When patients complain of a large vaginal opening gaping introits they explains that the opening to their vagina is widened. This is usually the result of childbirth. Patients complain of three problems when it comes to the vaginal opening introitis. The first problem is a cosmetic issue — the vaginal opening looks to large or feels large. When the patient is questioned as to when this condition began the most common answer is since giving birth. When the patient is questioned as to when the problem began the most common answer is after the delivery of my last child. Usually she will describe having a tear and repair or an episiotomy. On exam the surgeon can usually reproduce the pain that she feels during intercourse. This usually means the patient has excess scar tissue at the opening.

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