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Hello and thank you for the question.
It is possible that during the hysterectomy, especially if there was ANY repair of prolapse related issues, that there might be some permanent suture that is poking through the skin at the top of the vagina. If this is not the case, then it is just the line of scar tissue related to the vaginal cuff that he is hitting. With a vaginal hysterectomy there can also be a slight shortening of the vagina that may be exacerbated by his length. Here is what can be done:
1. I would go in to another OB/GYN and get a second opinion. Describe exactly what is going on and have them perform an exam and make sure that they cannot feel any suture.
2. There are other options besides the estradiol cream. Ask an OB/GYN about E-string or Vagifem tablets. These would work just as well and be less irritating
3. Pick up a product over the counter called Replens made by KY and see if this helps
4. If vaginal dryness is an issue, also consider a lubricant called Astroglide
5. Yes, you can have an experienced OB/GYN prescribe vaginal dilators and these can be used to 'stretch' the vagina somewhat
Does this help?
It sounds a lot like a piece of suture that has made its way through the top of the vagina. Yes, this can occur 10 years later, especially if any component of the suture used was permanent suture (which is not unusual). I would definitely get it checked out - just looking on exam is not enough. They need to do an exam with their hands and see exactly what your partner is feeling.
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