- What is the pelvic floor, and why is it important for overall health?
The pelvic floor is a group of muscles, ligaments, and tissues at the base of the pelvis that support organs, control bladder and bowel function, and play a role in sexual health. It’s crucial for overall well-being and maintaining core stability. Make sure to check out my post for a beginner-friendly guide to understanding the pelvic floor. - What are common signs of pelvic floor issues?
Common signs include urinary incontinence, fecal incontinence, pelvic pain, discomfort, pelvic organ prolapse, and sexual dysfunction. - Am I the only one with prolapse problems?
It’s common to wonder if you’re the only one dealing with prolapse problems, but rest assured that you are not alone. Many women face similar challenges. The prevalence of prolapse can differ depending on various factors, such as the age of the woman, the number of vaginal deliveries she has had, and the severity of the condition.
According to a study published in Scientific Reports, approximately 8.3% of first-time mothers experienced symptoms of prolapse one year after giving birth. This finding sheds light on the potential impact of childbirth on the occurrence of prolapse. To further understand the potential scale of this issue, let’s consider some statistics. In 2021, a total of 3,664,292 children were born in the United States, with 97% of them being singletons, according to the Centers for Disease Control and Prevention (read the report here). Assuming that 35% of these births were from first-time mothers with one child, we can estimate that around 120,000 women may experience prolapse each year. However, it’s important to note that this estimation is based on my personal assessment and may vary depending on factors such as age, race, number of children, and preexisting medical conditions. Furthermore, other sources indicate that the prevalence of pelvic organ prolapse, as determined through pelvic examinations, can range from 30% to 40%. This highlights the potential variability in the occurrence of prolapse among women. In larger epidemiological studies, approximately 6% to 8% of women reported a sensation of a mass bulging into the vagina, further emphasising the impact of this condition on women’s health.
Remember, you are definitely not alone when it comes to dealing with prolapse. - Why did fate choose me to experience prolapse?
I want to assure you that you are not at fault for your prolapse. It’s important to understand that this condition is not something you caused!
Whether you had a vaginal delivery or an instrument-assisted birth, the pressures during childbirth play a significant role. Even if you had a positive birth experience, these pressures could lead to damage over time. In addition, genetics may also contribute—there might be a family predisposition that makes your organs more susceptible to shifting. Your connective tissue and muscles may naturally have a tendency to stretch beyond self-repair. Please remember that you are not alone, and it is crucial to seek professional guidance to understand and manage your situation. - What could I have changed during my vaginal delivery to prevent prolapse from occurring?
Pelvic organ prolapse is a complex condition that can be influenced by various factors. While vaginal childbirth is considered a significant risk factor, it’s crucial to understand that not all women who give birth vaginally will develop prolapse. Additionally, there are cases where women who have never given birth also experience this condition. Due to the complexity of the condition, prevention strategies for pelvic organ prolapse are not fully understood.
However, some studies suggest that conservative management, such as strict antenatal follow-ups, lifestyle modifications, and manual uterine reduction, may be important. Pelvic floor muscle training could also potentially play a role in prevention and conservative management. It’s worth mentioning that in certain situations, a cesarean section may be recommended to prevent complications associated with pelvic organ prolapse. However, the decision between vaginal delivery and cesarean section should be made in consultation with your healthcare provider, taking into consideration various factors.
It’s important to remember that everyone’s health situation is unique, and these suggestions may not apply to everyone. To address your personal health concerns, it’s always best to have a discussion with your healthcare provider. If you’re experiencing symptoms of pelvic organ prolapse, seeking medical attention is crucial.
Remember that help is available, and there are treatments that can improve your quality of life. - Can pelvic floor issues be treated without surgery?
Yes, many pelvic floor issues can be managed or improved with non-surgical treatments, including physical therapy, lifestyle modifications, and pelvic floor exercises. - How can I find the right fit pessary for my prolapse?
Discovering the perfect pessary fit can feel overwhelming and involves a series of steps. Check out my previous post on finding the ideal pessary fit for you and how to take care of your pessary. Essentially, many women find relief from prolapse symptoms by using a pessary. During the fitting process, your healthcare provider will assess your vagina to determine the appropriate pessary shape and size for you. Don’t let the appearance of the pessary scare you off. It may seem large or have an unusual shape, but it’s all based on the type of prolapse you’re dealing with and the level of support your tissues require. Once the pessary is inserted, you’ll need to test its comfort and stability by moving around, emptying your bladder, and performing basic exercises. A properly fitted pessary should not cause any discomfort in your pelvic area.
Remember to schedule regular follow-up appointments with your healthcare provider to ensure the pessary fits correctly and isn’t causing any issues - Will I ever be able to go running and do high-impact sports?
Each person’s ability to participate in high-impact sports, such as running, volleyball or tennis, after being diagnosed with a prolapse can differ. It mainly relies on the seriousness of the prolapse, the overall health of your pelvic floor, and the advice given by your healthcare provider. For those with a mild prolapse, they may discover that they can still engage in high-impact activities by making adjustments and receiving proper support for their pelvic floor. However, individuals with a more severe prolapse or pelvic floor dysfunction may need to steer clear of high-impact sports or approach them cautiously.
The ultimate aim is to strike a balance between maintaining an active lifestyle and safeguarding your pelvic floor health. With the right approach and support, many women can continue to participate in activities they enjoy while effectively managing prolapse symptoms. Don’t forget, the important thing is to pay attention to your body, comprehend your body, and use common sense. It’s always a good idea to talk to a physiotherapist who specializes in pelvic health before beginning any new exercise routine after being diagnosed with a prolapse. They can give you personalized guidance based on your individual condition and how you’re recovering. - Doctors are not taking me seriously with my problems after childbirth.What to do?
Feeling unheard or dismissed by healthcare providers about prolapse problems can be frustrating and disheartening. However, it’s essential to advocate for your health and seek the support you need. I have listed 7 reasons why your concerns are not taken seriously and below are some steps you can take to be heard:- Educate Yourself: Learn as much as you can about pelvic floor health, prolapse, and treatment options. Being knowledgeable about your condition can help you communicate effectively with your healthcare provider.
- Seek a Second Opinion: If you feel that your concerns are not being addressed by your current healthcare provider, consider seeking a second opinion from another doctor or specialist.
- Find a Specialist: Consider consulting with a pelvic floor physical therapist or a urogynecologist who specializes in pelvic floor disorders. These healthcare professionals have expertise in diagnosing and treating prolapse and can provide personalized care and support.
- Prepare for Your Appointment: Advocate for yourself during medical appointments. Clearly communicate your symptoms, concerns, and treatment preferences.Write down your symptoms, how they affect your daily life, and any questions you have.
- Join Support Groups: Connect with other women who have experienced similar challenges with prolapse. Online support groups or local support networks can provide valuable insights, encouragement, and practical tips for managing prolapse symptoms.
- Document Your Symptoms: Keep a journal or log of your prolapse symptoms, including their severity, frequency, and any factors that seem to worsen or alleviate them. This information can help healthcare providers better understand your condition and tailor treatment accordingly.
- Consider Mental Health Support: Coping with prolapse-related challenges can take a toll on your emotional well-being. Don’t hesitate to seek support from a therapist or counselor who can help you navigate the emotional aspects of living with prolapse.
- How can I find a qualified specialist to address my pelvic floor issues?
Start by consulting your primary care physician or gynecologist for referrals. You can also search for urogynecologists or pelvic floor physical therapists in your area, and consider seeking recommendations from support groups or online forums.
Pelvic Floor Balance
A woman's quality of life