Exercise with Uterine Prolapse

Body: 

Hi all, I am new here. I was diagnosed 8 weeks ago with stage1-2 uterine prolapse at 3 weeks post partum. My ob/gyn was very confident things would resolve at least 50% on its own. I went back to see my gyn for a re-evaluation at 8 weeks post partum and he felt that it gotten about 25% better and said he would grade it a 1 and a 1/2 and that it was closer to grade 2 at my first visit with him. I talked with him about exercise and if exercising would make it worse and he did not feel that exercising would do any damage because it had "good elasticity", meaning that when he had me cough during the exam it would come down but bounce rght back up. I was uneasy about exercising and scared of making things worse, so he gave me a pessary to use (if I chose to do so) during exercise. The pessary he gave me is called an inflatoball. I chose to not use it and began an exercise routine. After the first week of exercise, things seemed to be staying where they normally were pre-exercise. Now today, in the middle of week 2 of exercise, I started having the feeling again like when tampon is in wrong; so I checked and my cervix is really low today-about the same as it was when I first discovered my prolapse. The way it has been is I could feel my cervix about a full middle finger length inside, now today it is about as high as the middle knuckle of my middle finger :( My midwife had told me as well she did not think things would get worse than what it was where it started. My problem is, I don't want it to be where it started-I want it BETTER! I want it 100% better. Should I be using the inflatoball pessary while I exercise? I am constantly checking my cervical position almost everytime I go to the bathroom and when I take a shower. When I first discovered the prolapse, I was obssessed and checking it all the time...then after a few weeks I didn't notice ti as much and quit checking...now I am back to obssessing again-and hating it. I have read a lot on the POP thread at mothering.com. Between my own research and different people I have talked to, I am recieving conflicting information regarding exercising with a prolapse. I would so appreciate someone tuning in with something solid regarding exercise. Is a uterine prolapse something that gets worse before it gets better? Or is my exercise routine putting things back to square 1? I suppose my prolapse could be worse, but I don't want to do anything to make it worse. Is it possible to make it worse than what it was when it started with activity? Sorry, I am droning on and on, but I am obssessing and not at all having a good day with this. I need to shed about 50 pounds to be back to pre pregnancy weight ( I gained 80) I have been really careful with my diet, but I need help from exercise as well. I also have low back problems since my twin pregnancy, and the only thing that helps that is strong abs, but I have read to stay away from crunches and pilates, as these will make my prolapse and my diastsis worse. I have read about the Tupler Technique-is this worth purchasing the Mummy Tummy book and DVD? Will this help with a prolapse as well? I was also very religious with Kegel exercises, but my Gyno told me kegels will not help at all with a uterine prolapse, but I should do them anyways for pelvic floor health. Then I read that Kegels are not good all around and squatting is the best for pevic floor health-so I have been practicing squatting a few minutes here and there throughout the day-would these be causing my prolapse to go back to where it started? I am so confused. Unfortunately, until I have some extra money, I am unable to purchase your book Christine. My sister has it and says it is the best book and she would never part with it for anything (she would let me borrow but she lives 1200 miles away). I am hoping to be ale to purchase your whole kit-the book, yoga DVD, and baton in a few weeeks. So any information to help me clear up confusion and just get me on the right track to overall weight loss and fitness would be appreciated so much. I was always very active before this last pregnancy and wish I could be so again! I know losing weight will help with my prolapse as well, I just don't want to make it worse in the process. For those of you who have stuck with me through this extremely long vent-Thank You!

I would say that SOME exercises could make you feel your prolapse is worse, and some will make no difference. And in alot of ways it is how you DO the exercise that makes it better.

Talk walking for example... You could walk down the road stomping your feel and stamping along happily - This is vry jarring on your body - Or - You could walk 'lightly' rolling through the foot - not stomping etc and that is far less jarring on the body

Same with Step Aerobics.... You can stomp-step up and down off of the step - Or you can 'step lightly' The way I found this is when my boys were younger I was doing step at mid night as I had no time in my day - And I had to step light so as to not wake them up...

Over the years I tried many many exercises, then I came down with a disability (Not exercise related) and found I managed to lose the last bit of weight by not exercising - But by knowing my BMR and working with my body and listening to it. Eat when hungry, stop when full etc kinda thing, and choosing not to spend my life snacking, though I still do snack - IF I am hungry. Jut like - 'Eat to live Dont live to eat' - I have that written on my fridge - Put there for my Ex to notice (He didn't - He gained like 70lb whil I lost that 70lbs.

If you also use the tools you have - They can work for you and you don't hafta wear yourself out in gaining what you want... Using 'range of motion' will help you to do less and gain more. In this i mean - When you are working out - ass an extra inch to your stride. See how you will feeeeeeel it in the muscles - Using them more, yet maybe moving slower. Also when doing aerobics - reachhh further - Reach higher, streeeeeeetch the body and it will work for you and you will lose your excess weight while not feeling it is a chore.

Also - You had a baby - Walk using the stroller as a weight - This means you will be working more...

And finally - Remember - Those who lose weight the fastest - Usually gain it back fastest also as they havent changed their lifestyle - They probably just cut calories in the short term.

Personally being pretty sedentary now du to my disability - I still eat 17-1900 calories per day - I am 130-131lbs - And I noticed every time I tried to starve myself - I GAINED weight - The bosy is not something you can ytrick as if you starve yourself - It slows the metabolism working against you. So if you give your body what it needs - FUEL=Food - Your body will then work with you and you will achieve all your dreams.

My dream was to be 140lbs - I achieved that - But it took me a looooooong time - And on the journey I gained and lost and the moment I gave up Diet Coke - The battle for me - Was won. As my weight returned to the weight the balooning started at (145) And anything beyond that has just amazed me - Now - I have been a steady 131 since last December and I am happy here - Half of myself - And very happy :-)

Good Luck on your journey!

MeMyselfandI has given you very good advice about weight loss. She has been around for a long time, and has expressed joy, exasperation, anger, the works. She is fine now, and you will be fine too, eventually.

It takes a full two years for your body to revert after pregnancy, so you are still at the very beginning. A few weeks postpartum is a time when many women experience a worsening of prolapse. Don't know why. You might find that it doesn't improve much for a few months, then suddenly you will realise one day that it is a bit better.

MeMyselfandI invented the term Checkarama for obsessively checking your vulva daily. Just don't do it. It is depressing. You have far more important and useful things to do than look at your undercarriage, trying to will it to get better quicker, which it won't. Once a month, or once every two weeks is all you are allowed. Look at your face in the mirror instead, and smile, and think about how lovely your babies are, even if you are sleep-deprived.

This too will pass. You just have to be very patient for a while, and support your organs by relaxing your belly and keeping your beautiful boobs up high. That way your abdominal muscles get stretched and relaxed as you move, and they will slowly get fitter and pull your diastasis together. If you are always contracting them, and never letting them stretch out they will take longer to regain tone. BTW, leg raises in WW posture, will exercise the same muscles as crunches, and more, without compromising your pelvic floor.

Yes, there is a lot of conflicting information out there. Once you have your book and DVDs you can start understanding your body better, and be able to work out for yourself what exercises, techniques and movements are good or bad for your body, and why. Then you will lose your fear, and you can get on with your life with new confidence.

Louise

Hi Smooch,

Although there certainly are some exercises from the various pelvic health products on the market that are beneficial, none of their authors understand the true nature of female anatomy and function. So while Julie Tupler (and Tasha and Katy) are telling you there is a “floor” at the bottom of your torso, like there is a floor at the bottom of a grocery bag, WW describes the true anatomy of the pelvic organ support system. This is an exceedingly important difference!

All the exercises and postural work we do is designed specifically to move the organs forward - over and in front of the pubic bones, which should be underneath you like flat straps of a saddle. You have a horizontal pelvis that is trying to move the bladder and uterus into the hollow of your rounded lower belly with every breath you take. This is why we shudder when young mommies want to flatten their “mummy-tummy”!!

Squatting all the way down with parallel feet is very good exercise, as long as you maintain your weight on the balls of your feet. Trying to flatten your feet is going to flatten your lumbar curve, regardless of what you hear otherwise. Because the thighs are pulled all the way forward, the tailbone wants to come with them. The exercise of lifting your tailbone while in a full, parallel squat is the maximum we can stretch the hamstrings, sacrotuberous, spinal muscles chain. This is why it supports WW posture if done correctly. Make sure you fold all the forward and relax into this bend after holding a deep squat.

The transverse abs/pubococcygeous being the most supportive of prolapse recovery story, as told by PT and those who follow, is simply not accurate. Only when your psoas and quadratus muscles (the deep abdominals) lift your chest high, do the rectus muscles of both the abdomen and pelvic diaphragm (yes, they can be considered one set of muscles interrupted by the pubic bones) stretch into their functional length and come toward the midline - like a pair of closing elevator doors.

I will take this time to mention that our detractors are doing a great disservice to women by trying to turn them away from the WW work, since what we are describing is of crucial importance to all women - most especially postpartum mothers. Please take a look at Christine’s Column in the Village Post for a deeper look into the “prolapse wars”.

The prolapse thread at mothering.com has been their highest-traffic forum since the beginning of their website. Yet, it is most frequented by a woman who discourages others from WW every chance she gets. Unfortunately, the site is not well-moderated. The woman happens to be a patient of urogynecologist Dr. Goldberg, (re: Christine’s Column), so it seems not out of the realm of possibilities that she, too, is workin’ for the Man. Whether this is the case or not, her prejudice against WW is a reflection of her ignorance about the true nature of the female body. Thank you for your patience as I take this opportunity to voice the situation.

You will be fine, Smooch. I think if you hold out for the Whole Woman Yoga - Second Wheel dvd, you may find that most suitable to your postpartum recovery.

Wishing you well,

Christine

Thank you all for your replies. My baby is almost 11 weeks old, so I know I am still early in the PP stage. I know it is no-no to obsessively check myself all the time-but I checked again today after exercising and my cervix seems to have lifted back up. For exercise I go for walks with my kids when I can, but I have been doing the Slim in 6 workout, which has worked well for me in the past. The movements aren't jarring, and I take care to step lightly for fear of my uterus falling out :) I am one to eat out of boredom-and to keep on eating after I am full because it just tastes so darn good. Well I put the kibash on that. Basically I have been eating about four small meals during the day with about 51% of my diet being raw fruits and veggies. I keep my choices of food to healthy protien rich coices (boiled eggs, cottage cheese, yougurt) and the ONLY bread we eat here is 100% whole grain. I learned after I had my first child that to keep your metabolism working for you is to eat about 6 small meals a day, that way your metabolism is constantly working to burn calories, and the best tme to exercise is right away in the morning or 1 hour after eating-that way I am burning fat calories and not food calories. After I shed all the weight from my first pregnancy, I kind of lost sight of these habits. After my twin pregnancy I just really fell in love with food. I lost the all the weight except 10 lbs. after I had my twins (breastfeeding twins really helps with weight loss..lol) I was concerned about my obsession with food (still kind of am) but I have been working really hard the last 2 weeks on my eating habits. I think I will put the same note on my fridge as you have on yours MeMyselfandI. That will help me gain even more willpower. I was not so concerned about weight loss immediately after my twins were born, but after this recent baby I have been obsessing over losing weight. I was very active before I got pregnant with DS #4 exercising 2x a day, but not really changing my eating habits. So I am hoping by changing my eating habits, making calories count, and exercising 20-30 min. a day vs. about 1 1/2 hrs like I used to I will see good results. I do love working out and I miss jogging and plyometrics and lifting weights-so I am hoping one day I can do these things again. Christine, I was reading so much at the mothering tread, but found so much conflicting info on there as well. My sister was the first one to tell me of you book, but a lot of women on the POP thread send others to your site as well. Due to all the conflicting advice I have been receiving over there, I have not gone there to read posts in a while, but just to support others who are having a hard time too. I can't wait to get your book and DVD, they just can't come soon enough! Thank you for your wisdom and insights ladies!

I wanted to add; in addition to the 4 small meals eat throughout the day, I also eat a normal size dinner (dinner time is my favorite meal :) I definately do not starve myself, I need to have enough calories for breastfeeding :)