PROLAPSE IS A TIPPED BOWL OF JELLO

Body: 

Hi Everyone,

There has been a lot of talk lately about the pelvic “floor”, so I thought it would be good to do a little reframing…again…lol.

I’m very appreciative of Judy (Clonmacnoise) for sharing with us recently her discovery that the strongest kegels in the world didn’t change her prolapse. When she said that she also revealed to us her honesty and integrity. There have been many others who have posted “just you wait and see” messages that they were going to kegel themselves back to health…and then they’re never heard from again.

First of all, we truly have no pelvic “floor”. This terminology dates from a time when doctors believed the pelvis to be rotated backward ninety degrees! The pelvic outlet, when looked at with the pelvis in this position, looks just like a hole at the bottom of a basin. I went to a urogynecology conference a couple of years ago where an anatomy lesson was given illustrating the pelvic “floor” as a soft-tissue hammock hanging down between the front and back of the pelvis. Would a perfect universe create such a hopelessly imperfect structure? No way.

In actuality, when the pelvis is rotated into its correct anatomic position (which is every time we stand up), that outlet is now a completely vertical opening at the back. The pelvic diaphragm muscles close the outlet off by spanning from the back of the pubic bones to the bottom of the spine, forming a 45 degree slope. This “wee” mistake has had HUGE impact on generations of women, due to the development of surgical treatments based on incorrect anatomy.

The strength and integrity of the pelvic wall muscles are very important for regulating intrapelvic pressure, which in turn affects the urinary continence system as Granolamom was explaining the other day. However, they only play a partial role in the prevention and treatment of prolapse.

The pelvic interior is one soft, jiggly mass of organs, and blood and nerve-filled vessels. You can tighten your muscles till the cows come home, but unless you learn to tip the jiggly mass away from your pelvic outlet, you will be battling worsening symptoms. Fortunately, this tipping is accomplished by stretching ourselves into the natural curvatures of our spine with the “side effect” of creating beautiful poise and stature. It also stretches the pelvic wall into its full dimensions so those muscles tighten naturally. Sure beats kegeling yourselves silly IMHO.

:-) Christine

Thanks Christine for this post. Sometimes really basic info like this gets buried as a result of the site design. It probably pays to go through the deep litter every now and again and drag out the basics and put them on the shelf in full view again, particularly for women who are new to the site. It also helps us to keep to the core subject matter of Wholewoman, which is non-surgical management of POP.

It helps to think carefully about composing the Subject Line so that the words are distinctive and can be Searched easily by others.

Cheers

Louise

What an interesting thread! I still have so much to learn. Forgive me for being away for so long.

Did you challenge the Urogynecology conference on their illustration of the female pelvic "floor"? If you did, what did they say?

I've been essentially jiggling my organs forward and consequently, my cervix raises higher. It must be a direct result of the organs moving into a 45 slope. So, what your saying makes a lot of sense.

~FW

Well...I hesitate to tell this story to the world because I have thought of trying to collaborate with this woman (the UNM urogynecologist who headed the conference) at some point, but I would hope she would be humble enough to acknowledge her errors and move on. The misrepresentation of the human pelvis is being quietly corrected by medical science and gynecology/urogynecology will have no choice but to accept the reality.

I had a display table at the conference. That in itself is a bit of a story. There were about ten or twelve tables set up around a large room next to the conference room where attendees could come and browse in between sessions. All of the (deadly dull) displays were from big pharmaceutical and surgical companies...except one...the one with the large vase of fresh flowers, books, dvds, and colorful posters about anatomy, posture and the female spine! :-)

"She" came around in the afternoon (her anatomy lesson was in the morning, which I attended.) I took her aside and politely explained that the way she represented the pelvic anatomy was completely wrong and then in as many words and few breaths as possible told my story. I ended it with something like..."this will be the wave of the future". To which she cooly responded, "We'll see" and walked away.

is never easy, at least not for me. Good for you Christine, and much gratitude. We are making inroads. After reading Grandma Joy's post about her doctor visit, I plan to be pro-active on my next gyn visit and say, I'm feeling a prolapse now and I've found the greatest source of information and support, have you heard of WholeWoman?

Can't wait!

Ellen

Bravo, Elleninala. I plan to do the same thing. My dearest friend went in to "our doctor" and said she thought she found a prolapse at which "our doctor" immediately sent her to a gyn. I can't wait to hear the grim report from the gyn. In my case, I will politely decline the appt. with the gyn and refer to Christine's work.

I know over the years I've fought a similar battle with early childhood and the abolition of Ritalin for kids. I've fought for an anti discrimination clause for the hyperactive personality type. I've written extensively on this topic, and I have debated some big bigs, and I get the same response - "We'll see."

Judy

Change what you can change; be happy with what you cannot.

Christine and Judy, I have been in situations myself when somebody has disputed my point of view about what will happen in the future, and I have been absolutely sure of my prediction. Guess what I have said to
avoid a standup argument. "We'll see."

I also said it to a gynaecologist as I was walking out the door after he told me that I needed surgery and aaafter he had chuckled when I showed him your book.

I suspect that the woman who organised the conference was more interested in the increase of her prestige in the profession as a result of organising her conference and was expecting a polite congratulatory accolade from you, rather than having her world view tipped on its head!

Ditto with the Ritalin story.

Neither ADHD nor prolapse is a simple condition. As a "sufferer" of both I can tell you that they share lots of features.

There is no pathology test that you can take that will tell you if you have either.

Both are diagnosed on the basis of behaviour and the effects of the condition on the individual involved.

Both are invisible 'disabilities', so people don't understand what you go through.

Both can have secondary effects on the health of the individual.

Both are chronic conditions (there for life).

You can live a great, normal life with either or both.

Both are measured in degrees.

Both can have an enormous negative effect on a person's life. Appropriate treatment can reduce that effect greatly.

They are both managed with a raft of treatments/actions taken. Some of these are more effective than others.

At times they are both treated inappropriately, resulting in negative consequences for the person.

Sure there are a heap of differences as well, and there are a lot of other conditions that fit with these two in that limbo of conditions that are not well understood, yet.

The point is that different people have different realities, and all that is important is that they remain open to reinterpreting that reality. Surely the statement "We'll see" can mean either that the person is open to rethinking their reality, or that they are completely closed off and just want you to bug off and stop challenging them. It is important that we as a species move towards the truth, regardless of the interests of those who have a vested interest in maintaining the lies.

Do they want to be on the Ark or scrambling for their swimming gear when the clouds open up? We'll see.

Cheers

Louise

My midwife has referred me to a PT who specializes in the pelvic floor. She had never heard of this web site or Christine's book. At my first appt. she gave me a series of kegel exercises and other exercises to do at home. She told me my pelvic muscle strength was a "1" and it should be a "5". After one day of doing the exercises, my prolapse was "peeking" and it hasn't done that in a while. I am wondering if I should even continue with the exercises. Is there any good in strengthening those muscles and will kegels do the trick? The other exercises seemed to be ab work (she also said my ab strength was low) as well as pelvic floor.

BTW for those who are considering surgery, this PT says that many woman come to her who have had the surgery 3, 4, and 5 times. Her advice is to avoid it, if at all possible.

:-)