Diana, age 31, had a baby girl nine months ago. It had been a difficult birth, and she had very bad Depression afterwards. Her mother had to help with the house and the baby, as Diana could not cope. She had anti depressants, which helped a lot, and got a bit better. When she and Edward started to have sex again, she was not that keen on it. She also had a sharp pain in the back wall of her vagina.

Assessment

Because she could describe the position of the pain so well, the therapist asked her to see her doctor. The doctor pressed on the back of the vagina, and caused exactly the same pain. She referred Diana back to the gyneacologist.

Treatment

The gyneacologist found a little sore tag left over from having the baby. The vagina had healed up, but a little bit was in the wrong place and giving the pain. Under general abaesthetic, the tag was removed.

Afterwards

No more to say. No more pain for Diana. The depression lowered her sexual desire, so she and Edward did not have so much sex as before, but it was OK. Once the depression was past, her desire came back, but not to the level of before the baby. This is normal for many women.