Common complaint after vaginal Delivery.

Examine the patient for healed perineal tear.

If perineal tear was unsutured or if muscles were not properly sutured, then refer to a Gynecologist for perineal repair.

For Laxity due to generalized muscle stretching, advise

Perineal exercises:

Contract the perineal muscles, as if to hold urine x 15-20 times x 4-5 times/day