If vaginal dryness is a chronic concern, your doctor might suggest estrogen therapy depending on your overall health and circumstances.
They can make it painful to pass a stool, in which case might help.
If the tear gets infected, you might have to take a course of antibiotics.
This applies to penetrative vaginal sex and manual sex including hand jobs, fingering, and fisting , as well as using sex toys.
In more severe cases, your doctor might suggest a Botox injection.
Another option is a , where a cut is made into the sphincter muscle to reduce tension in the anus.