Background: Vaginal agglutination after spontaneous vaginal delivery has not been previously described in the medical literature.
Case: A healthy 35-year-old Gravida 2 Para 2002 had a normal, spontaneous vaginal delivery. At her 8-week postpartum visit, a speculum could not be inserted into her vagina secondary to significant foreshortening. She was breastfeeding at the time. She ultimately underwent scar tissue takedown in the operating room, with subsequent vaginal estrogen and dilator use.
Conclusions: Postpartum vaginal agglutination after spontaneous delivery is rare, and this case highlights an interesting complication of vaginal delivery in a hypoestrogenic state.