skin tag on episiotomy scar

It sounds worse than it is. Used Peloton Bike Craigslist, Beauty, Fashion, Makeup, Skin Care, Face Care, Hair Care, Nail Care, Health, Cosmetics, Unusual piercing Jestrum: healing time, care, pain and other disadvantages, suitable jewelry, Lip Piercing Prices, Cost, Places for Piercing Lip around You & How Much, How to Pierce Your Own Lip Painlessly, at Home, Gauge, Kits & Needles, Bottom Belly Piercing, Top, Pain, Pictures, Ring, Jewelry, Lower Navel Piercing. A: Yes, there are new approaches that can help reduce secondary tightness in the area. Add message Save Share Report The low quality associated with this type of collagen also explains why scars dont grow hair. itching. My experience has been they are very conversant in the care of womens reproductive systems. In a few women however, this doesnt happen, resulting in an excessive, raised scar tissue. Ark Mods Nexus, If tension is present, the tissues will feel tender or even numb. The scar may also look reddened, inflamed and feel warm. Do not worry about tags immediately, but rather let the body recover from the birth. There may also be slight blistering around the skin tag as this area may have gotten a little frozen too. You can do this either with a piece of string or. This method works by killing the skin tag first and allowing it to fall off on its own. Minecraft Games For Girl, Erica, The biggest risk factor that is modifiable for developing uterine cancer is obesity, maintaining an ideal body weight is the single most important thing you can do to decrease that risk. Here's how to identify it, as well as the other symptoms. This may not be the best answer you want, but its the truth. You can do this either with a piece of string or dental floss or using TagBands. They're most common in parts where friction is. The situation may be more urgent if a skin growth dramatically increases in size or changes its shape and color in a short amount of time. Well not only give you a comprehensive rundown of episiotomy scarring, but also include several pictures to inspire your imagination on what to expect after the surgery. I too saw a male dr (about 5 weeks post partum) who said the surgeons had done a good job and he'd seen much worse cases. Seagull Beak Adaptations, Juice And Tully Scene, There may be a tightness in the skin and muscles between the perineum and the sitting bones (ischial tuberosity). Your dermatologist will ultimately determine whether this is the case. Surah Inshirah Benefits, (And Jillian told me that pelvic floor PT helped her immensely.) In the case of episiotomy, child birth can cause a fluctuation in hormones, and can even cause tags to form near the pubic region and around the anus and vagina. This can also make the perineum (the area between the vagina and anus) so tight that episiotomy becomes necessary during the next delivery. Skin tag formation is something that millions of people will deal with today. Delivering your baby by a vaginal birth is a wonderful experience but For some women, vaginal delivery may result in tissue tearing or a surgical incision that has to be sewn back together. Squatting puts undue pressure on pelvic floor muscles, compromising them further. Pain from fissuring is often described as being 'like a paper-cut' or 'knife-like'. This helps to speed up birth or allow the use of instruments such as ventouse suction or forceps. Here's how to correctly identify a vaginal skin tag, treat it, and, Skin tags do not pose any danger to your health and they will not turn cancerous. These growths can develop in many areas on your body. I was assuming it was irritated scar tissue. While they are not something that hurt, cause cancer, or are in any way dangerous, they are unsightly, therefore may require a helping hand in removal, especially if they are in certain areas. The possibility of scarring occurring can depend on your skin and the size of the skin tag. Thats because scar tissue can form at the incision site and scar tissue is inflexible. My only complaint is that I have a patch of skin that is constantly irritated. Keloid scars may benefit from steroid injection. But if their appearance bothers you, you can undergo a skin tag removal procedure. Tight scars can affect the stretch of other nearby tissues and structures like skin, nerves and blood vessels and muscles. Bottom Line, Inc. publishes the opinions of expert authorities in many fields These opinions are for educational and illustrative purposes only and should not be considered as either individual advice or as a substitute for legal, accounting, investment, medical and other professional services intended to suit your specific personal needs. In some cases, it is just a small scab that will appear when a skin tag is removed. This therapy can incorporate perineal massage techniques that help soften and release old scar tissue, Dr. Gossett said. Infiltrations will be carried out intradermally, previously performing asepsis in the area to be infiltrated. Repeat 10 times. Biofeedback, which aims to improve the strength and coordination of anal muscles and increase awareness of rectal sensations. (2011). Other skin tag treatment options often take weeks. Your doctor will likely begin a diagnosis by requesting your medical history. For some, episiotomy-related complications have led to ongoing problems with fecal incontinence (impaired bowel control) and/or painful intercourse. Intrarosa is a vaginal insert, used nightly; its metabolized to testosterone (and estrogen) in the vagina, so I think this is going to help vulvodynia. Labour and birth Episiotomy stitches Labour and birth episiotomy scar pain during intercourse Labour and birth C section scar bleeding Labour and birth Episiotomy stitches broke Labour and birth C section scar bleeding Labour and birth C Section Scar Healing Labour and birth episiotomy stitches open? Some patients reporting having a hard lump near the episiotomy scar. Nc License Plate Lookup, Episiotomy Scar Tissue Pain Painful Episiotomy Scar, Sore Episiotomy Scar and Itchy Episiotomy Scar. Mumsnet carries some affiliate marketing links, so if you buy something through our posts, we may get a small share of the sale (more details here). (But sometimes I have the pain at the front and above my vagina where the pubic hair starts and sometimes in between the labia and no pain from the scar). With an episiotomy, due to the depth and stitches, you're very likely to have at least some scarring. Describing your symptoms accuratelywill be extremely helpful! Discover The Best Solutions To Remove Suddenly Appearing Brown And Black Skin Tags (Acrochorda) On The Neck, Eyelids, Nipple, Groin, Anus, Between Legs And Breast And Other Parts Of The Face And Body Quickly, Easily And Naturally In The Comfort Of Your Own Home Without Surgery. The American Pregnancy Association recommends the following steps to avoid an episiotomy: Practice good nutrition while pregnant, as healthy skin stretches more easily Do kegels to stretch your pelvic floor muscles Ask your doctor for a slowed second stage of labor where pushing is controlled Use warm compresses and support during delivery Glad to find this discussion. If the above steps do not relieve your symptoms, Consider pelvic floor physical therapy. Again, these are not harmful, and will not cause any issue, but they are unsightly. Place your fingertips lightly on the skin and start by working the tissues around the scar. Ligating a skin tag is cutting off the blood supply to it by tying it off at the base. For patients with vulvodynia, I use a compounded prescription of low-dose estrogen plus testosterone applied to the opening of the vagina (the introitus) two times a day for 12 weeks, tapering to once a day or less. In fact, making a cut may increase a mothers chances of getting a severe tear in the perineum (the tissue between the vaginal opening and anus) during delivery. The finding of primary or metastatic carcinoma in an episiotomy scar is a rare event; we report three cases. Removing the skin tag may result in the skin breaking and leaving a possible scab or scar. Our content is further subject to ourTerms and Conditions. Draper Kauffman Cause Of Death, Do you have any pain? You should seek the attention of your doctor if these symptoms are observed. I think I might have one! Do they go away? I'm now 25 weeks pregnant All rights reserved. Another option is electrocautery, in which an electric probe or needle is used to burn off the skin tag. Here are some other symptoms you may notice along with a perineum lump: See your doctor if you experience any intense pain or discomfort along with these symptoms. What Causes Vaginal Swelling and How Is It Treated? BabyCenter aims to share products and services we hope youll find interesting and helpful. In other cases, you may feel perineum pain or notice abnormal bleeding or discharge from the perineum. Just hoping for additional information so I can heal my precious skin. an open wound. Healthline Media does not provide medical advice, diagnosis, or treatment. I am no expert --- but when my first son was born in 2003 --- HE gave me an episiotomy from end to end. The code is valid during the fiscal year 2023 from October 01, 2022 through September 30, 2023 for the submission of HIPAA-covered transactions. Could my scar be causing some inflammation in other areas around it? Skin tags are benign extra-folds of anal tissue. Scar tissue release therapies such as Myofascial Release, Active Release Technique, and Graston Technique may help to reduce pain associated with scar tissues. After 6 months of low dose HRT I must say that I am feeling a lot better in the "brain department", but am still struggling with the physical problems. Talk to your doctor about all your options, especially if you have any underlying medical conditions that could increase your risk for developing additional skin tags in the future. Picking off a scab, rather than waiting for it to fall off naturally, will often result in a scar. A round of antibiotics may be required. Powdered vitamin C is thought to be more stable than other forms of vitamin C. Heres how it works and when you may want to use it. A keloid scar isn't harmful to your physical health, but it can cause emotional distress. Dr. Gossett explained that a very large tear in the perineum can damage the anal sphincter (the muscle surrounding the anus), compromising bowel control. It is best to seek the input of your doctor or a dermatologist. It's important to receive care from a health professional and not try to treat them yourself. Using a method that cuts off the blood supply to the skin tag such as ligation, freezing or an OTC cream, will leave the least scarring as the live skin isnt getting cut. Guidelines for Scar Massage. This is a big event for the pelvic floor and it is not unusual to have some pelvic floor muscle dysfunction. This is to aid in the delivery of the child as well as to alleviate its passage. I haven't "inspected" properly and it only feels small with my finger! Puerto Madero N9710, Oficina 22, Pudahuel - Santiago | packers athletic training staff You can learn more about how we ensure our content is accurate and current by reading our. Discomfort and irritation are among the most common reasons for skin tag removal. Using a method that cuts off the blood supply to the skin tag such as ligation, freezing or an OTC cream, will leave the least scarring as the live skin isnt getting cut. Learn Your Best Options To Eliminate Skin Tags Showing Up Around Your Neck, Eyes, Bum, Pubic Area, Scrotum, Penile Shaft, Base Of Shaft And On Any Other Part Of Your Body Once And For All. In some cases, skin tags may be related to underlying medical conditions. You may think that being a bit constipated would aid bowel control, but straining on the toilet puts pressure on pelvic floor muscles. Once the skin tag is gone, no scar or scab should remain as tissue in the peduncle would be dead tissue. Here's how to identify it, as well as the other symptoms. Discontinue the massage and seek your physician and/or physical therapist's recommendations before resuming. Because the skin tag was cut off live, it may leave a small scar, especially if a scab formed and you pick it off prematurely. Depending on the location of the lump, it could be the result of formation of a keloid scar (a scar that extends beyond the original borders of the wound) or a swollen gland. ryan drescher death; dixmoor, il crime; plants that repel bees and mosquitoes; judgement proof in virginia; rogers channel list toronto 2022; winona ryder y johnny depp porque terminaron; alaska 261 cvr; role of the learner in pragmatism pdf; Required fields are marked with *. In a few women however, this doesnt happen, resulting in an excessive, raised scar tissue. Once the skin tag is gone, no scar or scab should remain as tissue in the peduncle would be dead tissue. Which method works best to avoid scarring, aim to leave little to no scarring. Insma Laser Engraver Driver, Q: Can problematic episiotomy scars be treated months and years after? More than 20 years have passed since my friend Jillian last gave birth, but she still cringes at the thought of her episiotomy, a surgical incision made to widen the vaginal opening during childbirth. I did have a pretty massive skin tag though, and all I needed to do was tell my GP that it was uncomfortable, and it was removed - a v. quick local anaesthetic op, only sore for one day. Save my name, email, and website in this browser for the next time I comment. Skin tags are small, noncancerous growths that form when the skin rubs against itself. Funny New Beginnings Quotes, Jacoby Ellsbury House, I don't remember how long I suffered. This method works by killing the skin tag first and allowing it to fall off on its own. I would recommend a visit to a pelvic floor therapist for assessment and treatment. Looking for some reassurance, I had episiotomy & stitches and I have what appears to be a skin tag where the cut has healed I'm mortified & don't know what to do! See our, Episiotomy Scar Tissue, Painful, Itchy & Healed, Hysterectomy Scar Tissue Scar after Hysterectomy and Pictures, Vitamin E for Scars Cream, Capsule, Lotion, for Acne Scars, Applying and Best Gel or Creamy Eyeliners Like elf, Best Felt Tip Eyeliners Pen Use Tip and Review, Wearing Best White Eyeliner: Liquid, Gel or Pencil, Best Dark, Light, Electric and Navy Blue Eyeliners, Best Long Lasting Eyeliner Pencil, Liquid, and Gel. Since training with Kieran, I've been trying different ways to approach this area, when scarring and tightness are present. Hi. Emu oil may help replenish moisture to dry, damaged skin tissue allowing the skin to be more supple and pliable. New: The FDA recently approved an implanted device called InterStim, which uses mild electrical stimulation (like a pacemaker) of the sacral nerves that affect pelvic muscles to improve bowel control. Collagen helps to strengthen the wound as it heals. Two new areas of investigation by bodyworkers offer new approaches to managing tightness associated with scarring in this region: BioTensegrity and pelvic tightness associated with vaginal prolapse (full free read of this research is available here), Local arterial and nerve release- Neurovascular Release TM. Such injuries include: when the skin of the perineum is injured. Do this 10 times daily. Continue reading to learn more about episiotomy scarring including what it is, what it means to be itchy or painful, and treatments. But I remember being worried about healing right. Eye Health: Top Docs Integrated Approach, Face Value: Investing in Metals and Money. A second patient, diagnosed as having cervical carcinoma 6 months . Every body is quite unique in how it heals. Everything to Know About Skin Tag Removal, Everything You Should Know About Mole Removal. Another possible long-term consequence of episiotomy is pain during sex. Make an appointment in rooms( Brisbane) or online: Deniseot@bigpond.net.au, Photo of mother and baby by Sergiu Vlena on Unsplash. I'm sorry you are experiencing this. At my 6 week PP appointment, the stitches were healed, but a small skin tag formed - due to moisture, I was told. 1 In 1979, episiotomy was performed in 62.5% of all vaginal deliveries in the United States, and in nulliparous women, the episiotomy rate rose to 80%. After delivering a baby, the body is going to go through some transitions, and recover from the process. Discomfort is okay but it shouldn't be painful. Mont Pinacle Danville, There may or may not be vaginal dryness. Adhesions are bands of scar tissue that attach themselves to the surrounding tissues, often attaching two organs or tissue that are naturally not attached together. If you feel in your intuition that there is something more then i would say there is something more. Some people pick at the scar and pull it off prematurely. Given the danger of skin cancer, its important to have any new growth checked by a dermatologist. Since the operation involves injury to the skin (the cut), it is normal and is indeed expected that the patient will form scar tissue after episiotomy. 9 months of pregnancy & about the same after you can forget what 'normal' feels like. A clinical evaluation of skin tags in relation to obesity, type 2 diabetes mellitus, age, and sex. Any scar that remains will usually be small and with proper care can disappear over time. One commonly used technique is punch excision whereby the scar is neatly cut out and the edges of the wound then stitched together using fine sutures. Another option might be Intrarosa, a relatively new treatment for vulvovaginal atrophy, which Ive begun using with some vulvodynia patients. Complications sometimes develop after an episiotomy. Its all very inconsistent. Scar tissue. Avoid constipation. Using liquid nitrogen to remove a skin tag by flash freezing it is a popular method of removal. Sorry Gents just got to say this Ladies you can also use this on old episiotomy scares that can thin and become painful. Skin tags are attached to the skin by a thin stalk. How to Do a Perineal Massage During Pregnancy. Im 65, 10 yrs +/- in post menopause, experiencing tissue thinning and stage 2 pelvic organ prolapse and more recently tenderness or irritation at old episiotomy scar, even with Imvexxy 10 mcg xtwice a week and Replens. Can Apple Cider Vinegar Remove Skin Tags? Depending on your case, the doctor may also include some medication to relieve the inflammation and/or antihistamines to control the itching. Hypertrophic Scars and Keloids: Similarities and Differences, Debra Sullivan, Ph.D., MSN, R.N., CNE, COI, TagBand, a device that may be purchased at a drugstore for skin tag removal. skin tag on episiotomy scarbuddy miles them changes lyrics. Could you please tell me what silver nitrate does? A skin tag is a common soft harmless lesion that appears to hang off the skin. In a word, Yes. They typically don't require treatment. If you are interested in investigating your episiotomy scar changes and secondary tightness, then connect to make a booking. But not these. Shumbah in Restless Legs Syndrome 7 days ago Need a listening ear Poorly healed episiotomy needing surgery. Your hip flexors and adductors may be overworking and tight even at rest. Check this Facebook video out here as you'll be able to compare the internal sensation of tension around this lower region. I get random pains in and around my vagina. According to Dana R. Gossett, MD, assistant professor and chief of the Division of General Obstetrics and Gynecology at Northwestern University, Chicago, episiotomy scar tissue is often to blame for long-term painful sexual intercourse, especially after menopause when declining estrogen often leads to reduced vaginal lubrication. Appointments 216.444.5725. August 3, 2014 It may get bigger and more painful or tender over time. Self-help strategies target the muscles of the anus, perineum and pelvic floor. Episiotomy may be recommended if the baby has developed a condition referred to as fetal distress which is associated with a significant increase or decrease in the babys heart rate. Overview A keloid scar is a thick raised scar. What causes episiotomy scar and is the scar tissue normally painful or itchy? Although in special circumstances the procedure may be appropriate, recent studies show that routine episiotomy usually has no benefits for mother or baby. This, she says, is usually attributed to the lack of flexibility typically associated with scar tissues. This can result in swelling near your perineum. Despite using cold compresses in the days after, the normal healing phase results in scar tissue forming. Healing is. Some people are prone to thicker scar tissue, while others don't scar very much. First and foremost, its important to realize why skin tags form. One of the main reasons we remove skin tags is for aesthetics. A skin tag is a flesh-colored growth that can be thin and stalky looking or round in shape. 2023 HelpSkinTags.com. Skin tags are attached to the skin by a thin stalk. Sex has always been a bit uncomfortable post birth. For women, after a episiotomy, tags my form after recovery. After 4 to 6 weeks, the episiotomy scar will have healed considerably such that the redness and inflammation that characterized it at first is gone. They were able to remove it in office with topical numbing ontment and scissors . Another possible long-term consequence of episiotomy is pain during sex. Most OTC (Over The Counter) creams work by peeling away the layers of the skin tag and suffocating it. unusual . Small skin tags are usually considered to only pose cosmetic concerns. As with any scar, episiotomy scar is the result of accumulation of collagen as part of the bodys natural response to injury. You say you experience dryness, irritation, and a "tearing feeling," which sounds to me entirely consistent with vulvodynia (also called vestibulodynia or provoked vulvodynia). After placing the band or string, the skin tag will usually take 4 7 days to fall off. DOI: Skin tags and cysts: When they're harmless and when they're not. The possible role of trauma in skin tags through the release of mast cell mediators. Apply it twice a day and you will eventually see your small scar fading. Don't think I'm worried about it though, I actually thought it was a spot from shaving or something but it's been there for ages now! Tight scars can affect the stretch of other nearby tissues and structures like skin, nerves and blood vessels and muscles. But what about women who had their childrenand their then-routine episiotomiesdecades ago? Its also possible (when self-diagnosing) to misdiagnose a skin tag. Once the skin tag is gone, no scar or scab should remain as tissue in the peduncle would be dead tissue. In this time it will change color, usually turning brown or black. There is a range of different products available to help remove scarring. Kieran has produced a short video to demonstrate how this approach can be used in the area nearby to the perineum. This, she says, is usually attributed to the lack of flexibility typically associated with scar tissues. Customer Care| Privacy Policy| Terms and Conditions| About Us, Copyright 2023 Bottom Line Inc. 535 Connecticut Avenue, Norwalk, CT 06854 Hi. I'm pleased to hear there is an answer. Collagen helps to strengthen the wound as it heals. Just recovering from the process is going to take time. (2011). I already eat a plant based diet so its not caused from constipation. . I have had a heavy feeling around my scars & a skin tag on my perinium which has gotten a lot worse & painful over the last couple of months. theangelesclinic.org/Home/PatientEducationLibrary/tabid/19283/ctl/View/mid/35200/Default.aspx?ContentPubID=341, health.harvard.edu/a_to_z/skin-tags-acrochordon-a-to-z, health.clevelandclinic.org/2014/03/skin-tags-and-cysts-when-you-should-worry/, blog.dana-farber.org/insight/2018/03/skin-tags-skin-cancer-know/. For more information about managing your scar from an episiotomy or vaginal tear, call Magdalena on 07877 017 936 or drop . Preventing a perineal tear. A round of antibiotics may be required. when the lining of the vagina and some its connective tissue is torn a tear through the muscle around the anus (sphincter) Some will experience pretty deep scar tissue as well. The first patient presented with an abnormal cervical smear and was found to have a primary squamous cell carcinoma of the vulva in an old, healed episiotomy scar. It is best to seek the input of your doctor or a dermatologist. ? It would be very, very unusual for an old episiotomy scar to become problematic. Mojave Rattlesnake For Sale, It is no longer considered a routine procedure during childbirth although it is performed in most first deliveries and in many multigravida women (women who have been pregnant more than one time). Kar97ybg. To comment on this thread you need to create a Mumsnet account. This doesnt really treat the scar tissue but can help to minimize the pain associated with sex. Please note, comments must be approved before they are published. To find a practitioner: Visit the Web site of the American Physical Therapy Association at www.apta.org, click on Find a PT, then search the womens health practice area. Only files 8MB or smaller of the following types are supported: JPEG, PNG, GIF. The authors present the case of a 42-year-old woman referred 7 years ago for the development of a tender perianal mass at the episiotomy site associated with perianal pain and pruritus which varied in relation to menses, becoming most intense just before and immediately after the . The low quality associated with this type of collagen also explains why scars dont grow hair. Doing so could result in the following: incomplete removal, which may result in the tag regrowing or causing a scar . Again, these are not harmful, and will not cause any issue, but they are unsightly. I have a yeast infection which I am working on resolving. Among the most common approaches to treating scars sustained from episiotomy are: Surgical revision: A small operation can be done at the site of scarring to improve the appearance and the associated effects of the scar tissue. The following image gallery contains pictures of skin tags. Women with heart conditions may also be candidates for episiotomy. If the pain youre experiencing is related to atrophy, which is very common and usually evident by vaginal dryness, the Premarin vaginal cream you describe using should be quite effective for that. A doctor will see the progression of the healing, and will note whether or not you have skin tag growth. 45 year old mom of 4. Excision gets rid of the skin tag(s) in minutes. As with any scar, episiotomy scar is the result of accumulation of collagen as part of the bodys natural response to injury. Use your fingers to move your skin up and down, side to side, and also in little circles. An episiotomy is an incision that is made on the perineum, the area between the vagina and the anus, during a vaginal delivery to enlarge the outlet. Removing skin tags can leave a scar, but most often, they don't. It all depends on a few factors in regard to the removal, as there is no "one" solution to define them all. Picking off a scab, rather than waiting for it to fall off naturally, will often result in a scar. I had one and it rubbed so at 9 weeks went to hospital via referral from the gp and they took it off with silver nitrate honestly didn't hurt and all better now! Skin tag removal can be accomplished via a number of different methods. Instruction in additional exercises that strengthen the pelvic floor and anal sphincter. Dr. Ng prefers to remove skin tags in-office by numbing the area and snipping off the tag with surgical scissors. With the right treatment, you can overcomeat long lastthe lingering effects of that long-ago episiotomy. Skin tags usually dont fall off on their own. One commonly used technique is punch excision whereby the scar is neatly cut out and the edges of the wound then stitched together using fine sutures. You want a product that promotes good skin health and helps new skin cells regenerate to cover where the scar has formed. Leave the scab and let it fall off naturally to avoid a scar. the stalk, or peduncle, can be thicker. Surgery is not the answer because it generally produces more scar tissue, Dr. Gossett said. Bottom line: Dont give up. The straight formation of the collagen that builds up in scars is different from the basket weave-like formation of the collagen found in normal tissues. In some cases, it is just a small scab that will appear when a skin tag is removed. Both benign and cancerous tumors are more common in your 30s and 40s. That's because scar tissue can form at the incision site and scar tissue is inflexible. Cautery is using a heat tipped instrument to burn off a skin tag and seal the skin to avoid further bleeding. Our session together will be gentle, clothes will remain on, and expect to get homework, as changes to elasticity in tight tissues are incremental. What Causes Some Men to Have Dry, Brittle Hair and How to Treat It, unusual discharge from the lump, your genitals, or your anus, bleeding, especially after an injury or from a hemorrhoid, unusual new growths or discoloration around the perineum, discharge with a bad odor coming from your perineum, genitals, or anus, bleeding from the perineum, genitals, or anus, swelling and intense pain that makes it hard or impossible to sit. The only way to completely remove skin tags is via professional procedures done by a dermatologist. Looking for some reassurance, I had episiotomy & stitches and I have what appears to be a skin tag where the cut has healed I'm mortified & don't know what to do! Skin tags rarely pose a health concern, but you may choose to get skin tags removed for cosmetic reasons. Its like a subtle throbbing. Rebecca, This sounds as though this may have something to do with pelvic floor muscles, and this wouldnt be surprising following a pregnancy, delivery and healing following that.

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