Perineal Healing Postpartum: What to Expect & How to Support Recovery, Plus a Recipe for Herbal Healing Pads

The perineum is made up of skin, muscle, fascia, and connective tissue that play a key role in pelvic floor function, bowel and bladder control, and vaginal support (1). It is part of the pelvic floor and stretches significantly during a vaginal delivery to allow the baby to pass through the birth canal.

In many births, the perineal area is affected by one or more of the following (2):

• Swelling or bruising
• Minor tearing (first or second-degree tears)
• Deep tearing or surgical cuts (episiotomies)
• Hemorrhoids or rectal tenderness

Discomfort generally begins to improve around 2 weeks postpartum, but if there is a perineal tear or an episiotomy, healing may take a bit longer, and stitches may cause additional tenderness. Supporting the healing of this area can improve comfort and reduce the risk of complications like infection.

While your body is naturally able to heal after birth, offering it the right support can help ease discomfort, reduce the risk of complications, and help you feel better, sooner.

1. Rinse Instead of Wipe

Using a bidet or peri bottle with warm water after using the bathroom to gently cleanse the area means less rubbing and less irritation. This is especially helpful if you're experiencing burning while urinating or are healing from a tear.

2. Use Cold Therapy

Cool compresses or chilled postpartum healing pads (you’ll find my favorite recipe at the end of this article!) can help reduce swelling and provide relief. These are especially helpful during the first 5–7 days after delivery. 

Avoid using ice packs or plain ice directly on the skin, as they can be too harsh for delicate tissues and may impair circulation. 

3. Try Herbal Sitz Baths  

A sitz bath is a shallow, warm soak that targets the perineal area and can be incredibly soothing after birth. Warm water alone can help, and the addition of herbs can further support healing, reduce inflammation, and calm irritated tissues.

6. Use Conventional or Herbal Pain Medicine as Needed

If you're in pain, it's okay to take something for it. You’ve just been through an intense physical experience, and there’s no need to suffer unnecessarily. 

Over-the-counter medications like ibuprofen or acetaminophen are often recommended after birth to ease pain and reduce inflammation, especially if you have stitches or significant swelling. Always follow dosage guidelines and consult your provider if you’re breastfeeding or have any concerns.

If you prefer non-pharmaceutical options, there are gentle, effective alternatives that many moms find helpful:

• Herbal remedies like Mother’s Nature Profen™ or Ginger Ease™ can support the body’s natural inflammatory response and ease discomfort without conventional medications.
• Homeopathic Arnica montana 30c is often recommended for minor swelling and discomfort postpartum.

Always check with your healthcare provider—especially if you’re breastfeeding—to make sure any product you’re using is appropriate. 

Most mild perineal symptoms improve steadily during the first two weeks postpartum. However, contact your provider if you experience:

• Worsening pain
• A foul-smelling discharge
• Fever or chills
• Pus or discharge from stitches
• Difficulty urinating or having a bowel movement

These symptoms could indicate a complication that needs medical attention.