Understanding Prolapse: Pelvic Floor Recovery After Pregnancy

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Postpartum Pelvic Floor: Addressing Prolapse and Regaining Strength
The postpartum period is a unique time of transformation and recovery for new mothers. As the body undergoes various changes post-birth, one of the concerns that some women face is related to the health and strength of their pelvic floor. This is particularly true for those who experience prolapse, a condition where the pelvic organs drop from their normal position due to weakened supportive tissues. Fortunately, understanding and addressing pelvic floor prolapse during the postpartum phase is entirely possible.

What is Prolapse?
Prolapse occurs when the pelvic organs, such as the uterus, bladder, or rectum, droop or descend into the vagina. This can result from the stress and strain of childbirth, especially after a vaginal delivery. Prolapse can manifest as a sensation of heaviness or pressure, making it vital for postpartum women to be aware of these feelings and to not dismiss them as just another post-birth symptom.

How Hormones Affect the Pelvic Floor
Hormones play a pivotal role in the overall health and elasticity of our tissues. For postpartum mothers, especially those who've ceased nursing or those entering menopause, hormonal fluctuations can affect the tension and laxity of the tissues supporting the pelvic organs. Checking hormone levels can offer insights into any imbalances that might be contributing to prolapse.

Introducing Pessary: An Immediate Support
A pessary is a device designed to provide support to the pelvic floor. Available in various shapes and sizes, a pessary can offer immediate relief to the vaginal walls and pelvic organs. Brands like Poise offer an over-the-counter option called Impressa, which can serve as an initial solution for many women facing mild prolapse symptoms.

The Role of Pelvic Floor Therapy
One of the most effective ways to address prolapse and strengthen the pelvic floor postpartum is through targeted pelvic floor therapy. Contrary to the misconception that everything post-birth is merely "stretched out" or "weak," it's essential to understand that our bodies often compensate in unique ways. A pelvic floor therapist can assess the intricate balance of what's tight, inflamed, weak, or overcompensating. This therapy can involve internal vaginal work, offering a thorough examination to help women achieve balance and regain strength.

Surgical Solutions: A Last Resort
In severe cases, especially those classified as grade 3 or 4 prolapse, surgery might be a viable solution. However, most women experience grade 1 or 2 prolapse, where non-surgical interventions can provide relief. It's heartening to note that many modern surgeons are moving away from procedures involving mesh and are opting for more holistic, patient-focused solutions.

If you would like to learn more about prolapse and how we can help you, visit our most recent blog article

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