I have had 2 CS and had great recoverys with both no majot dramas, had a wound infection that went fast with AB's (can get wound infections from epi as well.)

I think given fact you tear having sex i think a cs would be best for you as if you extended epis and had a 4th degree tear you could have a lifetime of problems which could effect not only you physically in havoing sex, could effect bladder and bowel function, mental health and confidence, your marriage may also suffer. Sorry to sound so negative but it could all impact.

Good luck and congratulations!!