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A gentleman's stitch is the stitch the doctor gives to woman after birth in the vaginal opening to make sure that future [sexual activity] will remain [satisfactory] to the man. The woman is made "tight" again for the man. Sometimes, after a child going through the birth canal, the vaginal opening can become stretched and loose which is not conductive to good [Sexual activity]. Does the phrase, "you could drive a Volkswagen through there" give you a hint?
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