What Not Even Your Girlfriends Will Tell You About Childbirth
We each have one toddler. I've got Petunia; she's got FS Jr. They're basically the same age - two and a half. Plenty of parents of two-and-a-half-year-olds have second kids already (hello, Nora June!), and others are actively planning. So it doesn't feel crazy to be thinking seriously about throwing the condoms out the window.
But for me, it has been a long road getting to this point.
I had physical problems following the birth of Petunia, and only in the past six months have I finally healed for good and gotten past the trauma. I've talked about my issues with close friends in veiled terms, but I've never really spelled it all out - in person or online.
I feel like there is some value in telling my story to the world, because I'm sure there are other mothers out there who are going through what I went through. I don't want them to feel alone or fucked up beyond repair.
Not even the Girlfriends Guide to Pregnancy, which purports to be 'everything your doctor won't tell you,' talks much about what your body should be after having been a part of the miracle of life. Seriously, there's like 6 pages about how you might not ever lose the weight and your boobs may droop.
See, my problems were more significant than weight loss and boob shape. I was in pain. For weeks and months. Pain with a giant capital P. Pain that made my eyes water. Pain that made me cry at night. I didn't have postpartum depression or anything; I was just in so much fucking pain.
The first significant source of pain was my breasts. I had decided during my pregnancy that I was going to breastfeed Petunia, and I did a lot of reading up and talking to other moms. Everyone says that breastfeeding can hurt a little at the beginning but that if you're doing it right (the breastfeeding brigade catchphrase is 'check your latch'), things will get better in a couple of weeks. They say you have to be committed, especially in the first month.
Well, after five weeks, I was doing it perfectly. Petunia was doing it perfectly. The lactation consultants told us this plenty of times. As mother and daughter, we were the illustration of successful breastfeeding technique - if you could overlook the blood oozing from the welts in my nipples and the horrible grimace on my face as I tried to nurse my baby while feeling like I was being tortured.
Guess what? I had a yeast infection in my breasts. Sometimes this is called thrush. Often, babies have white patches in their mouths. My baby never did, but I most certainly had the infection. The characteristic feeling was that of a hot ice pick being jammed into my nipple, through my breast and into my shoulder blade. The visible symptoms were welts that wouldn't heal and blisters on my nipples.
Having a yeast infection in your breasts inducts you into The Sorority of Pain. Women who have had thrush are joined by a bond of horror that others cannot imagine. When I told other moms what I was battling, the ones who had had it themselves got very serious looks on their faces, grabbed my arm firmly and said with heartfelt emotion, 'I am SO sorry for you.' Women who had never had thrush said innocently, 'Isn't that the thing where the baby's mouth gets white stuff in it?'
The worst part was, I had to self-diagnose. I kept waiting for the pain to go away, for the welts to heal. And they didn't. So I had to go digging through the annals of the La Leche League website, new mom discussion boards and other reference sites to find descriptions of my symptoms before going to the lactation consultants to demand treatment.
Even then, it took almost two weeks to get the infection under control. Why? Because the lactation consultants were prescribing wimpy remedies (eat plenty of yogurt, paint Nystatin on your breasts) for an incredibly advanced, rampant infection. It was only when I went to my OB-GYN that I finally got what I needed: a prescription for massive amounts of Diflucan. In the end, I had to take 9000 mg (that's not a typo) over six weeks to rid my body of the yeast that had spread throughout my milk ducts and everything associated with them. Once the infection was gone, I really enjoyed breastfeeding.
The second source of pain was my, um, private girl parts. (btw, that's what we tell Petunia they are. I hate made-up phrases like 'woo-woo,' but I don't want to use terms beyond what Petunia can understand at this point. I'll never forget some friends' three-year-old who couldn't stop talking about her vagina during dinner, though I think she actually was discussing her vulva. We figure we'll help Petunia will put specific names to specific body parts when she's old enough to realize that there are many distinct body parts between her legs.)
When I went to see my doctor for the six week checkup, she declared me to be healing nicely, despite a second degree tear when giving birth. Well, because we were both so fixated on healing my breasts, my wonderful doctor didn't pay as much attention to my private girl parts as she should have. So I left that appointment thinking that I was on the way to normalcy.
Imagine how I felt when months had passed by, and having sex still hurt so bad that it made me wince and cry. I felt like I had been lied to. No one told me it would be so awful after having a baby. Alternately, I felt like maybe I just had a really low threshhold for pain, because none of my postpartum friends seemed to find sex as painful as I did.
At six months postpartum, I had my regular annual GYN well exam. At the visit, I told my doctor that I was still experiencing a lot of pain with intercourse (one of the terrible parts about this experience was using biology text book words with a straight face), and she gave things down south a closer look. She sat up looking a bit embarassed and explained that I wasn't crazy to be feeling pain. Turns out that my stitches had never entirely dissolved, and I basically had a small open wound where I had torn during delivery.
To fix the matter, she had to physically cut the last stitch or two out and then apply what she lovingly referred to as a 'chemical peel' to the wound, in order to eat the top layer of cells off and get my body making new skin again. HOW FUN! I waddled out of the doctors office in tears that day, with many of the same physical sensations I had coming home from the maternity ward. I went back to see my doctor a week later, and she did another 'chemical peel' treatment, pronounced me to be solidly on the road to recovery and sent me home with the promise of happy sex in my near future.
After that, things certainly improved. Sex is so much better when there are no open wounds involved! However, things never were really, totally right. I still had some mild pain and a lot of discomfort when doing the horizontal mambo, and at this point, I was sure it was all in my head. I mean, after all that, what else could be going on? I felt doomed to live the rest of my life with sub-standard girl parts, never able to fully enjoy sex again.
At my next GYN well exam, a full 10 months after I went through the 'chemical peel' regime, I explained my discomfort to my doctor - despite feeling like a psychosomatic asshole. She did a lot of palpating various parts of my reproductive anatomy and then said that I wasn't crazy. I had a lot of thick scar tissue where my tear had healed, and it was very tender and sensitive.
Unfortunately, she didn't really give me any options for treatment. She told me that during my next childbirth, I would likely tear again and during the repar they could make sure to fix the scar tissue from my first birth. Well, given that I was not pregnant and not planning to be pregnant anytime soon, I was pretty disheartened at the idea of waiting two years or more to have this problem fixed.
It was during a random conversation with my chiropractor about scar tissue in my shoulder that I gently broached the problem with painful scar tissue in my girl parts. My wonderful, wonderful chiro did not flinch and said, 'Oh, I know someone who can help you.' She referred me to a physical therapist who, in addition to traditional treatments, does physical therapy on private girl parts. I am not kidding you. This saintly woman in Fairfax VA (who sadly closed her practice six months ago for reasons unknown to me) showed me how to do compression on my painful scar tissue to get my body healing internally and sent me home with some tips about how and when to use the technique she had shown me.
Well, within a couple of months of doing this scar tissue compression religiously, I started to realize that sex didn't hurt anymore. I had gotten so used to bracing myself for the discomfort that I hardly believed myself when it wasn't there anymore. In fact, I had grown so accustomed to the sensation that it took me another couple of months of pain-free sex to stop holding my breath whenever Basil and I did the nasty. In the past several months, I dare say that I have gotten my mojo back - initiating sex and enjoying myself like I used to.
Eighteen months ago (hell, ten months ago), I wasn't so sure this day would ever come. And back then, I had no urge to repeat all the pain by going through a second pregnancy and birth. But now, I'm starting to trust my body again. And I've realized that I had some pretty bad luck following Petunia's birth. Now, I know what's normal and what's not. I know what to expect and when to break the silence and speak up for myself. I also know when to tell the medical establishment and conventional wisdom to fuck themselves.
And I hope that by telling my story, I will empower some woman, somewhere, to refuse to accept unnecessary pain in the weeks and months following childbirth. No one should have to relive my bad experience - thinking all the while that it's normal.


