How does the vagina change after giving birth? – VnExpress

Vaginal changes include perineal pain, color change, bleeding, and vaginal dryness.

The process of pregnancy and childbirth makes a woman’s “little girl” change a lot. According to the National Health Service (UK), changes in this organ after childbirth are a very normal phenomenon. There are changes that will go away with time, while some make it impossible for the vagina to return to exactly how it was before pregnancy. Below are the common changes in the vaginal area after giving birth.


The vagina is designed to stretch and accommodate a baby. According to a study, the pelvic floor muscles involved in childbirth can stretch up to three times more than normal. This variation can be caused by factors such as the size of the baby in the womb, the number of births, or genetics and being overweight. Within a few days after giving birth, the swelling should subside and within a few weeks the vagina will shrink, but it will be difficult to return to its pre-pregnancy position.

Urinary incontinence

The most common problem for women after childbirth is urinary incontinence. Some women notice that they leak urine, especially during strenuous activity, jumping, or sneezing. According to the Urological Care Foundation (USA), multiple vaginal births can increase the risk of urinary incontinence. However, the condition usually ends when the muscles in the mother’s pelvic area gradually recover.

The vaginal area may feel sore or sore right after childbirth. Photo: Freepik

Pain in the perineum

An episiotomy is a procedure in which a short incision is made in the area between the vagina and anus during childbirth to make it easier for the baby to come out. After childbirth, the area may feel sore. Symptoms usually improve over the next 6-12 weeks. To restore the vagina after childbirth, experts recommend that women do pelvic floor stretching exercises.


Whether a vaginal birth or a cesarean section, a woman’s uterus has to excrete the excess blood, mucus, and tissue during pregnancy. This means you will experience vaginal bleeding after giving birth (lochia). According to medical experts, bleeding may be more than the first 3-10 days after giving birth. After that, mothers will experience light bleeding or spotting that lasts 4-6 weeks. The color of these secretions will gradually change from red to pink, brown and finally yellowish white.

Vaginal dryness

Low estrogen levels during pregnancy thin the tissues in the vagina; thereby causing the private area to become dry and always feel tight after giving birth to a baby. In particular, the period of breastfeeding will cause a sharp drop in estrogen to make room for prolactin (lactation hormone) to increase. Therefore, mothers often feel that the vaginal skin becomes dry faster if they are breastfeeding. However, estrogen soon stabilizes once the mother stops breastfeeding.

Decreased sexual function

One study found that up to 91.3% of women experienced sexual problems after giving birth. Common reasons include disrupted sleep, vaginal changes, weak pelvic floor muscles, or pain during sex. According to medical experts, the process of pregnancy and childbirth has overworked the pelvic floor muscles, making women feel less desirable. In addition to these factors, hormonal changes during pregnancy are also the cause of decreased sexual function in women.

Change color

Pregnancy increases the body’s production of estrogen and progesterone. According to scientists, these hormones increase blood flow and can cause the skin on the labia and on the perineum (the area between the vaginal opening and the anus) to become darker. These changes can be temporary or permanent, depending on the individual’s skin pigmentation.

Huyen My (Follow Medical News Today, Verywell Family)


Leave a Reply

Your email address will not be published. Required fields are marked *