I remember with my second (I've never managed the conventional route - 2 EMCS), the midwife (who I'd never seen before - we get shuffled around various clinics across the county) asked how I was at DS2's 2 week (or so) check, and I mentioned that my vulva was incredibly lumpy - like varicose veins all over, and rather tender (despite having had nothing traumatic happen at all to it!)
She was more embarrassed than me, which was weird, prodded, and just told me to raise it again if it was still there in 6 weeks (it wasn't. Neither were DS2's little boobs).
Sometimes I feel like they don't really know what's going on, and are guessing much more than they should be.