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[Maryjane]

The worst thing possible for peolpe with PN or any vagianal pelvic pain is to do pelvis floor exercises......it would be a disaster.

[Taz2]

I agree that these exercises would need to be carefully monitored and taught Maryjane. It's the same with my own health following the anterior repair. There are some pelvic floor exercises that I can't do. I found the gynae worryingly uninformed on all of this but the pelvic floor specialist has been very helpful in what I can and can't do. I have read that pelvic pain (once a diagnosis has been reached) can be improved by pelvic floor exercises. They are not easy to do and I really think women should be given much more help and advice on this really important aspect of pelvic health. I expect you've read everything available on the internet but I did find this info quite helpful a while ago when I wondered if my own pelvic pain was PN related http://www.pelvicpainrehab.com/pelvic-pain/744/the-role-of-pt-in-treating-pn/

Taz x

[Maryjane]

Yes thanks that's the first sight I came across.......I no a lady from the UK who had two weeks with Stephanie and came back 80% better........apparently there is far more PN out there.....it's just given different names but it's is an evil nerve that can cause havoc but is also so necessary.....as it controls so much.....and most gynaes are useless at the nerves and muscles in the pelvic floor.....unless they show an added interest......they are basically told don't do an episiotomie anywhere near the route path of the PN and not a lot more......

Vulvodynia is another word for PN also......but the big chicken and egg question is it the PN that has caused the pelvic floor to go into spasm or the spasm of the pelvic floor caused by thrush or a UTI for example that has caused the PN.....whatever the pelvic floor needs to relax........and for some dilators are good for this.......and a lot of ladies get PN after a hysterectomy or prolpase repair......so unless as I said earlier it's coming out and causing you lots of problems I would leave well alone.......I was also told this by the pain specialist in London he said prolapse surgery causes more problems than it fixes.

[Taz2]

Yes it does cause more problems but the discomfort from a prolapse can be really limiting. I found that I couldn't walk further than a mile or so. Couldn't sit for long. Had to sit with my feet up for half an hour after doing the weekly food shop etc.  I hated the feeling of it popping out every time I bent over - sounds funny but it isn't. The dragging sensation and the soreness too.  I did put it off for three years but in the end it was worth taking the risk. The younger you are the better I think.

Taz x

[Judith57]

Women weren't designed very well were they  . Their sell by date certainly coincides with the end of their reproductive years. Men have a far easier ride 

[20032003]

Interesting link - I could answer "yes" to 4 out of 5 symptoms on the "bowel list":

"Bowel symptoms
The following are common symptoms for prolapse that affects the rectum (posterior part of the pelvis):
Difficulty passing stools - and/or having to strain.
Sudden urgency to pass stools
Feeling of bowels not emptying fully - or the feeling of a blockage or obstruction
Stool incontinence
Flatulence"

And some TMI again... I've had some fairly normal BMs the last couple of days, but today I noticed that almost every piece that comes out of me is bent. And this also happens when I'm using the squatting stool, which is suppsed to straighten out your rectum, right? Could this be a sign of a prolapse? Anyone else noticed this? I mean, it's almost like there is something bulging in to my rectum shaping my poops this way.... And I've had two normal rectoscopies, so there shouldn't be anything on the inside of my rectum causing this. (Sorry, if I'm being gross!)

[Taz2]

It does sound like a posterior prolapse - also called a rectocele. Mayo Clinic info http://www.mayoclinic.org/diseases-conditions/rectocele/basics/symptoms/con-20027826

Taz x

[scriv]

In my case it came to the stage when surgery was the only option and it did the trick.

Admittedly I have had two lots of cystocele and rectocele repairs. The first lasted 12 years and the last surgery was 11 years ago and still going strong helped by pelvic floor exercises, Vagifem and avoiding very heavy lifting. I am now 62.

So it's not all doom and gloom if surgery does become necessary for any of you, but I had a truly excellent gynae.

[20032003]

So I've now read about how the rectum could push into the vagina when going to the toilet, if you have a prolapse... So I thought I'd check for myself. My question now is: Should ANY part of your vagina be "moving" when you bear down as you would do when having a BM? There is definitely quite a lot of "action" in mine (sorry ). It feels like the "top" (my cervix, I guess) moves down quite a lot when I strain. I have NO clue if this is normal, since I haven't actually checked this before...? Does anyone know how it "should" feel?

Edit: My cervix (I guess) actually comes down to just a couple of centimeters inside the opening of my vagina when I bear down. Normal???

[20032003]

Does anyone know if the cervix is supposed to move like that? I barely have to strain at all for my cervix to be just inside the opening... Or is this a sign of a prolapse?

[ancient runner]

Not tried it but I don't think mine does that. 
and I do have a couple of probably minor prolapses.

[Taz2]

It sounds like a uterine prolapse 20032003. It's best not to continue straining though. http://www.webmd.com/women/guide/prolapsed-uterus

Taz x

[scriv]

20032003 please don't strain (!!!) and Sparkle - please don't peer. It won't do you any good.

Definitely get a thorough examination by a gynae you trust if you suspect you have a prolapse and be prepared for them sometimes not being able to assess correctly just how bad it is by initial examinations, especially when lying down.  I had an examination standing up and it still did not show as badly as I was complaining and in fact the seriousness  did not reveal itself until I was under anaesthetic.

[20032003]

Going to the gyno next Monday. At least I feel that I can give clear descriptions of symptoms and ask her what to look for now. I've been wondering for MONTHS what the heck is wrong with me and my butt/poo. Maybe this is the answer... A retroverted uterus that is also possibly prolapsed could, I guess, produce pretty annoying symptoms... I'll definitely try not to strain!

[scriv]

Yes, I think it must be the way I'm built inside, lol. All the organs must have slipped back into place when I lie down!