i've had some problems since my delivery w/ ava. when she was born, i did not have an episotomy. W/ Evan I did, and I still tore. W/ Ava, i tore really bad. 4th degree is the worst tear, and that's what I had - one layer from going all the way through to my rectum. TOO MUCH INFO, i know! but anyway, a lot of pain has been associated w/ that area.
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