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Thanks for your reply. Clearly, we have shared goals of communicating accurate information to women. I think the key is to qualify your statement, "It occurs after you’ve had children and can be very painful indeed." It is much better, and most scientific writers would agree, to say something along the lines of, "It most often occurs after you've had children," in order to avoid making such a definitive statement. This would be consistent with what the Mayo Clinic has on their website, "This is most likely to happen late in your childbearing years and after you've had children. ".