Christine, a couple of questions for you:

Body: 

1. First, I've been pondering the role that hormones play in the day to day experience of different symptoms of POP (specifically, the draggy days, where everything seems lower). Sometimes, almost magically, everything seems to "lift up" for some number of days, without necessarily any rhyme or reason. I know that hormonal balance is delicate and ever changing. Your thoughts?

2. I've been trying to envision exactly what it is that the postures do to reinstate the natural female design and pull up the organs that have prolapsed. I understand that in the natural design, the organs are protected in the front part of the body from intraabdominal pressure. What I'm having a hard time envisioning is how, once the organs have prolapsed, they are protected, or how working on the postures is physically helping with the prolapse.

3. In your own situation, you said that at one point, you didn't need your pessary anymore. Was this in response to the work you had done and the organs respositioning themselves? Also, since you had had surgery, how were you able to do this? Did shrinking of the uterus play any role? I realize this is personal; please feel free to not answer.

Thanks for ALL you do and for sharing yourself with us.

Marie

Hi Marie,

No question that hormonal flow plays a huge role. I think it would be a very good exercise to learn the science of the menstrual cycle (available in any basic anatomy book), begin to keep track of your own cycle, and then figure out where you are prolapse-wise during the proliferative phase, luteal phase, etc. There’s nothing else to do but enjoy the good days and pamper the others. Know the day will come when you will be free of monthly changes.

Please refer to my articles to answer your questions about organ support. I think a good analogy is that over the course of childhood and adolescence, our pelvic system is slowly wound up in a highly specific way – say “clockwise.” This developmental anatomy is so powerfully encased in our genes that many of us are able to unfold our natural design in spite of strollers, school desks, couches&TV, etc. to exhibit the classic shapely figure we associate with the young woman. There is no reason we should ever lose this shape, but for many it is gone by age thirty or so and for some never fully developed in the first place.

Year by year, fiber by fiber, our pelvic organ support system becomes slowly unwound until suddenly (for many of us) we become symptomatic. Imagine how long it has taken for this tightly wound system to loosen enough for our organs to fall? I realize that I and many of the postpartum moms here had more than a nudge from surgery and instrumental births.

The tough thing to accept is that once prolapsed, our organs are NOT protected nor is there any way to lift them back up into their anatomically correct positions. An even more difficult reality for many to come to terms with is that no surgical procedure exists (nor will ever exist) to do that either.

The only thing we do have, Marie, is a method of winding the pelvis back up toward its original design. This requires the effort of the whole body, as the head, shoulder girdle, ribcage, buttocks, hamstrings, and arches of the feet are included in that winding process. This translates as once again creating proper support for the organs, for they are no longer being pushed/pulled down and back by the forces of intraabdominal pressure. Some women experience great improvement, while others stabilization.

My situation is different from all the women here in that my front vaginal wall is pulled permanently forward, creating sort of a tent shape near the top. This allowed my uterus to fall directly down without concurrent bladder descent to sort of cushion the fall. Shortly after I began this work on the Web I realized there is a natural anatomy of prolapse that is far less symptomatic and much more responsive to the postural work than my own case, which I can assure you was not without sadness to accept. However, an even greater power prevailed as I kept at the work and developed the attitude toward women, “If I can do it, you can do it.”

I believe there are several of us (Joybliss and Sybille come to mind) for whom the posture has shifted things just enough to be much more comfortable without pessaries (although the body-conforming wax pessary has some appeal – lol.) My once-bulging cervix is well inside and perhaps it’s because I can indeed still feel it, it has become both gauge and goad of/toward my well-being on a day-to-day basis.

I hope this helps you to understand that we have a structure built into it the ability to respond to prolapse. These conditions are indeed reversible to enough of an extent to allow us a very high quality of life – next to normal – if we will only come back to our original design.

Christine