Categorized | Yeast Infection

Your Questions About Vaginal Prolapse

Mark asks…

can you have sex if you have a slight vaginal prolapse?

i had a baby 3 weeks ago and found out yesterday that i have a slight prolapse its not that bad the doctor said and should go back with pelvic floor exercises. not sure if i can have sex though as i didnt ask many questions?

Tara Lewis (Admin) answers:

I have one also, I got it after my 2nd baby and had my 3rd baby 5wks ago. It does improve with the exercises. Both times having sex after baby has arrived (and I felt ready) it didn’t hurt, a prolapse doesn’t add to the pain, and sex doesn’t aggrevate your condition. I’ve been seeing a pelvic floor physiotherapist about it and she said that sex actually helps improve it. Do your exercises a little (not too much at first) during sex, she said (sorry if this sounds too straightforward…) to imagine squeezing your pelvic floor muscles around your husbands penis. Congrats on your baby!

Also, be very careful lifting your toddler and avoid wherever necessary – this WILL aggrevate your prolapse and can cause it to come on seriously. I walk my toddler to where we need to go (cot, change table, car seat, high chair) and then lift him directly and keep it brief. Also, pull up your pelvic floor before you lift : )

Maria asks…

Does anyone know anything about vaginal prolapse?

I have had a hysterectomy so I know that my problem has nothing to do with female organs. On my pap smear visit my doc found a mass at the top of the vagina where the cervix used to be. She has ordered a pelvic ultrasound for me. Don’t mind telling you that I am scared.

Tara Lewis (Admin) answers:

I found the following and it may be what you are experiencing:

Rectocele (prolapse of the rectum) – This type of vaginal prolapse involves a prolapse of the back wall of the vagina (rectovaginal fascia). When this wall weakens, the rectal wall pushes against the vaginal wall, creating a bulge. This bulge may become especially noticeable during bowel movements.

However, it is a well known fact that women must still get pap smears, which you are, even after having a hysterectomy because they can still get cervical or ovarian cancer.

Just do whatever the doctor prescribes and hopefully it will be something that can be stitched back up into place and you will be fine.

Good luck..

David asks…

What are the causes of vaginal prolapse?

What makes it happen?

Tara Lewis (Admin) answers:

The network of muscles, ligaments, and skin in and around a woman’s vagina acts as a complex support structure that holds pelvic organs, tissues, and structures in place. This support network includes the skin and muscles of the vagina walls (a network of tissues called the fascia). Various parts of this support system may eventually weaken or break, causing a common condition called vaginal prolapse.

A vaginal prolapse is a condition in which structures such as the uterus, rectum, bladder, urethra, small bowel, or the vagina itself may begin to prolapse, or fall, out of their normal positions. Without medical treatment or surgery, these structures may eventually prolapse farther and farther into the vagina or even through the vaginal opening if their supports weaken enough.

The symptoms that result from vaginal prolapse commonly affect sexual functions and bodily functions such as urination and defecation. Pelvic pressure and discomfort are also common symptoms.

The following are types of vaginal prolapse:

– Rectocele (prolapse of the rectum) – This type of vaginal prolapse involves a prolapse of the back wall of the vagina (rectovaginal fascia). When this wall weakens, the rectal wall pushes against the vaginal wall, creating a bulge. This bulge may become especially noticeable during bowel movements.

– Cystocele (prolapse of the bladder, bladder drop) – This can occur when the front wall of the vagina (pubocervical fascia) prolapses. As a result, the bladder may prolapse into the vagina. When this condition occurs, the urethra usually prolapses as well. A urethral prolapse is also called a urethrocele. When both the bladder and urethra prolapse, this condition is known as a cystourethrocele. Urinary stress incontinence (urine leakage during coughing, sneezing, exercise, etc) is a common symptom of this condition.

– Enterocele (herniated small bowel) – The weakening of the upper vaginal supports can cause this type of vaginal prolapse. This condition primarily occurs following a hysterectomy. An enterocele results when the front and back walls of the vagina separate, allowing the intestines to push against the vaginal skin.

– Prolapsed uterus (womb) – This involves a weakening of a group of ligaments called the uterosacral ligaments at the top of the vagina. This causes the uterus to fall, which commonly causes both the front and back walls of the vagina to weaken as well. The following are stages of uterine prolapse:

* First-degree prolapse: The uterus droops into the upper portion of the vagina.

* Second-degree prolapse: The uterus falls into the lower part of the vagina.

* Third-degree prolapse: The cervix, which is located at the bottom of the uterus, sags to the vaginal opening and may protrude outside the body. This condition is also called procidentia, or complete prolapse.

* Fourth-degree prolapse: The entire uterus protrudes entirely outside the vagina. This condition is also called procidentia, or complete prolapse.

* Vaginal vault prolapse – This type of prolapse may occur following a hysterectomy, which involves the removal of the uterus. Because the uterus provides support for the top of the vagina, this condition is common after a hysterectomy, with upwards of 10% of women developing a vaginal vault prolapse after undergoing a hysterectomy. In vaginal vault prolapse, the top of the vagina gradually falls toward the vaginal opening. This may cause the walls of the vagina to weaken as well. Eventually, the top of the vagina may protrude out of the body through the vaginal opening, effectively turning the vagina inside out. A vaginal vault prolapse often accompanies an enterocele.

Approximately 30-40% of women develop some presentation of vaginal prolapse in their lifetime, usually following menopause, childbirth, or a hysterectomy. Most women who develop this condition are older than 40 years. Many women who develop symptoms of a vaginal prolapse do not seek medical help because of embarrassment or other reasons. Some women who develop a vaginal prolapse do not experience symptoms.

Any woman who experiences symptoms that may indicate a vaginal prolapse should contact her doctor. A vaginal prolapse is rarely a life-threatening condition. However, most prolapses gradually worsen and can only be corrected with intravaginal pessaries or surgery. Thus, timely medical care is recommended to evaluate for and to prevent problematic symptoms and complications caused by weakening tissue and muscle in the vagina.

Good luck :)

Sharon asks…

Besides vaginal prolapse and incontinence, what does Michelle Duggar have to look forward to in the future?

BQ: tote bag, handbag, or clutch?

Tara Lewis (Admin) answers:

Besides full dentures, broken hips, a dowager’s hump and a continuous drip of Fosomax or some other bone strengthener, I foresee:

more kids (they’re hoping)
7 tell – all books from the children (the twins’ books count as one each time)
4 porn actors from the children (
3 meth addicts
two children become vociferous zero population growth activists
one child founds a new religion/cult
one becomes a professional wrestler under the name “LeSlutPoodle” and always enters to the Stooge’s “Now I Wanna be Your Dog”

She appears on American Idol; her song is “I’m Just a Girl Who Can’t Say No” from Oklahoma!

And in the year 2525, if man is still alive, all humans living on Mars will be able to trace their ancestry back to her.

Robert asks…

How can you cure vaginal prolapse without having surgery?

Tara Lewis (Admin) answers:

Kegel Exercise

A Kegel exercise, named after Dr. Arnold Kegel, is an exercise designed to strengthen the pubococcygeus muscles. The exercises consist of the regular clenching and unclenching of the muscles which form part of the pelvic floor (sometimes called the “Kegel muscles”).

The aim of Kegel exercises is to restore muscle tone and strength to the pubococcygeus muscles in order to prevent or reduce pelvic floor problems and to increase sexual gratification. Kegel exercises are said to be good for treating vaginal prolapse[1] and preventing uterine prolapse[2] in women; and for treating prostate pain and swelling resulting from Benign Prostatic Hyperplasia (BPH) and Prostatitis in men.

Kegel exercises may be beneficial in treating urinary incontinence in both men and women.[3] Kegel exercises are also known as pelvic floor exercises, or simply Kegels.

Although Dr. Kegel contemporized and popularized this practice, it is by no means new. The Taoists of ancient China developed a number of different sexual practices to strengthen and tone these same muscles for health, longevity, sexual gratification, and spiritual development. [citation needed] Directly akin to the Kegel exercise is the Taoist practice of the Deer Exercise. The Yogis of India also had a similar practice in Hatha Yoga known as Aswini Mudra (the horse gesture) which is taught and practiced to this day.

Benefits for Women
Factors such as pregnancy, childbirth, aging and being overweight often result in the weakening of the pelvic muscles. Kegel exercises are useful in regaining pelvic floor muscle strength in such cases.

Urinary incontinence
The consequences of weakened pelvic floor muscles may include urinary or bowel incontinence, which may be helped by therapeutic strengthening of these muscles. A meta-analysis of randomized controlled trials by the Cochrane Collaboration concluded that “PFMT [Pelvic floor muscle training] be included in first-line conservative management programmes for women with stress, urge, or mixed, urinary incontinence…The treatment effect might be greater in younger women (in their 40’s and 50’s) with stress urinary incontinence alone…”.[4]

Pelvic prolapse
The exercises are also often used to help prevent prolapse of pelvic organs. A meta-analysis of randomized controlled trials by the Cochrane Collaboration concluded that “there is some encouragement from a feasibility study that pelvic floor muscle training, delivered by a physiotherapist to symptomatic women in an outpatient setting, may reduce severity of prolapse”.[5]

Sexual function
Regular Kegel exercise can also increase sexual pleasure for the woman and her male partner.[citation needed] After childbirth, practicing pelvic floor contractions during vaginal sex will allow the woman immediate feedback from her partner, who can tell her whether they can feel her muscles tightening. A newly postpartum woman – who has yet to return to sexual intercourse – can retrain her pelvic floor muscles to their pre-pregnancy strength and tone by inserting two or three fingers, or a dildo into her vagina and squeezing them with pelvic floor contractions.

Benefits for Men
Though most commonly used by women, men can also use Kegel exercises. They are used to strengthen the pubococcygeal muscle and other muscles of the pelvic diaphragm. Kegels help men to get strong erections and achieve greater control on ejaculation. The object of this may be similar to that of the exercise in women with weakened pelvic floor, i.e. To increase bladder and bowel control and sexual function.

Regarding postprostatectomy urinary incontinence, a meta-analysis of randomized controlled trials by the Cochrane Collaboration found that “there may be some benefit of offering pelvic floor muscle training with biofeedback early in the postoperative period immediately following removal of the catheter as it may promote an earlier return to continence”.[6]

Sexual function
There are said to be significant benefits for the problem of premature ejaculation from having more muscular control of the pelvis.[7] It is also possible that strengthening the pelvic floor may allow some men to achieve a form of orgasm without allowing ejaculation, and thereby perhaps reach multiple ‘climaxes’ during sexual activity. [8]

In men this exercise lifts up the testicles, also strengthening the cremaster muscle as well as the anal sphincter, as the anus is the main area contracted when a Kegel is done. This is because the pubococcygeus muscle begins around the anus and runs up to the urinary sphincter. Men should be patient when they begin kegel exercises as it may take 4 to 6 weeks to see a substantial difference. Women are able to add resistance to the exercise through isometrically gripping a hard object (such as a Kegel exerciser), or by compressing an object such as foam, but there are no known techniques that would add resistance to male Kegel exercises.

Potential concerns
The pubococcygeal muscles are those used to stop the flow of urine during urination, and they may be easily identified in this way. However, after the muscle has been identified, practicing Kegel exercises during urination is not recommended, as this could lead to a urinary tract infection.

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