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Pelvic Organ Prolapse, Support Thread - Page 62

post #1221 of 1498
Hey gals - I don't have enough time right now to sift through the thread for this topic, but does anyone have any info/experience with vaginal weights??

My midwife recommended these (although I have a feeling she's never had to use them herself).

Thoughts?

Thanks!
post #1222 of 1498

Pregnant again

Hello Ladies. I'm back.
It's been 20 months since my prolapse (mostly uterine and probably slight bladder, but no urinary incontinence problems so far). To recap: I went from seeing the tip of my uterus to barely being able to reach it on good days and a couple of finger joints up on low-estrogen days (period and such).

Well, I'm 9 weeks pregnant. This is my third. So far my prolapse is high up. High estrogen levels, probably. However, I have a bit of a concern. I've touched my cervix today and it feels soft and slightly open. That's not supposed to happen, is it? Dh and I haven't had sex in a couple of weeks, so it's not sperm softening it. Maybe I'm being paranoid because I feel no morning sickness, plus I'm still bfing. Anyone can shed light on my fears?
Also, with my last pregnancy I had some pelvic pain and heaviness in the 2nd trimester (I probably had some prolapse from the first birth already,just didn't know it). Should I expect it to be worse this time? Is my prolapse likely to get much worse after the third birth? I don't expect my birth to be complicated. Both of the previous ones were easy. I didn't even tear the second time and barely pushed a few times. I keep wondering whether I'm just one of those women who's prolapse is caused by the first stage of labour, not the birth itself. If it is, I guess there's not much I can do about it.
post #1223 of 1498
I haven't been on here for a while but still have my prolapse. I'm 3 months pp with a 3rd degree uterine/vaginal wall prolapse that hasn't gotten any better since about 2 weeks pp. So far I've been pretty disappointed with my medical care. In early June I went to see the head of urogynecology at Johns Hopkins and had a both good/bad appt. The beginning of the appt was very good - the doc sat down and talked to me, asked me what I was looking for - symptom relief, etc., explained about pessaries and explained what she would do during the exam. She examined me six ways to Sunday - lying down, standing up, bearing down, not bearing down, taking all these measurements. That was the good part. Then after the exam she came back in after I was dressed, said I should go to physical therapy, but couldn't recommend any (I live about 45 mins away from her practice) and then sort of ran out of the room before I could ask for a pessary or anything. Told me to come back in 6 months. If things aren't better by December I'll be getting that pessary.
PT was another disappointment. Called a local place and they said they did pelvic floor PT. I went for the appt and all the therapist did was give me a handout on Kegels and show me some back strengthing exercises to do while kegeling - that was it. I've been trying to find the time to do the exercises but it hasn't been easy...For those who have had PT is this typical or should I try finding another place to go to?
Next week I'm going to go get Mayan Abdominal Massage and I'd love to hear from others who've gotten it and how it has helped you. The woman said it would take 3-4 hours? I can't imagine what she is going to do for 3-4 hours. It should be interesting to say the least. I'd love to hear from others so I can decide if it is worth before I go - I'll be dropping $300 on the massage plus paying for a babysitter for DD1. I have to drive an hour each way and take DD2 with me since she won't take a bottle. She'll probably scream the entire car ride both ways and then she needs to be content while this woman works on me for 3-4 hours? I mean really 3-4 hours???
post #1224 of 1498
Snoopy5386 - I just wanted to say that I started getting the Mayan Abdominal massage for my prolapsed uterus (mild, but still, a prolapse) and it has really helped. I can't say if the person who you are gonna go to is good or not, but the theory and practice for Mayan Massage is awesome. I'm not sure why the therapist would need to work on you for 3-4 hours - can you ask her before you go why she is spending that much time at once? Who knows, maybe she's reaaaaaaaaally thorough!

My first appointment was 2 hours with one hour of talking and one hour of massage and now it only lasts about an hour. My therapist (who is coincidentally the woman who wrote the Womb Massage article for last month's Mothering issue) does a full body massage while focusing on specific places that really affect the pelvic organs (saccrum, glutes) and then does the massage off the pubic bone (which brings the uterus up) and some abdominal work too. She also discusses supplements and other things you can do to help the uterine area. It's so awesome to be able to talk to someone about all this prolapse stuff who is truly knowledgeable about it. We looked at drawings of different kinds of prolapses and she was able to tell me which kind she thought I had based on my symptoms and what she felt during the massage (uterus folded over itself forward). Having a visual for this was SO helpful.

What I have liked about it is that my therapist can get a feel of how intense the prolapse is or in which way it's tilted just by doing the massage. I LOVE being able to know that. And, she taught me how to do the massage myself, which I do (it's only 5 minutes every night while I lay in bed - so easy!) and at the last appointment she said "You've been doing your self massage - I can tell!" because she said things felt really different. My bladder didn't feel so pushed up to the front. And she can feel that my uterus is tilted to the left a little, so we (and I) do extra massage to move it to be more centered. So again, I'm really happy to know that she has an idea of where these organs are in my body and whether they're out of place.

Also, before I had my son, my periods were pretty easy. After my period came back post-partum (around 18 months), I bled more and had lots of clots and also lots of brown spotting - kinda sticky and stringy. I told my therapist about this and she told me that I shouldn't be having that brown stuff - it was old blood and that shouldn't be collecting in there. My period should be mostly red blood. It made sense to us that if my uterus is flopped over itself that there is probably that top part of it that isn't able to get all its blood out and so it stays in there and gets old (brown/sticky). The first period I had AFTER the massage treatment had a lot less of the brown stuff, way more red and I (TMI coming up here) passed something that looked like tissue. Seriously, it looked like the body tissue that was in the birthing pool when I was done having my son. It wasn't a clot. So, I have a feeling that was stuck up in that top part of my uterus as well until she/we massaged it up enough to let the everything get out of it. I'm really curious to see what my next period is like too. That being said, this massage did wonders for me in many ways!!!

One thing to be careful of is I had CRAZY digestive issues after my first appointment because everything got all moved around (and I'm sure toxins were releasing). It's a good thing to get rid of all that, but just so ya know

Of course, this is just my experience and yours might be different (heck, it could even be better!) Just wanted to give you my 2 cents since I just started doing the Mayan Massage.

Good luck!
post #1225 of 1498
So are we anti-squats or not?

I have cystocele and minor rectocele...my gyno greenlighted me for gym activities (pretty sure I mentioned squats to him) but my PT was aghast. Now I am freaked out (doesn't take much to make me feel guilty) that I made things worse by working out at the gym for a few weeks (haven't been for two weeks now), including squats, etc.

I am still fairly asymptomatic wrt cystocele, aside from some pressure I'm feeling from time to time...the pt said the exercises and keigels should help with that.
post #1226 of 1498
Where did y'all find your Mayan Massage practitioners? Is there a good site to go to?
Thanks!
post #1227 of 1498

new

hey i'm new to this thread and i'm happy to find it! my son is almost 10 months old and he was huge, a 10lber! well i have a self and midwife dx rectocele and a slight uterine one too. I haven't been to my OB yet because i'm being lazy and afraid of what she'll tell me. the crazy thing is, it wasn't there at my 6 week PP check up. but shortly after I caught my 2 yr olds RSV infection and literally coughed my insides out! I called my midwife freaking out and since I have not been the same. I do my kegels and at first that seemed to work but now not so much. I'm not really having issues other than elimination issues and i hate feeling my insides when i wipe. I haven't looked down there and i wont let my husband any where near there either because i feel it looks like a war zone or something :/

i started searching online looking for alternative treatments other than surgery. my midwife did recommend a dvd of exercises to try but i haven't purchased it yet. http://hab-it.com/ has anyone tried it?? did it work?

thanks in advance
post #1228 of 1498
happy2bamama - I have tried vaginal weights, they did nothing for me because i couldn't feel them in there at all.. my PT recommended rather than the weights to insert one or two fingers inside and push downwards towards your bottom until you can feel pressure and then pull the muscle up, this helped in making me more aware of which muscles I was using.

Smoothie - congrats on your pregnancy! I dont know much about what happend with prolapses during pregnancy (although i am interested if its likely to get worse/stay the same) but I do know thats its normal for your cervix to feel slightly open after you've had a baby,even while you're pregnant, mine feels almost 1 cm open still now (im not pregnant though), I hope your pregnancy goes well and keep us updated on how the prolapses are feeling

Snoopy - i've heard good things about maya massage, im looking into getting it done myself, let us know how it goes! As for the PT session, well I believe that they are supposed to actually insert a finger to feel your pelvic floor contract and feel weather its being done correctly, well thats how my PT assesses my progress, I think its important for you to know that you have the technique right, and thats the only way they can really check.

mamasweetpotato - You can do squats! I go to the gym 4-6 days a week and have been for some time now and I do squats constantly and have not had any problems, the important thing to remember when you're doing squats (or any weights) is to brace your tummy muscles and contract your pelvic floor while you are squatting, and relax when you come up, keep your posture good at all times. I am sooo glad that my prolapses haven't interfered with my fitness, thats one thing i was really depressed about when i first discovered them. But it makes me feel normal that I can do these things still and not have a problem.

decembermoon - sorry to hear that you have discovered prolapses, yep, coughing puts horrible pressure on your pelvic floor, have you seen a physiotherapist? Definetely keep going with the kegels a few times a day, I dont know how you can not look down there! I was freaking out when i felt that 'stuck tampon' sensation and HAD to look! Maybe you should get the courage up to have a peek and then you have a better idea of whats going on. Incease your fibre intake and drink plenty of water so that you dont get constipated and get a rectocele too.


As for me, I am still working on getting my pelvic floor strength back after the coughing fit I had a few weeks ago, I have a PT appointment next week to assess my muscles again, hopefully some improvement, I feel like they are as strong as they ever were - but then again they were never really strong to begin with (even before pregnancy), I remember trying to do kegels during my last pregnancy and i couldnt even really hold them.. I wish i'd tried harder - knowing what I know now..
post #1229 of 1498
Today I went to have Mayan Abdominal Massage done to try and help with my uterine prolapse. The practitioner said I could bring DD2 because she won't take a bottle but I think she regretted that after the fact. It was clear once I got there that this woman did not have kids and knew nothing about babies (asked if DD2 was going to crawl away when I put her on the floor on a blanket, she's 3 months old). It all worked out fine in the end, but it was a 1 hour drive each way with DD2 fussing the whole time and then trying to relax and get a massage with DD2 either fussing on the floor or sleeping but with me praying that she would sleep long enough for the practitioner to finish. Not very relaxing, but hopefully helpful. She taught me the self massage to do, gave me some info on supplements, but said she couldn't really feel my uterus, that it was down below the pubic bone. But isn't that where it is supposed to be? Isn't that why you can't hear the baby's heartbeat with a doppler until after 12 weeks when the uterus rises out from behind the pubic bone?

I think I'm going to change primary care physicians (been meaning to anyways) and get another referral for a different physical therapist. I'd still love to hear others therapy experiences so I can get an idea of what to expect.

Also, for those who do the T-Tap program, what is a fanny tuck? Is it a pelvic tilt or something else?
post #1230 of 1498
I just bought this and like it.
Quote:
Originally Posted by lizzylou View Post
Has anyone tried the DVD Down There For Women?

I read about it on this blog.
post #1231 of 1498
Snoopy5486 -- Your PT experience is NOT the norm, from what I know. My PT was incredibly helpful - she used "rehabilitative ultrasound" (basically, she put an ultrasound on my lower abdomen so that I could visualize my bladder and showed me - in real time - how the muscles contracted and moved my bladder when I did things.). This was incredibly helpful to me. SHe did lots more besides that, but that was huge for me. It took about 6 sessions, spread out over 3 months, for me to get significantly better. I'd consider myself basically "cured" now, 26 months PP. I'd say go find another PT.
post #1232 of 1498
Ok so I had acupuncture a couple of days ago, he said my pelvis was not alligned properly (about 6mm off) which is the underlying cause of weakened pelvic floor muscles, prolapses, lower back pain, pain during intercourse, etc.. so he said that in a few sessions it will be properly alligned and then he can start treatment for raising my uterus higher in my body. He also said that its no wonder my pelvic floor exercises are not completely effective, because there is no point doing them if the foundation for them (pelvis) is not alligned properly. Thoughts??
post #1233 of 1498
Totally makes sense to me! I think having poor pelvic alignment can exacerbate your symptoms as well (ie causing problems with normal peristalsis). I know go for regular chiropractic appointments and it helps so much. I hope the acupuncture helps Jules!
post #1234 of 1498
Ok i just saw my doc for the first time.. rectocele and cystocele. and i got prescribed PT... so my question is what is PT for this??? what do they do? i just read the ultrasound part.. but i'm a little nervous about what to expect???

thanks
post #1235 of 1498
Try not to be too nervous about PT..They've seen it all and more, and there are no "stupid" concerns or questions.

Last spring I had PT and most of the sessions were just internal massage to break up the "trigger" points (I think that's what they were called)...tightened, spastic muscles that were causing pelvic pain.

This time around I'm back in PT and we're working on strength...so every week I go back (6 sessions to start) and I get a new set of exercises. I am very honest and up front about what is working, what feels awkward and what I just plain dislike doing. It has helped immensely, because my PT is able to adjust my exercises and help me find ones that I am more likely to incorporate into my daily life - not just for the 6 weeks of PT!

I've been going for 3 weeks now, and definitely see a difference...feeling much better overall, and much less pelvic discomfort.

Hope this helps - and any more questions, just ask!

BTW I do think that PT can vary widely...I never had an U/S during PT, and no biofeedback. However, I ordered a biofeedback machine for home use, and an inflatable wedge for "prolapse position" exercises.

ETA:
Here is the link for the Wonder W'edge - http://www.phoenixcoresolutions.com/...Category_Code=

Can't remember which biofeedback machine I ordered...will let you know how it works when it arrives.
post #1236 of 1498
Quote:
Originally Posted by robynfrog View Post
Hi. I'm new here...

I've been searching around on the internet for any information regarding POP, and I stumbled upon this site. I'm grateful for all of the women who have been through this and are willing to share their experiences.
After being completely horrified to feel that something was falling down into my vagina, I went to the gynecologist to find out what the heck was going on. She was not helpful at all. She didn't give me any real information. Is it a cystocele? A rectocele? Has my uterus fallen? She just said that everything seems "real loose" in there, and I will need surgery. She said they will remove my uterus and shore up my vaginal walls with a mesh material. Remove my uterus? Why? She says, "Well, you don't need it anymore, honey." (I'm 51 years old.) This doesn't sound right to me, so I am going to have to figure out for myself what to do. Anyone know of a doctor and/or PT in the SF Bay Area who specializes in POP?
I don't know of one up north, but Dr. Red Alinsod in laguna, ca specializes in vaginal surgeries and I just had major repairs done by him. I would HIGHLY recommend him!
post #1237 of 1498
Hi ladies

I'm a newbie to this site but have found it extremely helpful so far. It's almost 9 months since I had my first child and I have just discovered in the course of the last few days that my cervix is quite a bit lower than it used to be - it is about 2 inches inside when I stand. Having done much Googling I'm worried that I have a mild uterine prolapse.

My mum, and grandmother, both had quite severe prolapses in their time so genetics really aren't on my side and I dreaded something like this happening throughout my whole pregnancy.

I'm still breastfeeding and clutching the hope that things will move back into place of their own accord but know that that might be wishful thinking.

I'd be really interested to hear whether you think that the position of my cervix (2 inches in) is indicative of prolapse or if it's normal for 9 months after birth?

And does cessation of breastfeeding improve things at this stage or have I left it too late?

Also, have you found that kegels have helped with uterine prolapse issues (as opposed to the other types of prolapse)?

I know that lots of you ladies are in a far worse boat than me, and you have my sympathies. I'm afraid that I do find this very distressing and don't quite know what to do to feel better, I'm not handling this very well at all.
post #1238 of 1498
Have you started menstruating again? A woman's cervix is usually pretty low unless she's ovulating. 2 inches doesn't seem very alarming to me. That would be 1st degree if anything. 1st degree prolapses are totally normal. My urogyn calls them mommy vaginas.
post #1239 of 1498
Hi Scottishmommy

No, I haven't started my period again. I so, so, hope you are right. I asked my Health Visitor this morning what she thought, and she sucked her teeth a bit and said I should go back to the specialist. I was feeling a bit down again after that, so I'm very glad to hear what you say.

Thanks.
post #1240 of 1498
Seriously, mild prolapse is totally normal. It's like having stretch marks. Your skin changes after you have a body. Your belly changes. Heck, even your feet change! My hip bones are wider. So is my rib cage. Well, reasonably, how can we expect our vaginas not to change! Now, if your uterus was completely prolapsed that would be a different story. Right now, your uterus is slightly lower than it used to be, before you carried a BABY in it. You should check out the book "Ever since I had my baby" by Roger Goldberg. It's great! He explains all the changes in our pelvic floor after we are pregnant (it's important to realize that pregnancy is what changes your pelvic floor, not just vaginal delivery). In the book he says that slight bulges or prolapse are nothing to worry about at all, in fact they are NORMAL and EXPECTED. You should only seek treatment if the prolapses are cause you to limit your daily activities. In your case, it seems like you are more worried about the future than you are bothered by physical symptoms, right? I promise you that every woman you know has a lower uterus after a pregnancy. Just like most women have stretch marks, or wider hips, or saggier breasts, or poochier tummies. You are totally normal. I promise!
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