuoke is a dedicated Medical Professional who achieved a Fellowship in Obstetrics and Gynecology from the West African College of Surgeons in 2022. With three years of clinical experience. He contributes his expertise to NAF Hospital in Lagos, Nigeria. Driven by passion and skill, he continues to make significant strides in women's healthcare.

This doctor is not available for online consultations on the platform anymore.

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