Hello, I am 35 years old with two children, ages 4 and 2, both delivered vaginally. After my second I noticed some mild urine leaking and eventually started pelvic floor PT for it. While in PT, I developed a cystocele, then a rectocele, within the course of a month or two. I now have a grade 3 cystocele and grade 1 rectocele. I have continued PT with no improvement. I began wearing a ring Pessary which has helped with the pressure and bulging, but recently I have noticed the bulging even with the pessary in. I have seen 5 different urogyns and all have told me that I will need surgery eventually when I am done having kids.
My question is, has anyone gone on to have kids after being diagnosed with prolpase? I am concerned that the symptoms will become worse during and after pregnancy. Also, given the restrictions on lifting post-surgery, I'm not sure how soon after having a baby that I would be able to have surgery, and I worry abiut caring for three kids while recovering. My biggest concern is that the prolapse will get much worse and more unmanageable than it is now, especially if I have a difficult delivery.
I enjoy exercising and being active, and the prolapse has left me with a lot of activity limitations which are very frustrating. I would like to be able to run again, walk around as long as I want, do housework and shopping etc without the bulge worsening. Whether surgery is the way to get there is a whole other post.... For now would just like any thoughts on pregnancy/childbirth/post-Partum after prolapse. Thank you !
The ring pessary wont support a rectocele. You could try a T pessary type R but there are others that are probably better at supporting both a cystocele and a rectocele. Did you try a ring pessary with support? GPs and Urogynes often only know about a couple of pessary types but there are many types of pessarys out there so do some googling and take a leaflet in to your Urogyne to be measured for the right one for you if you want to try another one.
Yes lifting and running are contra indicated for POP but you can do other exercises and go walking etc. Try distributing your shopping into more bags with less weight.. this is what I do. A Lot of ladies wait until they are finished having children to have a POP op due to the amount of care babies and young children need. This is a personal thing for you to consider in terms of lifestyle and whether you want another child. Women do go on to have more children do you wouldnt be alone in wanting and having more.
How soon you had an op after having a baby again is personal but I would say that after the lifting and carrying is over that this is probably the start of when you could consider having a POP op.
Deciding on whether you want to have another baby may be your first decision and then you can plan from there.
Good luck with your decision and let us know how you get on
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