MY FORMAL DIAGNOSIS

Body: 

Today I got my ''formal'' diagnosis. I have a grade 3 Cystocele. The doc checked for signs of Uterine Prolapse and for Rectocele, but didn't find anything. She examined me lying down BUT asked me to BEAR DOWN strongly while inserting her hand. She was actually very nice. No pressure for me to see a urogyn unless I wanted surgical repair, which of course I didn't. Didn't even pressure me to use a pessary. She even AGREED that surgical repair has a high failure and repeat rate :p Naturally she asked whether I have urinary incontinence, to which I replied that I didn't. So she just said to return if my problems become problematic. So I shall now order christine's book.

Good for you, Sevilla555

Hi fab,

forgot to mention. My doc (a lady) also said that sex would be no prob with my Rectocele. Also said that Rectocele was the most common 'cele among post-menopausal women. Guess you already knew that though :) Guess it's easier for post-partum women to stabilize their 'celes than post-menopausal women. Post-partum women have the advantage of their fertility hormones in good working order. I've never had kids.

sevilla

Yes, well it doesn't seem fair if you haven't had kids, but apparently that is how things are. There are a lot of variables with prolapse. I think it reasonable to assume that young post-partum mums will fix their celes quicker than an older post menopausal woman mainly, I think, because their body is still so brand new. But again you are going to hit a new set of variables, what degree of prolapse they have, what has caused it in the first place, how long have they had it, what condition the woman is in re her ligaments and connective tissue (some is suspected hereditary), is there any on-going condition that will contribute to its worsening, if they go ahead with surgery, if they get quickly pregnant again with birth interventions, are they able to breast feed, even how soon they get to do Wholewoamn posture. The list goes on.

Your prognosis is looking good. Rectocele means no straining on the loo ever, a good diet that maintains soft stools and making posture and exercises a habit. You have your work cut out for you. Be diligent and you will be finally so pleased with yourself.

Yeah, well sex is important in relationships and for your own well-being. Now that you know it should not affect sex, you can decide whether to tell your partner you have prolapse or not.

Don't ever hesitate to tell us something important just because you may thing we know. We probably don't. I didn't.

best wishes, Fab

Hi Sevilla - congrats on a good doctor visit. Can you clarify, your first post says cystocele and no rectocele, but further on down you speak of your rectocele. - Surviving

Fab, hello again,

Made a mistake (as usual) :) I was diagnosed with grade 3 Cyctocele, NOT Rectocele. That was my typo. Sorry.

BTW, re intimacy. Doc mentioned that my partner probably wouldn't even notice it.

sevilla

Hi Surviving,

Sorry for my typo. I should have said ''Cystocele''. I was diagnosed with a grade 3 Cystocele.

sevilla

With the mix up of terms, rectocele would be on your mind because it often comes with cystocele. So along with making sure you really empty your bladder, posture, exercise to build strength also making sure your diet etc is the way to go in any case.

My husband did not notice my prolapse, never mentioned anything in that regard and then when I eventually told him, still didn't. I think the women here have talked about this and shared similar stories.
I think you can safely not feel embarrassed. Now, if you knock him back that might be another story. But it's up to you.

Great post, Fab.

Yes, I guess it would be much easier for younger post-partum women to reverse their prolapses than older women like myself. I partly contributed to mine due to doing some heavy lifting. Am caregiver for my husband. But even with post-partum women, - can it be completely reversed? or just more easy to stabilize due to young hormones?

My gyn (first time I'd ever been to this particular lady doc), said that Cystocele was the most common 'cele seen in post-menopausal women. I don't know if mine is hereditary as my mum and I never, ever, discussed stuff like this. Sounds reasonable that it could be. I kinda' envy those women who aren't aware they even have it. Because they don't yet feel the ''bulge'' peeping out. I had been hoping that my own 'cele would be considered ''mild'' rather than grade 3. Suppose I should have realized that if I'm already having the bulge peeping out, that it would at least have to be a grade 3.

Thanks for your comments.

sevilla

And why shouldn’t you envy those women who don’t have prolapse? Envy, as long as it does not cause somebody else harm and is channelled, can lead you to reach for what you want and need.
Rather than worrying about whether prolapse can be completely reversed, for the answer is probably not. Wholewoman concentrates on managing it to be able to do, within sensible limits, what you need to do.

I think what you are really asking is can you get your cystocele to the stage where you won’t become incontinent, and where you can continue to lift your husband when needed at the grand old age of mid sixties? Just to put that age in context, as far as mending a broken hip goes, that age is considered young by the medical fraternity and they will put the hip back together rather than give you a hip replacement.

First off, incontinence is a common difficulty; the figure I have is one in two women at some stage in their lives will experience some form of incontinence. The risk factors for women over 45 for stress incontinence (happens when you cough, laugh or sneeze) or overflow incontinence (the passage of urine when the bladder becomes too full) is being overweight and hysterectomy. These two things you can avoid.

Urge only incontinence; an intense, irresistible urge to urinate, resulting in passage of urine (caused, it is thought, through nerve damage in the bladder or urethra) in older women over 45 is thought to occur purely through aging.

The risk factors for stress and overflow incontinence you can do something about and for urge incontinence following Wholewoman principles does certainly help. Not every old woman becomes incontinent. And don’t forget the figure, 1 in 2 women (women of all ages) some time in their life. Cystocele may and the emphasis is on the may, may cause incontinence.

As for lifting your husband: Are there ways that you can get around that? Is it possible for him to lift himself from bed into a wheelchair, etc. I’m sure you have looked at all this, but now that you know where you are, it might be opportune time to take another look, for I don’t see the wisdom in you doing further hard lifting in the short term, but sometimes means must.
Best wishes, Fab

Hi fab,

No. I don't have to lift my husband. He is not bedridden and uses a walker. What I HAD been lifting were gallon bottles of water or OJ and stuff like that. Re the incontinence question. Hope I can put that off for as long as possible with the WholeWoman program. As of now I don't have any incontinence at all. But I know many women who don't have Cystocele and ARE incontinent and are either on meds or have to use female diapers. Does having the condition ''Cystocele'' mean that the bladder forms a bulge in the vagina? Or can women who have prolapse (diagnosed), but ''without'' the bulge in the vagina, and who therefore might not be aware they even have it, also be diagnosed as having Cystocele? Just without the bulge? Is that a dumb question, or what!? :p So far I'm not having sharp urges to urinate, and can walk for about 2 hrs on a daily basis drinking several bottles of water without having to constantly be on the lookout for a restroom.

Will survive. Like surviving :)

sevilla

A cystocele develops when the bladder drops back and down the vaginal canal and protrudes into the front wall of the vagina. To diagnose it, I would imagine the doctor would have felt it. Only way to know for sure would be if the woman herself can feel it.

Re several bottles and not looking for restrooms is fantastic and doesn't look anything like the possibility of developing incontinence, ever. Glad to know you are not worried about it. I get it wrong sometimes, make that often.

Hello again, fab,

Well, yes, the doc certainly felt it upon examination. I'd been feeling it too due to the fact that it was indeed protruding. But I'm kinda' supposing that some women DO have prolapse, just WITHOUT the protrusion. Spoken to women who were indeed diagnosed with prolapse. But I suppose that because they weren't having protrusion, it didn't bother them. In fact, one lady I spoke to recently said that prolapse was printed on her check-out paper, and she didn't question the doc about it. Said if the doc didn't mention it to her, she wasn't worried. So obviously she wasn't having an ACTUAL protrusion. Which, of course, doesn't mean to say that later on she might not get a protrusion. Didn't mention that to her though. Better believe it, if there's protrusion, women will for sure notice, and feel it.

I feel lucky to have had a gyn who was not only sympathetic and didn't try to force me into going to a urogyn, but actually agreed about the horrific probs with prolapse repair procedure. I wasn't expecting it! I belong to an HMO (one of the biggest) in California. Am I allowed to mention the name here?

Thanks again to all who responded,

sevilla