I had an awful first delivery, which resulted in a very large episiotomy and very painful scarring. Despite improvements due to giving up breastfeeding and using a dilator, I found it very difficult to have sex - even 18 months after DD1 was born.
DD2 was born 2 months ago, and the second vaginal delivery has really stretched the internal vaginal scar from my huge episiotomy. But the news gets better - I found a sympathetic gynae who was willing to try cortisone injections. Only two days after the first treatment and there is already a noticable result - the hard scarring on my perineum has softened, and the whole perineal area is much less sore and tender. It's still not great, but I am really happy that there is such a dramatic change so quickly, and it's still early days.
So there is definitly hope for anyone out there with painful scarring like mine. My gynae says that 50% of women get a good result from cortisone, so it's well worth a try.