Can a vulvar tear heal on its own?

It is very common for women to have vulvar tears when giving birth. After a woman's vulva is torn, she must receive timely treatment and pay attention to hygiene and cleanliness. Our skin's own healing ability is relatively strong. However, if the tear is not serious, it will heal in three to five days. If the tear is serious, you can go to the hospital to see a doctor. Be sure to avoid sexual intercourse during the tear. So can vulvar tears heal themselves?

Talk about this from a physical and psychological perspective.

1. Physiological level. The body has a strong ability to heal itself, so don't worry. If you are in particular pain, please follow your doctor's advice. Skin, mucous membranes, and muscle strains can all recover as the body heals itself. During this period, you should strengthen your body's metabolism by doing activities that can improve your body's metabolism. Do not touch the affected area and pay attention to hygiene.

2. Psychological level. The vaginal muscles have strong expansion capabilities, for example, they can be used to give birth to a baby. So it’s okay to feel that way, it’s just a feeling, don’t worry too much.

3. Don’t do anything that hurts yourself again, whether it is intentional or not.

Consider the possibility of keloid. When scar proliferation exceeds the original wound boundary, keloid is formed. The recurrence rate of keloids is very high, especially large-area keloids that require skin grafting are generally difficult to cure. Surgical resection is one of the main treatment methods. For large-area keloids, the wound surface is often difficult to close after surgical excision, and skin grafting or flap grafting is usually required. Not all patients are candidates for skin flap transplants, so for some, a skin graft is the only option. The efficacy of surgical resection alone is limited, with a postoperative recurrence rate of 45%-100%. Surgical resection combined with adjuvant radiotherapy can reduce the recurrence rate to 3%. Radiotherapy should be performed as soon as possible, usually no later than 24-48 hours after surgery. However, for patients undergoing skin grafting, radiotherapy is usually postponed until 14 days after surgery due to the obstructive effect of the bandage and considerations of the impact on the survival of the grafted skin graft.

Keloids are difficult to treat and may recur in some patients even after several years of treatment. Keloids can be treated with X-ray radiotherapy; multiple point injections of glucocorticoids into the lesions are effective, but local skin atrophy should be avoided; surgical excision followed by local injection of glucocorticoids and X-ray radiotherapy can also be used; topical glucocorticoids and tretinoin cream can relieve symptoms. Choose the appropriate treatment plan based on the specific situation.