severe prolapse...

Body: 

At what point does a uterine prolapse become severe? My doctor seems to think to have my cervix hang out 1/2 inch or more is normal. Also she thinks its ok for my back vaginal wall to be bulging out as well. I am frustrated! Does anyone know if my vaginal wall will continue 'to fall down'?? I want to know how bad my condition really is and with this type of prolapse what my odds are of having another child. Most people who know about my prolapse think I'm crazy to consider another baby. Is this true or is it just that they are uninformed and know nothing about this problem??

Hi New_mamma,
I am sorry for your frustration. Your doctor saying this is normal could be a few things. 1. if they examine you lying down, your organs naturally fall back to their natural state, so it is hard for many doctors to tell what they would like like standing up. 2. some doctors feel this is common post childbirth, and don't stress about it as much as others. Christine has a self exam in the book and in the village--just not sure where (anyone?). all it really tells you is what you know though--that you have a uterine prolapse, and a rectocele.
how severe it is will change as your body heals, and as you work on teh posture and exercises.
i would say no, you aren't crazy to want and to have more babies. but first i would get your body back into its natural alignment and get it super strong. i know that it was around 2 years PP that i felt like things were really good, good enough to consider another (only i have other issues that put me off, but my POP, which was "severe", no longer is and wouldn't). so don't judge where you can go to based on where you are now. lots of women find uterine POP responds especially well to the posture.

sorry, i'm on holiday and not following posts very well, but where are you at with Christine's work? have you been able to start the posture / excercises at all? give it time, and you will see huge changes.

i went to see christine the other week, and have had two of the best, symptom free weeks with my POP ever, after really working on the posture and dancing around the studio with Christine. so if you can ever get to NM, i so highly recommend it!!!!

Kiki

Hi New Mama

POP is a very inexact set of conditions, and it varies during the day, and over periods of time. Severe to a doctor *might* mean that the degree of prolapse allows the tissues that are supposed to be tucked inside the vulva are externalised, and becoming damaged by contact with underwear and chafing. Having the entrance to the bladder in contact with knickers will pre-dispose the woman to UTI's and other infections caused by cross contamination, or contribute to constipation and prevent her from emptying her bowel effectively. ie the prolapses are causing secondary sickness. Doctors also have scales that they use to measure POP, but POPs change so much that they are only really useful during the assessment for proposed surgery.

To a woman, severe *might* mean something completely different, based on lifestyle issues and the effect that the physical abnormality has on her emotional state.

What your doctor says sounds like playing down the severity of your POPs, but may be just saying it is OK, in the light of the downside of repairing it surgically. eg, like saying that your feet are hurting, when at least you have feet!

You are not crazy thinking of having another baby, but waiting for your body to revert a bit more, and helping it along by allowing it to realign itself first, and learn how to keep your POP symptoms under control, might be a more realistic way of looking at it.

Yes, these people are probably uninformed, or misinformed. It has taken me several years under Christine's guidance and the support of the other women here, to get my POPs to the point where I am proud of how well I have tamed them, rather than being scared of them getting worse, and I know that constant monitoring and finetuning is what I need to do 24/7, for the rest of my life.

All the books about the importance of Kegal exercises are worth zero, if you don't understand what you really have to do with your body for the 23 3/4 hours of your day when you are not trying to luck and lift it all back to health. It is not the gymnastics that is important. It is the understanding of how your body is structured to reinforce its own support, that is important, and being able to customise the theory to your own body, and how you use it in work and play.

BTW, my story is in the Members Stories Forum. I had two natural vaginal births after the first fully managed birth that gave me the damage that resulted in POP. I am now 57, and POP is a cake walk (touch wood!), after 6 years of learning how to deal with it. It may get worse later on, but I am sure that I will be able to deal with it myself, better than any surgeon.

You can do it too.

Louise