Passing Audible Gas from the Vagina After Childbirth: When is the Cause a Rectovaginal Fistula? And When Should You Visit a Surgeon?

You may experience the release of audible gas from the vagina after childbirth, which is a common and temporary issue resulting from weakness in the pelvic floor muscles or vaginal stretching during delivery. However, if this occurs unusually often, or is accompanied by discharge or an unfamiliar odor, it could indicate the presence of a Rectovaginal Fistula. This serious condition requires immediate surgical attention. Here, we will cover the essential differences between the natural phenomenon and the pathological cause.

1. Natural Air Leakage After Childbirth (Vaginal Flatulence)

• It mostly occurs when bending or lying down after childbirth due to the relaxation of the pelvic muscles.

• It may gradually disappear with muscle-strengthening exercises (like Kegels) and improved fitness.

• It is not accompanied by other symptoms like bleeding, inflammation, or recurrent mucous discharge.

2. Rectovaginal Fistula: When to Suspect It?

This occurs when an abnormal channel forms between the rectum and the vagina, leading to the audible or actual leakage of gas or fecal matter through the vagina. Its distinguishing signs include:

• Involuntary leakage of gas or stool through the vagina.

• Foul odor or abnormal discharge.

• Recurrent infections in the vagina or urinary tract.

• A feeling of pain or discomfort during intercourse or walking.

• 🔗 Illustrative link from Hemocure about Vaginal Fistula, its causes, and treatment methods: Vaginal Fistula Treatment

3. The Difference Between the Natural Phenomenon and the Pathological Fistula

4. When Should You Visit a Surgeon?

Intervention by a specialist doctor is required in the following cases:

• Air leakage persists more than a month after delivery with bothersome symptoms.

• Frequent discharge of a foul odor or mucous or purulent secretions.

• The appearance of recurrent infections or pain during sitting or defecation.

• A change in urination or defecation patterns.

• 🔗 For details on surgical treatment options: Vaginal Fistula Treatment

Conclusion

Audible gas coming from the vagina after childbirth is usually natural and resolves with muscle training and strengthening the pelvic floor. However, if there are concerning indicators like discharge, odor, or pain, you must consult a specialized surgeon quickly to confirm the presence of a rectovaginal fistula and ensure appropriate treatment.