When I first “cracked the code” on stabilizing and reversing prolapse, and wrote and published Saving the Whole Woman, I set up this forum. While I had finally gotten my own severe uterine prolapse under control with the knowledge I had gained, I didn’t actually know if I could teach other women to do for themselves what I had done for my condition.
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Christine Kent
Founder
Whole Woman
Christine
July 6, 2006 - 10:55pm
Permalink
thoughts
Hi FaithAnne,
Although I do encourage women to seek a medical diagnosis for their symptoms, I also hope to establish a new way of conceptualizing some of what our doctors are telling us. Your condition sounds pretty serious – wow – UP and enterocele! When in fact, it COULD be that your descending cervix is simply drawing down with it the front wall of the so-called cul de sac of Douglas. This is a very common “traction” type enterocele and that it’s diagnosed as a separate “condition” adds to the drama. The good news is your cervix is helping to prevent a full blown entrapment of the small bowel between your back vaginal wall and rectum…a TRUE enterocele, which often happens when the uterus is removed or the front vaginal wall pulled forward. You may be experiencing some bowel symptoms such as feeling like you’ve emptied your bowels only to have to sit back down a minute later as stool transit time lengthens a bit by the slight change in route. Not a big deal and very, very common.
You can actually check for enterocele yourself by placing your thumb in your vagina and a finger into your rectum. Bear down and if you indeed do have a significant enterocele you will be able to completely feel its outline, which would probably feel much like a goat’s teat (I’ve never milked a goat, but I think the imagery is somewhat accurate.) While you’re at it, trace the shape of your perineal body and also check for any high rectocele. Might as well have your own data along with the specialist’s.
This is not to say these conditions are not progressive. A true enterocele can push down upon and erode the fascial structure in between vagina and rectum making development of a high rectocele much more likely. I was a perfect candidate for just this sort of segmental damage, having had the axis, or direction, of my vagina surgically distorted. However, living in natural posture for several years has prevented such a condition and also taken away the heavy, dragging sensation often associated with downward pull on the supracervical mesentery, or abdominal tissue surrounding and suspending our intestines.
You don’t say how far post-partum you are, but it’s generally said that vaginal involution takes a full six months to complete. I also encourage women to at least try to find a pessary that might work. My first try was with the open ring and my uterus so low it nearly strangled…tossed that one in short order! I wore the ring-with-support off and on for years, but it was never really comfortable. It wanted to take the natural axis of my vagina (which I was trying very hard to reestablish) and so would flip vertically to about a 45 degree angle shortly after insertion. The rim of the pessary would then butt up against my cervix causing extreme discomfort and, of course, allowing my cervix to wedge down alongside it. Some women have found the cube or donut useful, but if you should choose one of those, keep a close eye out for progression of symptoms as they hold the vaginal walls open against intraabdominal pressure.
Just a few thoughts.
Wishing you well,
Christine