Posterior Fourchette Fissures, Simply Explained

What is the Posterior Fourchette?


The Posterior Fourchette is located at bottom of your vaginal entrance. It is a thin tissue fold and should be able to stretch during sexual intercourse.

What is a Posterior Fourchette Fissure and what causes it?

If you are approaching menopause, you may have had an OB-GYN exam and felt some sharp pain. You doctor may have told you that you have a Posterior Fourchette Fissure.

The main cause for most posterior fourchette fissures is atrophic vulvovaginitis.

Other causes of posterior fourchette fissures include yeast infections, lichen sclerosis, and eczema.

How does Atrophic Vulvovaginitis affect the Posterior Fourchette?

When you are a young healthy woman, sexual activity is usually OK. When you are reaching menopause, your hormone levels drop. Lots of women then experience vaginal dryness. First it can feel like sand paper. As atrophy is progressing, the vaginal tissues start to shrink. Finally, the vaginal entrance could become as tiny as size of Q-tip.

Your posterior fourchette becomes tough and is not elastic at all. If you have OB-GYN exam or if you have a man in your life who want to have intimacy with you, there can be problems. It can cause the posterior fourchette to fissure, and it can tear and sting like paper cut. This results in chronic sex pain.

What treatment options are available for a Posterior Fourchette fissure?

Your doctor may prescribe estrogen pills or estrogen cream for you. However, if you are a cancer survivor, have a family history of cancer, blood clot issues, have endometriosis, or have uterine fibroids, you may not wish to use hormones at all. There is another choice:

NeuEve - a hormone-free way to improve the health of your Posterior Fourchette

NeuEve Silk is formulated and designed by a gynecologist to heal your vaginal wall

NeuEve all-naturally soothes the tissues with essential vitamins, nutrients and natural oils. Many of NeuEve's customers have previously experienced extremely painful tearing sensations during sex. After using NeuEve they are once again able to take back control of their sex lives.

Order yours today!


  • Kevin Tao

    Hi Leslie, we don’t have samples. We do have a satisfaction guarantee policy!

  • leslie marcaurelle

    Hello, I’ve been viewing your website and am interested in your product. My gynecologist gave me a prescription for Premarin cream and am very apprehensive to use it. I’m in post menopause and I think I have every symptom described. Do you offer any samples of your product? I’m practice a natural style of living, although not perfect, and I don’t use chemicals. I would like to see if there is any change at all before making an investment. If you can help that would be great.

  • Dr. Renjie Chang

    Yes, NeuEve is completely safe to use in combination with estrogen. NeuEve does not contain any estrogen, or hormones, or hormone precursors, so it will not interact with estrogen.

  • Ann Lofstedt

    Can I use NeuEve while on estrogen? I am menopausal and have atropic vaginitis. Still dry after 2 months. Would like to use both. Is that safe? Ann

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Dr. Renjie Chang

About the Author

Dr. Renjie Chang's medical and pharmaceutical experience:
- OB-GYN in the Peking Union Hospital in China
- a faculty member of OB-GYN at University of Oklahoma Health Sciences Center
- drug developer at the Abbott Laboratories in Chicago
- Founder of Lavax Inc, where she developed an innovative vaginal microbicide for preventing sexually transmitted disease with grants from NIH and Gates Foundation
- Founder of NeuEve, an all-natural women's health company