Warning, TMI ahead:
I had a tear on the inside of my labia...so basically on my inner lip, one side was like hanging off. I declined stitches when the m/w asked, for the entirely stupid reason that I didn't want anyone messing around down there anymore. It was pretty bad looking, and I was afraid it wouldn't go back to normal. It didn't entirely, but it healed completely and I'm just a little "lopsided" down there if you catch my drift. we lived on the 3rd floor so I went down and up those stairs probably once a day after a few days. It took several weeks before I could pee without the peri bottle or feel semi normal. Truthfully I wish I'd gotten the dang stitches! But, alls well that ends well.
Have you tried using honey on the tears? That helps with healing. Also comfrey tea packs.
mama to 3 girls: Abigail 2.12.05, Eliana 8.26.06, Willa 1.9.09
RN-BSN 5/11, CBE, former doula