I had a 3rd degree tear, which was apparently “a hair’s width” from being a 4th degree
So they advised I had sections afterwards as they were worried it could tear along the same again and make it the whole way to 4th. Luckily I healed well, but they said should it happen again I most likely wouldn’t heal so well. I have no desire to be crapping myself forever more so was very happy to go for a section
My son had a huge head (he was only 8lbs 12 so not enormous) but he was back to back and stuck, so they had to use the big forceps for him. Was a total palaver. I would have still had discomfort - not necessarily pain- for a few years afterwards. But if you are worried about the pain you’re having you should definitely speak to a GP or midwife about it.