This was extremely helpful and I wish doctors would speak to women about this. I believe I could have 💯% healed this issue before it became the issue now. I had two vaginal births back to back, (July 21 + Oct 22) and severe pelvic pain my second pregnancy to the point I could barely walk. And complained to my OB and asked to be sent to a pelvic floor therapist. Neither of them stressed the importance of doing exercises and that it could lead to this. It’s very upsetting bc I believe this could have been prevented and caught if we had better postpartum care. Postpartum care looking for this issue and teaching women how to prevent it and repair their muscles after pregnancy. Thank you for this video! And it encourages me to share this video!
I have been searching and reading comments from female gynecologists and patients for more than two hours. It took a man with a sock (No offense, because I know you're much more than that.) to explain Uterine Prolapse so that I can understand. Now, I can make a medical appointment and have some knowledge of what's going on with me. Thank you Dr. C.
This is an excellent presentation and a nice way to talk about something that is simply 'not fun or uncomfortable'. It gives great insight into the inner workings of the female anatomy! Thank you again!
Thank you for explaining it so well. My family member is suffering from it and now with exercise she is feeling much better. I had not idea what the issue was until you explained so well.
Thank you Bruce, your demonstration, sock and pelvic model together with your clear, concise and easy to understand teaching was perfect for me. Again thanks!
Great video.....I have been dealing with prolapse for 5 years now. I am also saddened by the lack of education/prevention for prolapse in early stages. I have seen a urologist, a gyn, and a urogyn. NONE told me prolapse would get worse.......NONE offered a "solution" other than a pessary. I have no function issues only structural issues. Sadly, the urogyn that I waited 5months to see cancelled my appointment 2 weeks prior to seeing her because she learned I had prior seen a urogyn. I am now left with not so many choice to repair what started out as a ceiling prolapse and could have been a simple repair and simple pelvic floor restoration. I am in the process of finding a quality physician to help me.
I am beyond angry! After seeing a gerontologist (I'm 71) & a urologist for debilitating back pain & numerous UTI's, NO ONE ever mentioned; asked; or did an exam for pelvic organ prolapse. Why aren't women educated about this prevalent horrifying issue! This borders on negligent abuse of women by the medical community!
You are not the only woman that is experiencing this substandard medical care If one is a childbearing woman you are not neglected but once you are menopausal you do not exist. Some of this lack of care is due to lack of knowledge in treating menopausal women and the other is you are aging just accept and move on. I have to be my own advocate when I am dealing with medical people. You have to do your own research when it comes to your medical care especially when it comes female care. Women stand up for yourself do not be intimidated .
This is the same with me. The back pain and sciatica that comes from it. I now walk with a frame and really can't walk far. I have been suffering for years and made to feel like there was nothing wrong. Now I finally know I can try and fix it x
very helpful! I had a prolapse surgery and didn't know I had to continue with prolapse exercise. I am using a pessary ring now as it felt like I was heading toward another prolapse.
Thank you Doctor for explaining this condition in a good way. It's very helpful for me to understand the situation of mine, as I am going thru the same problem.
Thisnshould be taught to every pregnant woman! And also given proper exercise instruction. I will pass this on to my daughter who is a dulah..and also has 7 kiddos..might need it herself. Many thanks!
Doctor, I was recently diagnosed with vaginal prolapse Stage 1. What an excellent illustration of the condition. You are a brilliant teacher. Thank you.
I have this problem 😭 too I was crying coz I'm scare later after i do visit gynecologist Dr then she told me this like common to women pelvic problem , then I do search from RUclips ..abit relief from tension
Thank you so much for the demonstration now I clearly see what is actually happening down there, and I feel empowered as I have recently been diagnosed
Thank you kindly Dr. C. You gave me an excellent visual of what may be happening to me, and helps me understand the importance of exercising the muscles before it’s too late. I found your demonstration very interesting and helpful.❤ Thank you ❤
I truly appreciate that informative explanation of prolapse. I am convinced my prolapse would have been far worse if I was not adding plant based collagen to my am shakes. I also heard there are pelvic devices I can sit on that will help my muscles to expand and contract
Not weird at all! I just had a total hysterectomy with a bladder sling repair and rectocele repair. It all started from a prolapse which was the bulge you demonstrated that made me call my doctor and within 2 months I had surgery.
Thank you for your reply. Recurrence in that study was anatomical not symptomatic, and therefore of doubtful clinical significance. In the UK it’s symptomatic recurrence that is considered most important.
What an ingenious way to demonstrate what's happening it the prolapse scenario, I never could quite grasp want was happening with it. But I have done Kegel exercises my whole life and when I was younger, I thought I was doing them to tighten my vagina after childbirth, little did I know it would help with this. I don't care so much about a tight vagina anymore but I do care about a tight pelvis wall.
I fought every step of the way to get my surgery and it was very successful don’t be put off get it done ! Don’t be fobbed off , I was told lies , that I was too fat , that it wouldn’t last, that most women have a problem. And that I was being silly . Go for it demand it , please ! It’s the best thing , med wouldn’t put up with walking around with this condition. I’m 66 and got it done 15 years ago as I was still a relatively young woman and I got my confidence back in every respect . Exercise doesn’t work I’m telling you because I tried everything
Which type of operation did you do, i’m asked to get operated bt i’m really scared n confused if i should do it, am hving a ring(Hrt) and a pessary at the moment bt they feel i better go for surgery
@@rekhamirchandani8848 honey I had a prolapse after my first baby who was 10 pounds I was in a mess but got a repair and I’m in the uk soi don’t know where you are . It was a 25 min repair and the just stitched me up , and put everything wher it was supposed to be to be . I had no pain , a bit of discomfort but really nothing to worry about . I guess you do have to be a bit careful for a few weeks as I’m not lifting heavy stuff , and it’s the best thing I ever did , they tried to say use legal exu and a ring , but my prolapse was so bad , but the consultant said it wasn’t bad , and most women have the same problem but just get on with it? Then he said I was overweight and it may not be successful, and I truly believe that they try to fob you off .
@@sdmakeupandentertainment yes I did I had a severe prolapse after having my first child who was ten pounds. I suffered with it for 16 years and the consultant in the uk was very reluctant to do anything , telling me I was overweight, that the surgery wouldn’t last, that most women had the same problem and I was a nuisance , well I got it done and it was the best thing I ever did . Got my confidence back and havnt had any problems 20 years on
I have been seeing a urogynecologist who is rather brash, has explained little, thinks my questions are superfluous, and has offered extensive surgery as the only option. Once I realized where he was coming from, I thanked him and said, "Goodbye" - instinctively I also feel my prolapse is a fitness issue and will pursue seeing a DPT for long term results. Thanks very much for your explanations!
This video was extremely informative about this women's health issue. I had no idea that it can take years for prolapse to develop. I am 45, and I had 3 unmedicated childbirths and had a bit of "strengthening" of pelvic floor muscles in the post-partum recovery of my third to feel everything return to a normal. In reflection it around 9-12 months of daily kegel exercises. Everything felt fine and normal until 10 years later I experienced a debilitating stroke during which I experienced hemi-paresis of my right side. The lack of muscle sensation and muscle tone caused the vaginal prolapse to return, only more severe than before. Knowing that one should be mindful of exercising the pelvic floor muscles after the stroke should be incorporated into the physiotherapy treatment/recovery. It is a very difficult and embaressing topic to bring up to others. Thank you for this information, and I will share this info with others!
Very helpful i just came from the doctor and he told me I could learn how to manage my problem on youtube so thank you this was very helpful in understanding how I can help myself get better
Thank you very much for the vaginal prolapse information. I have decided NOT to have surgery for my Anterior vaginal prolapse. You get 5 stars! Thanks again.
Thank you for this information. I went to my OB GYN because I was having prolapse symptoms and she said I could either have surgery or a pessary and that exercises wouldn't help. It makes me sick to think she would have done the surgery and I wouldn't have thought that I needed to do exercises and then it would just reoccur... This is just an example of why I don't trust doctors except for RUclips doctors like yourself who really care about people and want to help them.
I had 7 full term births, I wish we had the internet years ago because Ive learned more about life than any school could teach., and it’s it funny how most doctors don’t tell you what to expect after having so many children. I’m using a rubber disc right now, I don’t want to go in the hospital.
Thank you for this informative video. I was told eighteen years ago that I had prolapse, but it didn't really start affecting me until 3 years ago, at the age of 50. it's to a point where it is actually protruding that I will just have to use a belt, which is a life saver at work, until I have insurance will pay for surgery. I always thought that it was the uterus protruding out, instead of the vagina...
I have a grade one bladder prolapse Really don't know if I am going to have to end up having surgery. Currently I am in the hands of Uro gynaecology team who are Great I am sure they will do the Right thing.
It would be nice if physicians would tell this after child birth and tell you to do them all your life. I am 61 ans fit but all my organs are currently falling out. It might be too late for exercise to help. I am trying.
I have been doing kegel exercises all my life. My Dr said after I had my daughter that I had good vaginal cavity. I still had a prolapse. Smh some ppl it happens to. My Dr said that a lot of factors determine this. And kegel exercises are not scientifically found to stop a prolapse. I still do my kegel exercises.
I just had a hysterectomy because my uterus was pressing on my bladder. When organs prolapse usually a hysterectomy is recommended. I had a mesh net placed inside to help with my bladder
I had a pessary for only 1 year and now it's causing problems like slipping and lots of discharge and stomach aches. Any suggestions? Did you have any problems with your pessary?
@susanferrara528 your doctor should be removing the pessary and examining the vagina every 3 months. Please let your doctor know tor know about the problems you are having. Sometimes you need to refit a pesssry
@@thepelvicfloorsolution thank you very much. I have been having it removed and checked every 3 months, but just recently it's been moving/shifting and causing pain. I will definitely ask her about a refit. What type of pessary do you use?
From YT explainer by a PF therapist, i have learn't that a prolapse can put pressure on the PF. Which makes training of the PF nearly impossible... ( i am trying for 10+ yrs now) Thank you for this explaination. The hospital crew labels my prolapse " too mild for surgery" ... so i have wait till my organs fall out...
@@thepelvicfloorsolution 2 real life pf therapist and 3 online programs couldn't. Tough they all started with " but OUR prgramm really works" ... does yours come with a bottle of motivation ?
It would be helpful to see the exercises. I’m super fit. And still have a prolapse. I workout mindfully. I did levels at every stop light for no less than ten years. I have gained ten pounds in perimenopause. But I’m not over weight. Two years ago I decided I wanted to gain more muscle to support myself through my menopause journey. That made my prolapse worse. Since then I have been training on a product my husband created called The Answer. My prolapse is better. Be careful how you exercise ladies. All my workouts are centered around core strength. I wish I would have had The Answer after I had my babies.
Thank you for the clever props and demonstrations you gave. I am 73 and had a complete hysterectomy at 33 due to endometriosis. I don’t think I have prolapse but my doctor says I have a lot of scar tissue, shortening the vaginal depth. Is that related to making a person more susceptible to prolapse? Can using dialators help in any way for prevention? How about collagen? Would that be beneficial?. Is anything that thickens the vaginal lining beneficial? Thank you, if you choose to answer.
Just Dx 1st Stage Vag Vault Prolapse and this was very helpful. Since I'm 4 yrs post Hyst BSO etc due to G3EEC MSI (H) i failed to ask if i should continue using vag dialator x 3 a week. I was referred to pelvic floor center.
Thank you Dr I have a prolapse which was diagnosed 2018 as yet still unsure about surgery in 2023 My consultant keeps saying to me to have surgery i feel she is rushing me I had my Son 33 years ago and i was never advertised the importance of pelvis floor exercises But now i have started i do not want surgery I am seeing the consultant again in 6 months time hopefully by then My symptoms of the prolapse will have got better At this present moment i do not want surgery Once again thank you
Thank you Dr for replying I really appreciate it I was fitted with a pessary last September 2022 but I had to go back few times because the prolapse was pushing down the pessary I was refitted with different size It is very comfortable but the prolapse still pushes down I have started pelvic floor therapy So hopefully in 6 months time I will have tightened my pelvic floor muscles because I do not want surgery I will make this a life habit every day please God Once again thank Dr
Episiotomy procedure cuts the very muscles that layer cause prolapse. I was told that due to improper stitching after an Episiotomy my muscles no longer worked right if at all. I wish they could please please please figure out real fix for this.
To correct your statement, the correct fact is that about 30% of patients who have prolapse or incontinence surgery have another urogynaecological surgical procedure later in life (Olsen 1996). This is usually not a repeat procedure, but is a different urogynaecological procedure, not a failure of the original surgery. Recurrence of the same problem occurs in about 5% only, so 95% do not have the same procedure again (recurrence).
Thank you Dr Smith for watching this video! I appreciate your feed back. There are indeed procedures with low (5%) failure rates; mesh sacral-colpopexy comes to mind. Repairs accomplished vaginally do not seem to be so durable. One study that reflects this is the multi-center extended study published in JAMA in 2018 (JAMA. 2018;319(15):1554-1565. doi:10.1001/jama.2018.2827). What is interesting is that, despite surgical failure as they defined it, most patients still reported improved symptoms compared to preoperative baseline.
I had three pregnancy’s and two live births. At the time I delivered my babies the normal routine was forceps. Both of my births were with forceps. I had complete hysterectomy my dr said he was removing everything so I wouldn’t have to worry about getting ovarian cancer from using hormone replacement. The hormone replacement didn’t seem to anything for me. I stopped after three years with all the controversy. After the hysterectomy I had trouble with blaster leaking. I went and had therapy for 12 weeks. After that time I was told it’s not going to get any better. I’m now 74 and have pelvic floor prolapse. Blatter and colon. I wish they knew these thing back when I was child birth age. Before childbirth I had very strong pelvic floor muscles!
For several years, the ischial pain was worse....thinking it was ortho in nature. Nope.....after two, years, symptoms almost gone with just a "pessary." I hate it, but APPRECIATE it.... to be out of pain!
Thanks. Look at Steven Swifts work on asymptomatic, 'normal' women attending for routine check ups . He, and others, found that over 80% had stage 1 or 2 'prolapse' which was not 'bothersome'. By bothersome I mean with the only reliable specific symptom of uterovaginal prolapse which is the awareness of a lump. No women with stage 1 will be aware of a lump. It's normal, and should never have been called 'prolapse', like 'stage' 0 . The great problem, on both sides of the pond, is that many old texts and studies considered symptoms such as pelvic 'discomfort', backache and dyspareunia as often due to prolapse. They are not. These particular unrelated symptoms can however be improved in many cases by supportive physiotherapy, and they are not improved by surgical correction of the anatomical stage of 'prolapse'. However once a women is aware of a lump at the interoitus, which bothers her, and this is demonstrated on clinical examination (standing valsava with no traction on the cervix) I have never seen a resolution of this true prolapse symptom by anything other than a device or surgery. Once studies include 'stage 1' in their study group as 'prolapse' the results are of little value. Stages 2+ represent damage to fascial supports which cannot be affected by physiotherapy/physical therapy, and no study has shown a reduction of the stage of prolapse by muscle training. I'm sure Kari Bo would agree. The placebo effect of attentive, one to one physiotherapy, might reduce bothersomeness in the short term at most. Vaginal oestrogen is always useful. The one great disadvantage of the introduction of cervical screening is the common finding that vaginal support is reduced with age and after childbirth, usually asymptomatic, and inexperienced nurses and primary care physicians wrongly call this prolapse. Referral at this time to an overenthusiastic pelvic floor surgeon, particularly one keen to operate, can be so harmful, leading to difficult and unnecessary surgery and complications. BW
Loved your video makes it a lot simpler to understand I live in Denver Colorado. I have a level five prolapse Give birth in 1992 to a 10 pound baby with a triple episiotomy which intern caused the prolapse overtime fearful to have the surgery because I know one and three women have to have it done again, the worst part of my prolapse is vaginal but it’s starting to affect rectal issues and bladder issues will be try and Pilates soon because I would like to avoid surgery altogether also gave birth in 2009 which also caused more prolapse issues
🙏🥰Doctor, many Women will Thank You for sharing this, will appreciate the information plus Demo and get busy doing the excercise to help themselves hopefully…avoid surgery if at all possible!
So after becoming 71 years old & never having any kind of sex or at physical understanding , I know how & why & more importantly what I must now do to avoid surgery .
Thank you for this video. I am 78 and have pelvic floor dysfunction. My bladder comes almost all the way out and there is a lot of pressure when this happens. I have a pessary, but am hesitant to use it. Instead, I push the bladder back up with my fingers with tissue over my fingers. I then wear a 3 inch Ace wrap to support the pelvic floor. The Ace wrap goes from my shoulder down the front of my trunk and also down the back side, and under the vagina. It is then secured with the velcro on the end of the Ace. So it's kind of like a sling, but firmly in place, not loose. It does help. In your video, you said surgery is not advisable. For those of us who have stage 4 prolapse, what do you recommend?
Dear doctor thank you ❤. I am pregnant and at the beginning of the pregnancy I was diagnosed with a level 3 uterine prolapse (I have never had sign of this, even if I had a baby girl 5 years ago, now it's my second baby). For the prolapse I was given a pessary that I removed when the uterus became bigger for the baby growing and didn't 'fall' into vagina. I am terrified to have the prolapse again after baby delivery, because my gynecologist told me I could have an hysterectomy.. I am 40 now! I don't want to have hysterectomy at all! I am doing kegels now while pregnant. I have always had a very active life, running swimming crossfit..I had Never thought of having prolapse problems or a hysterectomy! Please help 😢 I am desperate 😢. Greetings from Italy ❤
Greetings. Check out PfilAtes.com. You can learn the method for $49 usd. Don’t do the three movements involving laying flat on your back after 12 weeks of the pregnancy. After delivery resume exercises once no longer in pain. Good luck
This video was extremely helpful and gave me a better understanding on my condition. I have mild-moderate prolapse of the uterus. It was that slight bulge that was sticking out my vigina that allowed me to know something was wrong. I am postmenopausal, over the age of 60, and muscles became weak. I was fitted with a pessary for two weeks went back to my doctor to check to make sure the fit was ok and told to come back in three months for the cleaning and reinstallment of the device. The initial fitting was very uncomfortable but I was lucky I didn't have to go through too many to get the right fit the first was obviously too big the horn the secret ng the ring with support was perfect. I needed the smallest size but before this you have to get MRI etc etc to see if you a candidate for this option to avoid surgery or getting stitch. As a doctor you know what I mean anyway for two weeks I adjust to the device at first sitting was arkward not painful. The device never felt like it was trying to come out I was told to watch for this. I coughed ,had normal urinations and bowel movements all I monitored in those two week. I returned to my doctor and it was good to go. I am glad I caught it in time because it could have been happening inside like you said and not until it started to protrude outside the virgina that I knew something was wrong. I whipped one day and felt the tissue touch something that was like a nob round. I used the mirror and there it was. You could literally see some veins running through the little round mass of tissue it was clearly attached to something because it feels like your touching you insides. Anyway I am so glad you made this detailed video and I plan to share it with as many people as I can. ❤ Thank you.
![3 Things NOT To Do To Cause Prolapse [Or Make It Worse!]](http://i.ytimg.com/vi/HQva50kcS9M/mqdefault.jpg)
![3 Things NOT To Do To Cause Prolapse [Or Make It Worse!]](/img/tr.png)
This was extremely helpful and I wish doctors would speak to women about this. I believe I could have 💯% healed this issue before it became the issue now. I had two vaginal births back to back, (July 21 + Oct 22) and severe pelvic pain my second pregnancy to the point I could barely walk. And complained to my OB and asked to be sent to a pelvic floor therapist. Neither of them stressed the importance of doing exercises and that it could lead to this. It’s very upsetting bc I believe this could have been prevented and caught if we had better postpartum care. Postpartum care looking for this issue and teaching women how to prevent it and repair their muscles after pregnancy. Thank you for this video! And it encourages me to share this video!
I have been searching and reading comments from female gynecologists and patients for more than two hours. It took a man with a sock (No offense, because I know you're much more than that.) to explain Uterine Prolapse so that I can understand. Now, I can make a medical appointment and have some knowledge of what's going on with me. Thank you Dr. C.
Same here. A man with a sock. He cares about us
Wow same here
This is an excellent presentation and a nice way to talk about something that is simply 'not fun or uncomfortable'. It gives great insight into the inner workings of the female anatomy! Thank you again!
Wow, thank you!
@@thepelvicfloorsolution 2:55
Plz tell me which exercise ????@@thepelvicfloorsolution
Thank you for explaining it so well. My family member is suffering from it and now with exercise she is feeling much better. I had not idea what the issue was until you explained so well.
Thank you for the comment. Is she using The PfilAtes Method of pelvic floor exercise?
Hi, which exercice?
Thank you Bruce, your demonstration, sock and pelvic model together with your clear, concise and easy to understand teaching was perfect for me. Again thanks!
Glad it was helpful!
I hate to look at anatomical models or pictures, but ALWAYS take valuable knowledge from them by doing so.
Thank You !
This is actually a pretty brilliant demonstration of vaginal prolapse.
Great video.....I have been dealing with prolapse for 5 years now. I am also saddened by the lack of education/prevention for prolapse in early stages. I have seen a urologist, a gyn, and a urogyn. NONE told me prolapse would get worse.......NONE offered a "solution" other than a pessary. I have no function issues only structural issues. Sadly, the urogyn that I waited 5months to see cancelled my appointment 2 weeks prior to seeing her because she learned I had prior seen a urogyn. I am now left with not so many choice to repair what started out as a ceiling prolapse and could have been a simple repair and simple pelvic floor restoration. I am in the process of finding a quality physician to help me.
Good luck to you. Don’t give up. Maybe check out PfilAtes.com.
I am beyond angry! After seeing a gerontologist (I'm 71) & a urologist for debilitating back pain & numerous UTI's, NO ONE ever mentioned; asked; or did an exam for pelvic organ prolapse. Why aren't women educated about this prevalent horrifying issue! This borders on negligent abuse of women by the medical community!
You are not the only woman that is experiencing this substandard medical care
If one is a childbearing woman you are not neglected but once you are menopausal you do not exist.
Some of this lack of care is due to lack of knowledge in treating menopausal women and the other is you are aging just accept and move on.
I have to be my own advocate when I am dealing with medical people. You have to do your own research when it comes to your medical care especially when it comes female care.
Women stand up for yourself do not be intimidated .
Exactly not enough education given to women, I guess .I am waiting for months to be seen by the gynaecologist
This is the same with me. The back pain and sciatica that comes from it. I now walk with a frame and really can't walk far. I have been suffering for years and made to feel like there was nothing wrong. Now I finally know I can try and fix it x
very helpful! I had a prolapse surgery and didn't know I had to continue with prolapse exercise. I am using a pessary ring now as it felt like I was heading toward another prolapse.
Can you do a video on prolapse bladder where you show what’s happening like you did with the sock? Thank you.
Thank you Doctor for explaining this condition in a good way. It's very helpful for me to understand the situation of mine, as I am going thru the same problem.
Thanks!
Thisnshould be taught to every pregnant woman! And also given proper exercise instruction. I will pass this on to my daughter who is a dulah..and also has 7 kiddos..might need it herself. Many thanks!
Wonderful!
Doctor, I was recently diagnosed with vaginal prolapse Stage 1. What an excellent illustration of the condition. You are a brilliant teacher. Thank you.
Thank you. Check out PfilAtes.com for an excellent program.
I lost a dear friend very recently who suffered from prolapse , I had no idea that this happens to some women, thanks for creating this awareness.
What did she die from?
I have this problem 😭 too I was crying coz I'm scare later after i do visit gynecologist Dr then she told me this like common to women pelvic problem , then I do search from RUclips ..abit relief from tension
What did your friend die of?? Was it a prolaspe??
Thank you so much for the demonstration now I clearly see what is actually happening down there, and I feel empowered as I have recently been diagnosed
Thank you kindly Dr. C. You gave me an excellent visual of what may be happening to me, and helps me understand the importance of exercising the muscles before it’s too late. I found your demonstration very interesting and helpful.❤ Thank you ❤
That’s wonderful! Thank you. Join us on PfilAtes.com for the P49 pelvic floor fitness course.
I truly appreciate that informative explanation of prolapse. I am convinced my prolapse would have been far worse if I was not adding plant based collagen to my am shakes. I also heard there are pelvic devices I can sit on that will help my muscles to expand and contract
I had the mesh prolapse repair in 2001. It was a great success.
Good to hear. I might be facing this soon.
Good news I'm thinking about doing the mesh
My mesh broke. Good for you …😊
I visited a gynecologist
And was discouraged about the
Surgery. Your video explains why
Thanks
Thank you
This presentation of vaginal prolapse really helps me understand my problem. Thank you Dr. Crawford.
Not weird at all! I just had a total hysterectomy with a bladder sling repair and rectocele repair. It all started from a prolapse which was the bulge you demonstrated that made me call my doctor and within 2 months I had surgery.
Thank you for your reply. Recurrence in that study was anatomical not symptomatic, and therefore of doubtful clinical significance. In the UK it’s symptomatic recurrence that is considered most important.
Same for me! No one ever thought it could be prolapse
Very clear what occurs in a prolapse. Couldn't have done a better job explaining everything.
You are the best,you made this simple for me to understand. Thanks Dr.
Thank you
What an ingenious way to demonstrate what's happening it the prolapse scenario, I never could quite grasp want was happening with it. But I have done Kegel exercises my whole life and when I was younger, I thought I was doing them to tighten my vagina after childbirth, little did I know it would help with this. I don't care so much about a tight vagina anymore but I do care about a tight pelvis wall.
I fought every step of the way to get my surgery and it was very successful don’t be put off get it done ! Don’t be fobbed off , I was told lies , that I was too fat , that it wouldn’t last, that most women have a problem. And that I was being silly . Go for it demand it , please ! It’s the best thing , med wouldn’t put up with walking around with this condition. I’m 66 and got it done 15 years ago as I was still a relatively young woman and I got my confidence back in every respect . Exercise doesn’t work I’m telling you because I tried everything
I agree, they don’t work!
Which type of operation did you do, i’m asked to get operated bt i’m really scared n confused if i should do it, am hving a ring(Hrt) and a pessary at the moment bt they feel i better go for surgery
@@rekhamirchandani8848 honey I had a prolapse after my first baby who was 10 pounds I was in a mess but got a repair and I’m in the uk soi don’t know where you are . It was a 25 min repair and the just stitched me up , and put everything wher it was supposed to be to be . I had no pain , a bit of discomfort but really nothing to worry about . I guess you do have to be a bit careful for a few weeks as I’m not lifting heavy stuff , and it’s the best thing I ever did , they tried to say use legal exu and a ring , but my prolapse was so bad , but the consultant said it wasn’t bad , and most women have the same problem but just get on with it? Then he said I was overweight and it may not be successful, and I truly believe that they try to fob you off .
Did you have pelvic floor reconstruction?
@@sdmakeupandentertainment yes I did I had a severe prolapse after having my first child who was ten pounds. I suffered with it for 16 years and the consultant in the uk was very reluctant to do anything , telling me I was overweight, that the surgery wouldn’t last, that most women had the same problem and I was a nuisance , well I got it done and it was the best thing I ever did . Got my confidence back and havnt had any problems 20 years on
I have been seeing a urogynecologist who is rather brash, has explained little, thinks my questions are superfluous, and has offered extensive surgery as the only option. Once I realized where he was coming from, I thanked him and said, "Goodbye" - instinctively I also feel my prolapse is a fitness issue and will pursue seeing a DPT for long term results. Thanks very much for your explanations!
Good luck
This video was extremely informative about this women's health issue. I had no idea that it can take years for prolapse to develop. I am 45, and I had 3 unmedicated childbirths and had a bit of "strengthening" of pelvic floor muscles in the post-partum recovery of my third to feel everything return to a normal. In reflection it around 9-12 months of daily kegel exercises. Everything felt fine and normal until 10 years later I experienced a debilitating stroke during which I experienced hemi-paresis of my right side. The lack of muscle sensation and muscle tone caused the vaginal prolapse to return, only more severe than before. Knowing that one should be mindful of exercising the pelvic floor muscles after the stroke should be incorporated into the physiotherapy treatment/recovery. It is a very difficult and embaressing topic to bring up to others. Thank you for this information, and I will share this info with others!
Thank you the thé encouragement!
Very helpful i just came from the doctor and he told me I could learn how to manage my problem on youtube so thank you this was very helpful in understanding how I can help myself get better
Glad it helped! www.pfilates.com/pfilates-online/
Thank you very much for the vaginal prolapse information. I have decided NOT to have surgery for my Anterior vaginal prolapse. You get 5 stars! Thanks again.
good for you. work on the pelvic floor muscles!
Thank you for this information. I went to my OB GYN because I was having prolapse symptoms and she said I could either have surgery or a pessary and that exercises wouldn't help. It makes me sick to think she would have done the surgery and I wouldn't have thought that I needed to do exercises and then it would just reoccur... This is just an example of why I don't trust doctors except for RUclips doctors like yourself who really care about people and want to help them.
Thank you. I am hoping to avoid surgery
Good luck!
Great explanation of this. I would like to here about ways to tighten these mussels. Better presentation that my GYN.
thank you! join us online for the next P49 class. www.Pfilates.com
I had 7 full term births, I wish we had the internet years ago because Ive learned more about life than any school could teach., and it’s it funny how most doctors don’t tell you what to expect after having so many children. I’m using a rubber disc right now, I don’t want to go in the hospital.
Thank you for this informative video. I was told eighteen years ago that I had prolapse, but it didn't really start affecting me until 3 years ago, at the age of 50. it's to a point where it is actually protruding that I will just have to use a belt, which is a life saver at work, until I have insurance will pay for surgery. I always thought that it was the uterus protruding out, instead of the vagina...
Your demo was so well articulated Thank you~
Excellent simple and graphically understood 👍
I thought I was the only one with this problem
Very well described. Woukd love to hear about the great work you are doing to help women with prolapse
Thanks! Please consider taking the P49 webinar. You can sign up at www.pfilates.com
I have a grade one bladder prolapse
Really don't know if I am going to have to end up having surgery.
Currently I am in the hands of
Uro gynaecology team who are
Great I am sure they will do the
Right thing.
It would be nice if physicians would tell this after child birth and tell you to do them all your life. I am 61 ans fit but all my organs are currently falling out. It might be too late for exercise to help. I am trying.
Thanks Hilary. Consider joining a P49 webinar www.pfilates.com/pfilates-online/
It would be nice if they would educate us women since our teens about pelvic floor health and how to keep it functional together with the core.
I have been doing kegel exercises all my life. My Dr said after I had my daughter that I had good vaginal cavity. I still had a prolapse. Smh some ppl it happens to. My Dr said that a lot of factors determine this. And kegel exercises are not scientifically found to stop a prolapse. I still do my kegel exercises.
@@harristanaya31be sure to be laying down when doing them but I would eventually just get the surgery they have an easier one 2 insissions in front.
I just had a hysterectomy because my uterus was pressing on my bladder. When organs prolapse usually a hysterectomy is recommended. I had a mesh net placed inside to help with my bladder
Absolutely right ,education or knowledge is must,im facing prolapse due to pick up a heavy wet blanket 😢😢
Consider The PfilAtes Method to strengthen your pelvic floor
@@thepelvicfloorsolution ok thanks a lot
Yes,, Among other things, this video was an excellent visual ...Your Calm speaking Also was very nice,, Thank You....
I have a pesire inserted at least 20 yrs ago, I am 94 now and having some leakage , thank goodness for women’s pads.
Wow! You are my hero. Pfilates with modifications can help seniors. Check out pfilates.com
I had a pessary for only 1 year and now it's causing problems like slipping and lots of discharge and stomach aches. Any suggestions? Did you have any problems with your pessary?
@susanferrara528 your doctor should be removing the pessary and examining the vagina every 3 months. Please let your doctor know tor know about the problems you are having. Sometimes you need to refit a pesssry
@@thepelvicfloorsolution thank you very much. I have been having it removed and checked every 3 months, but just recently it's been moving/shifting and causing pain. I will definitely ask her about a refit. What type of pessary do you use?
You explained this in a perfect way. I totally understand how and why this happens to woman.
Thank you so much!!
@@thepelvicfloorsolutionyou’re welcome
From YT explainer by a PF therapist, i have learn't that a prolapse can put pressure on the PF. Which makes training of the PF nearly impossible... ( i am trying for 10+ yrs now)
Thank you for this explaination. The hospital crew labels my prolapse " too mild for surgery" ... so i have wait till my organs fall out...
You can improve pelvic floor performance with PfilAtes
@@thepelvicfloorsolution 2 real life pf therapist and 3 online programs couldn't. Tough they all started with " but OUR prgramm really works" ... does yours come with a bottle of motivation ?
Excellent visual to help me throughly understand!
Love your example it really help understand what is going on with my body .Thank u .
This is very helpful. The prop was very clear. Thanks.
Very helpful thanks you I’m researching the issue now
It would be helpful to see the exercises. I’m super fit. And still have a prolapse. I workout mindfully. I did levels at every stop light for no less than ten years. I have gained ten pounds in perimenopause. But I’m not over weight. Two years ago I decided I wanted to gain more muscle to support myself through my menopause journey. That made my prolapse worse. Since then I have been training on a product my husband created called The Answer. My prolapse is better. Be careful how you exercise ladies. All my workouts are centered around core strength. I wish I would have had The Answer after I had
my babies.
Look up Kegal exercises
Thank you for the clever props and demonstrations you gave.
I am 73 and had a complete hysterectomy at 33 due to endometriosis. I don’t think I have prolapse but my doctor says I have a lot of scar tissue, shortening the vaginal depth. Is that related to making a person more susceptible to prolapse?
Can using dialators help in any way for prevention? How about collagen? Would that be beneficial?. Is anything that thickens the vaginal lining beneficial?
Thank you, if you choose to answer.
Hi. Lack of estrogen can narrow and shorten the vagina. Estrogen cream can help prevent this. Dilators can help but are not a long term solution.
Excellent video…I have a prolapse ..don’t want surgery so hoping by exercising it will be ok.
Hello.... are you married or not do you have child is okay to having prolapse before pregnancy?
This is a very good demonstration to my problem
Just Dx 1st Stage Vag Vault Prolapse and this was very helpful. Since I'm 4 yrs post Hyst BSO etc due to G3EEC MSI (H) i failed to ask if i should continue using vag dialator x 3 a week. I was referred to pelvic floor center.
Thank you for the explanation and demonstration. I wish I had a good Dr like you .
I am available for online consultations if you are interested
Thank you Dr
I have a prolapse which was diagnosed 2018 as yet still unsure about surgery in 2023
My consultant keeps saying to me to have surgery i feel she is rushing me
I had my Son 33 years ago and i was never advertised the importance of pelvis floor exercises
But now i have started i do not want surgery
I am seeing the consultant again in 6 months time hopefully by then
My symptoms of the prolapse will have got better
At this present moment i do not want surgery
Once again thank you
Hi Mary. Yes do your best with PF exercise. Perhaps take our p49 course (www.Pfilates.com). Talk to your doctor about a pessary device as well
Thank you Dr for replying I really appreciate it
I was fitted with a pessary last September 2022 but I had to go back few times because the prolapse was pushing down the pessary
I was refitted with different size
It is very comfortable but the prolapse still pushes down
I have started pelvic floor therapy
So hopefully in 6 months time I will have tightened my pelvic floor muscles because I do not want surgery
I will make this a life habit every day please God
Once again thank Dr
Finally I understand what is happening to me. Thank you.
Episiotomy procedure cuts the very muscles that layer cause prolapse. I was told that due to improper stitching after an Episiotomy my muscles no longer worked right if at all. I wish they could please please please figure out real fix for this.
That was very helpful. It helped me to visualize the problem.
I’m so glad!
To correct your statement, the correct fact is that about 30% of patients who have prolapse or incontinence surgery have another urogynaecological surgical procedure later in life (Olsen 1996). This is usually not a repeat procedure, but is a different urogynaecological procedure, not a failure of the original surgery. Recurrence of the same problem occurs in about 5% only, so 95% do not have the same procedure again (recurrence).
Thank you Dr Smith for watching this video! I appreciate your feed back. There are indeed procedures with low (5%) failure rates; mesh sacral-colpopexy comes to mind. Repairs accomplished vaginally do not seem to be so durable. One study that reflects this is the multi-center extended study published in JAMA in 2018 (JAMA. 2018;319(15):1554-1565. doi:10.1001/jama.2018.2827). What is interesting is that, despite surgical failure as they defined it, most patients still reported improved symptoms compared to preoperative baseline.
This was an incredibly helpful video with great explanations and information - thank you.
Thank you
This was so helpful thank you.
I wish they taught this. I’m a mess that’s all I’m saying. I also have hEDS. There needs to be awareness about that too
I had three pregnancy’s and two live births. At the time I delivered my babies the normal routine was forceps. Both of my births were with forceps. I had complete hysterectomy my dr said he was removing everything so I wouldn’t have to worry about getting ovarian cancer from using hormone replacement. The hormone replacement didn’t seem to anything for me. I stopped after three years with all the controversy. After the hysterectomy I had trouble with blaster leaking. I went and had therapy for 12 weeks. After that time I was told it’s not going to get any better. I’m now 74 and have pelvic floor prolapse. Blatter and colon. I wish they knew these thing back when I was child birth age. Before childbirth I had very strong pelvic floor muscles!
Consider PfilAtes for $49. Www.pfilates.com
For several years, the ischial pain was worse....thinking it was ortho in nature. Nope.....after two, years, symptoms almost gone with just a "pessary." I hate it, but APPRECIATE it.... to be out of pain!
Thanks. Look at Steven Swifts work on asymptomatic, 'normal' women attending for routine check ups . He, and others, found that over 80% had stage 1 or 2 'prolapse' which was not 'bothersome'. By bothersome I mean with the only reliable specific symptom of uterovaginal prolapse which is the awareness of a lump. No women with stage 1 will be aware of a lump. It's normal, and should never have been called 'prolapse', like 'stage' 0 . The great problem, on both sides of the pond, is that many old texts and studies considered symptoms such as pelvic 'discomfort', backache and dyspareunia as often due to prolapse. They are not. These particular unrelated symptoms can however be improved in many cases by supportive physiotherapy, and they are not improved by surgical correction of the anatomical stage of 'prolapse'. However once a women is aware of a lump at the interoitus, which bothers her, and this is demonstrated on clinical examination (standing valsava with no traction on the cervix) I have never seen a resolution of this true prolapse symptom by anything other than a device or surgery. Once studies include 'stage 1' in their study group as 'prolapse' the results are of little value. Stages 2+ represent damage to fascial supports which cannot be affected by physiotherapy/physical therapy, and no study has shown a reduction of the stage of prolapse by muscle training. I'm sure Kari Bo would agree. The placebo effect of attentive, one to one physiotherapy, might reduce bothersomeness in the short term at most. Vaginal oestrogen is always useful.
The one great disadvantage of the introduction of cervical screening is the common finding that vaginal support is reduced with age and after childbirth, usually asymptomatic, and inexperienced nurses and primary care physicians wrongly call this prolapse. Referral at this time to an overenthusiastic pelvic floor surgeon, particularly one keen to operate, can be so harmful, leading to difficult and unnecessary surgery and complications. BW
Am I understanding this comment to mean that once there is a bulge coming out of the vagina, it’s too late for self recovery!!
@@e.e.7114 Kindof sounds like it?
Very helpful because am fecing this very problem now.
Glad it helped
Excellent explanation
Loved your video makes it a lot simpler to understand I live in Denver Colorado. I have a level five prolapse Give birth in 1992 to a 10 pound baby with a triple episiotomy which intern caused the prolapse overtime fearful to have the surgery because I know one and three women have to have it done again, the worst part of my prolapse is vaginal but it’s starting to affect rectal issues and bladder issues will be try and Pilates soon because I would like to avoid surgery altogether also gave birth in 2009 which also caused more prolapse issues
Doctors should have been talking to women about estrogen and what it does for a woman's body , ie prevents ,ut's , organ prolapse, leaking , etc
Thank you for the visual Doctor. It was very helpful. I really appreciate it very much. Job well done.
Graphic.....but easily understood explanation....Thanks.
Very helpful I can now see in my mind after your demonstration what is actuality happening. Thank you so much
Glad it was helpful!
Great insight but how or what exercises should be done for this condition?
Check out PfilAtes.com.
Love your demo gives me understanding of what is really going on in my body. God bless you Dr.
So glad!
🙏🥰Doctor, many Women will Thank You for sharing this, will appreciate the information plus Demo and get busy doing the excercise to help themselves hopefully…avoid surgery if at all possible!
Thank you doctor clearly explained what exercise to do strengthen the pelvic muscle
Thank you
So after becoming 71 years old & never having any kind of sex or at physical understanding , I know how & why & more importantly what I must now do to avoid surgery .
That so helped me understand my vaginal vault prolapse
This is an excellent presentation. Thank you.
Thank you
I currently have no problem but this vid is just brilliant, thank you!
Simultaneously weird and helpful.
I've seen one such prolapse on an 70 or 80 plus year old. Her family wanted a pap test.
Thank you so much for your very informative video, I’m now understanding my prolapse 💙
That is great! Check out our prolapse coaching program at www.pfilates.com
thank you so much i hope to here more about prolapse
Very good explanation about prolapse
Many thanks
Thank you
That was very helpful, thank you!
I gave birth at 15 and 17 years old and my OBGYN never told me anything about prolapse and now I’m 39 I have prolapse
Thank you for this video. I am 78 and have pelvic floor dysfunction. My bladder comes almost all the way out and there is a lot of pressure when this happens. I have a pessary, but am hesitant to use it. Instead, I push the bladder back up with my fingers with tissue over my fingers. I then wear a 3 inch Ace wrap to support the pelvic floor. The Ace wrap goes from my shoulder down the front of my trunk and also down the back side, and under the vagina. It is then secured with the velcro on the end of the Ace. So it's kind of like a sling, but firmly in place, not loose. It does help. In your video, you said surgery is not advisable. For those of us who have stage 4 prolapse, what do you recommend?
Surgery is a good solution for some. I like your diy hack. Clever.
Very interesting topic,thank you Dr.
At 86 I have just learned that I have a prolapse after a cystoscope for bladder infections. I now need to see a gynaecologist. What will happen now
Really depends. Talk to your urogyn about PES series and pfm exercise
THANKYOU for your reply but I may have to wait until February 2024 before I see gynaecologist. In the meantime have my second uti in a month.
Very helpful, not wierd at all when you have one! Thank-you.
Thank you
That was very informative thank you now following and sharing in a prolapsed group
Glad it was helpful!
very helpful, but it looked painful. I'm doing the kegel exercise every day, my blader has prolapsed, I hope I can prevent further issues.
Check out PfilAtes.com. Pelvic floor exercise is better with movement
Really I appreciate your work it gives me more understanding on prolapse
Happy to help
Dear doctor thank you ❤. I am pregnant and at the beginning of the pregnancy I was diagnosed with a level 3 uterine prolapse (I have never had sign of this, even if I had a baby girl 5 years ago, now it's my second baby). For the prolapse I was given a pessary that I removed when the uterus became bigger for the baby growing and didn't 'fall' into vagina. I am terrified to have the prolapse again after baby delivery, because my gynecologist told me I could have an hysterectomy.. I am 40 now! I don't want to have hysterectomy at all! I am doing kegels now while pregnant. I have always had a very active life, running swimming crossfit..I had Never thought of having prolapse problems or a hysterectomy! Please help 😢 I am desperate 😢. Greetings from Italy ❤
Greetings. Check out PfilAtes.com. You can learn the method for $49 usd. Don’t do the three movements involving laying flat on your back after 12 weeks of the pregnancy. After delivery resume exercises once no longer in pain. Good luck
Wonderful information. I feel hope😊
This video was extremely helpful and gave me a better understanding on my condition. I have mild-moderate prolapse of the uterus. It was that slight bulge that was sticking out my vigina that allowed me to know something was wrong. I am postmenopausal, over the age of 60, and muscles became weak. I was fitted with a pessary for two weeks went back to my doctor to check to make sure the fit was ok and told to come back in three months for the cleaning and reinstallment of the device. The initial fitting was very uncomfortable but I was lucky I didn't have to go through too many to get the right fit the first was obviously too big the horn the secret ng the ring with support was perfect. I needed the smallest size but before this you have to get MRI etc etc to see if you a candidate for this option to avoid surgery or getting stitch. As a doctor you know what I mean anyway for two weeks I adjust to the device at first sitting was arkward not painful. The device never felt like it was trying to come out I was told to watch for this. I coughed ,had normal urinations and bowel movements all I monitored in those two week. I returned to my doctor and it was good to go. I am glad I caught it in time because it could have been happening inside like you said and not until it started to protrude outside the virgina that I knew something was wrong. I whipped one day and felt the tissue touch something that was like a nob round. I used the mirror and there it was. You could literally see some veins running through the little round mass of tissue it was clearly attached to something because it feels like your touching you insides. Anyway I am so glad you made this detailed video and I plan to share it with as many people as I can. ❤ Thank you.
Thank you for your feedback
Very helpful. Now, how about instructions for how to strengthen the muscles around the vagina?
Please go to PfilAtes.com and sign up for PfilAtes for $49.