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  1. #1
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    Default Prolapse and future children and terrified?

    I had a prolapse after my second, I'm not currently TTC but I do not feel my family is complete and would like a third child at some stage.

    At my 5 month gyno appointment he said he couldn't see a prolapse anymore. I do not believe this completely because altho I'm much much better I don't "feel" the same down there. Obviously it's no where near what it was when I was told I had a prolapse but I'm not back to normal. Bubs is now 7.5 months.

    So my question is - are there any women out there who have had a baby AFTER they where told they have a prolapse?
    Did it come back? Was it worse? Did it get better eventually?

    I was told my best bet (if I have a third) would be to have a c-section.

    Anyone have any experience/ advice on this subject?

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    Hi, I had my second after having prolapse with my first, but I wasn't told by a professional until I was already pregnant (got pregnant when first DD was 9months old) My prolapse got worse while I was pregnant but I had an elective c-section because of the prolapse (as advised) and it didn't seem worse after I had given birth, and the symptoms I had while pregnant went back to the symptoms I had before I was pregnant. I am also looking at having more children so I am in the same boat as you, although I have already been pregnant with a prolapse so I guess I know what I am in for.

    I am currently seeing a ureogynaecologist here in Melbourne.

    PM me if you want to know more

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    Hello, I got a prolapse about 4 years ago (from weightlifting though not childbirth, though I'd had one child 8 years before that). Since then I've had 3 children, one via em c-s and two natural and my prolapse has stayed the same... well it hasn't come back again yet after my last baby a month ago (disappears when I am preg) but I reckon it will stay same again.

    You can try experimenting with the pill, mine disappears when I am preg or on the pill. if it's kept 'up' that will keep the strain off the ligaments and stop it worsening. You can also get some kind of donut shaped insert thing that supports it if necessary.

    In the meantime, do NOT strain on the loo, not AT ALL, and try not to have a dry cough or do stomach crunch style ab work, brace up when lifting etc.

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    Just wanted to add that you should ask to be seen by a urogynecologist as they specialise in it and all all gynecologists know all about pro-lapse etc. I only had one out of 5 different gynecologists even tell me they could see my prolapse
    I was seen by my urogynecologist under general as that was the best way to assess the damage. In a normal physical exam all the doctors I saw didn't think there was too much damage but under general the urogyny could see everything and found out that I have quite a lot of damage which he said was not visible when I was awake and my muscles were tense.

    His professional/personal opinion is that once your body has stretched in pregnancy it wont stretch to cause any more damage in the actual pregnancy and so as long as you have a c-section, more pregnancies should not affect the pro-lapse. He his one of the best in Melbourne, but I have also read that other doctors have the opinion that the actual pregnancy makes it worse too. I am undecided. I know my 2nd pregnancy did not make it worse though.

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    Yeah the physio I saw (all she does is prolapses) said that the damage is generally caused in the first pregnancy so you shouldn't expect it to worsen.

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    Hi Anushka,

    I had a prolapse after my second baby born naturally and fell pregnant 10 months later. During pregnancy the prolapse had gone, so it wasn't a problem to me then. I have since had baby no 3 (2 months ago) again naturally and I have noticed the prolapse is back (it's still early days) but definitely not worse, I would say the same.

    I was never advised during my pregnancy to have an elective c- section because I had a prolapse and I gave birth only 10 months after the first prolapse. In fact they were more worried about my previous 3rd degree tear scar.

    I was also told that pregnancy (amongst other things of course) is usually more the cause of prolapse as opposed to giving birth vaginally. Many women whom have only ever had c sections also have prolapses.

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    Quote Originally Posted by Uniquey View Post

    I was also told that pregnancy (amongst other things of course) is usually more the cause of prolapse as opposed to giving birth vaginally. Many women whom have only ever had c sections also have prolapses.
    This depends on what type of prolapse you have and what they think caused it. Mine was caused by birth trauma and occured as I gave birth. It is true that any woman can have a prolapse, even ones who have never been pregnant as there are different causes. However, the highest number of women with prolapse are menopausal woman who have previously had a vaginal birth. The numbers of women with prolapse who have had no vaginal births is very very low and is due to other factors such as a genetic link or sexual abuse etc. Women without these factors who have a c-section do not have pro-lapse.

    I know people like to be very anti-c-section but there are cicumstances where it is needed. Every professional I have seen (physio and home birth midwife included in that lot) have said that a vaginal birth will increase the risk of worsening prolapse. For me, that meant risking worse fecal incontince. Maybe this isn't a problem if you just have a minor cyctocele or rectocele that does not give you symtoms and go on to have a vaginal birth with little more damage done, but this is why you need a urogynecologist to asses just how bad it is and what steps you need to take. Having intensive physio with someone who specialises in pro-lapse, before getting pregnant will also decrease your risks in being pregnant again.

  9. #8
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    MelbourneMummy, you are right, there are prolapses that seem relatively 'minor' and then there are prolapses which (as you know) can alter a woman's quality of life. But please don't think my post was anti c-section, my first birth was a c section, so I am well aware that in certain circumstances C sections are medically required.

    The OP was advised that a c section was probably her best bet and she asked questions to gauge the experience of others, so I was giving my experience of having a baby 'after' I was told I had a prolapse, as per the OP questions, in regards to 'did it come back', 'was it worse', 'did it get better eventually'.

    I have no doubt that subsequent pregnancies and births can/may worsen the prolapse, but as I said above, in my experience I was never told to have a c section,(and believe me, I have had 2 Vbacs and one with a 3rd degree tear, then a prolapse so usually I would be the first to be told to have a c section) but I was merely telling the OP of my experience and hopefully let her know she isn't alone in her thoughts.

    At the end of the day, we can only give 'our' experiences to the OP, it is the OP and her care givers that will ultimately be able to come to the conclusion that she seeks.
    Last edited by Mod-Uniquey; 25-01-2011 at 09:02.

  10. #9
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    Thanks guys, I was going to have an operation to fix the prolapse but the doctor said that there isn't anything wrong ATM so no need.
    Another thing is if I have the op I can't have any more kids (well it's not recommended)

    I don't need the donut thingy as it's not really coming down anymore it's just that I feel it's not like it was before, the doctor basically said "well that's cause you've had kids" obviously but I still feel something isn't right.

    My prolapse was caused by my birth (again the doctor thinks the damage was started in my first birth when I was treated like a piece of meat to be cut up and thrown away) anyhoo it was not obvious to me at the time however after the second birth (vacum thingy was used) I had a 2nd degree cervical prolapse.

    I would like to avoid a c-section but if it's very necessary I will have one.

    Oh and I've had intense physio with a pelvic floor specialist which I believe has helped. Will be going on the pill shortly as well.

    Thankyou all for sharing your expeiences I find not many ppl talk about these things and it feels very scary. You feel like your the only one in the world to have their insides falling out.

  11. #10
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    hi tere, i know this is an old topic but i found out i have prolapse a few days ago and was looking for a good urogynecologist in melbourne...any recommendations?


 

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