Can it be my vaginal wall sagging?

Body: 

I am still wondering what the lump i have is, what kind of prolapse it is. I am thinking back to before i had my episiotomy repair 3 months ago when my OB said that the lump was just my vaginal wall sagging and that it's normal to see that with women who've given birth vaginally. Could that also make sense and be the reason for me to see the lump and why i feel heavy down there sometimes and like something wants to come out of my vagina? At first after she said that i looked online and thought i had a vaginal vault prolapse but now i see that you can only have that if you have a hysterectomy. Could what i have be just the vaginal wall sagging and is that considered prolapse? I don't have any incontinence or leakage. I have my app't in a week with my new OB...until then i'll be wondering what i have. I tried the self exam but could only get half a finger in due to pain from my surgery almost 3 months ago...seems like things were too tight in there and blocked. Another thing i'll have to find out about. I looked online about sagging vaginal walls and didn't find much info on it. Or did my OB just say that cause she knows nothing about prolapse. Thanks for all the info ladies.
Trai

when you have a prolapse, you have a pelvic organ - say the bladder- bulging into the vaginal canal. now, the bladder itself isn't actually visible in the vagina, its behind the anterior vaginal wall which is itself bulging into the canal along with the bladder.

a 'sagging vaginal wall' would, imo, be the beginnings of a prolapse or maybe even a mild prolapse, depending on the position you were in when examined. your dr *should* take the time to examine you not only in a lithotomy position, but also while standing, because that's when prolapse would be most apparant.

highly doubtful you have vaginal vault prolapse. doctors can be infuriatingly ignorant about this condition, which is why I thank G-d on a daily basis for Christine and all of her work.

I don't think that a 'sagging vaginal wall' means that you will end up with your organs between your legs. especially if you stay in the posture, which positions the bladder over the pubic bone so the bulk of its weight is no longer resting on that sagging wall. but a 'sagging vaginal wall' is a sign that you need to pay attention to the area and do something about it (ie posture, exercise, lifestyle changes, etc)

The bulge i see is almost dime size and blocks the entrance in my vagina. Sometimes it is deeper in, sometimes it is at the entrance almost. Would someone with just a sagging wall also feel the heavy sensation and weird tampon inserted in wrong feeling cause i feel that sometimes. I am trying to do the posture more...not sure if i'm doing it right. I've been walking with my butt sticking out, lol. My feet are also flat so i hope it works for me without the arches.
I will try the exam again to see tonight.
Thanks for all the info Granolamom...

Trai

there's really no way for me to know if you have a prolaspe or not. but, from your description, it does sound to me that you might. of course its always a good idea to see your dr with these types of questions.

as far as symptoms, it is so variable! my prolapse is alot worse than most women here describe, and yet, I have practically no symptoms. some women come here with the ittiest bittiest degree of prolapse and they complain of pain, pressure, incontinence. so go figure.

keep at the posture. it does take time. took me at least a month before I felt like I was beginning to 'get' it.

A sagging wall is a prolapse in my book. There are different degrees of prolapse and if you see a dime sized bulge you have more than just a sagging wall- you have a prolapse (or something else- like a cyst or tumor). When the vaginal walls are in optimal condition (I can't think of any other way to describe it- At some point everything in the body sags- the tiny little wrinkles around your eyes are the beginning of the beautiful deep wrinkles you can hope to be around to enjoy- likewise all the organs in the body sag- and the softening of the vaginal walls is just the start of the general settling of the pelvis that happens to women as they age- the process is accelerated by childbirth, constipation, and straining repetitively).
There is nothing wrong with this settling of the pelvis- in fact once the front and back walls both prolapse the uterus will be held firmly in place. It doesn't make you less- not less of a woman or mother and it doesn't make you less sexy.
What is important is managing the symptoms so that you never even notice you have a prolapse. It sounds like you are working on the posture- remember to lift your breasts, keep your shoulders down and your neck long- chin tucked in.
I don't think the feet will be a big deal- you may need supports-
I have worked hard to reverse the symptoms of my condition-and at about 1 year postpartum I didn't have them any more
I then started working to reverse the physical bulge and before I got pregnant my cystocele was gone and my uterus was high and my rectocele bulge was tiny.
This took time- and discipline. I change my entire way of thinking- I stopped doing EVERYTHING. I let the mess be the mess- I left heavy laundry baskets for my husband to carry and only shopped if I had someone to push the heavy cart- otherwise I just picked up a few things each day. I changed the food I fed my entire family (my husband lost 20lbs) no more wheat meat or dairy and changed the way I dressed. For the first time in my life I paid attention to the way I moved instead of just taking it for granted. I also paid attention to my digestion (never did that before).
This was a long road for me with gradual radical shifts- and I have had great improvement.
I read everything I could get my hands on about prolapse- even medical journals- I read about the history of women's medicine, I read Christine's book and this forum. It was not fast and it was not easy- but it has been worth it.