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Vaginal tears, also known as perineal lacerations, vary in appearance depending on their severity. First-degree tears are superficial, resembling minor skin abrasions or grazes. Second-degree tears involve the muscle of the perineum and appear as deeper lacerations that may require stitches. Third-degree tears extend into the anal sphincter muscle, and fourth-degree tears reach the rectal mucosa, representing the most severe forms. Visually, these deeper tears may present as open wounds with irregular edges and potential bleeding. Because of the location of these tears, it can be difficult for someone to self diagnose the severity of the tear. Therefore, any suspected vaginal tear should be examined by a medical professional.