I know you can tear during VB which can cause terrible problems. But I have seen some threads where even women who had relatively straightforward births with no tears said that their bits were ‘not quite the same’ afterwards. Also I have heard of doctors saying, ‘you’ve had a baby, you can’t expect your sex life to go back to how it was’ and ‘it’s normal for all women to have a mild prolapse after VB’. I am wondering what is reasonable to expect. OK I realise there must be stretching and pain initially, but if you do your pelvic floor exercises and give it some time is it possible to eventually have your normal vagina back? And if not, in what way is it ‘not the same’? What about if you had a CS instead of VB? I have heard people saying that it is pregnancy rather than birth that causes the problems down below so there is no advantage to having a caesarian, but I am not sure if this is true or not! I know there are other reasons to choose between VB and CS but at the moment I am just considering the lasting physical damage that I am likely to have down below and the possibility of returning to normal after either of them.