here you go girls...any excuse for a fumble!! Massaging your perineum Everyone wants to avoid tearing or having an episiotomy during birth. By massaging natural moisturising oils into your perineum (the area between your vagina and your anus), you can improve the elasticity of the skin so that it stretches more effectively during birth. Oils that can be used include: Almond Wheat germ Olive Pure Vegetable Oil Vitamin E It would be advisable to start massaging your perineum around the 33rd week of pregnancy, for a couple of minutes a day. An effective way to do this is to insert your thumb into your vagina to massage from the inside, whilst massaging with your fingers on the outside. just a couple of weeks to go until I can start massaging mine!