Sign up for my free "Lift" pelvic organ support series to see many of the exercises and lifestyle tips that I used to manage my prolapse symptoms: femfusionfitness.com/lift-pelvic-organ-support/
I've been so frustrated with my gynecologist who diagnosed me with both bladder and rectal prolapses. He seems resigned to me eventually needing surgery and only briefly mentioned pelvic floor physical therapy or a pessary as options to consider down the road. I do feel like my questions and concerns and wanting to be proactive in at least maintaining my current level of functionality are dismissed rather quickly. His reassurance to me is that many women have hysterectomies and have full lives afterwards. I'm so thankful for your videos. I have learned more about my body, pelvic floor and pelvic organs in a month's time from your videos, interviews, and exercise videos than I have in going to my gynecologist for the past 30 years.
I'm so glad my videos have helped you see "another way!" Sometimes surgery is, in fact, indicated... But (in my opinion) it's often best to exercise/explore all conservative options first. Stay strong, stay informed, and stay on board with my channel. More good stuff coming!
Mindy Nethercutt did you feel bloated at all having this prolapse!? I am 30 and got rectal prolapse due to my normal childbirth. I hope to here from you.
Mindy...I would strongly advise you to have the surgery! I have tried for 18 years to fix my prolapse..I just couldn't take it any more...one day operation..and my world has changed! So just my opinion but pelvic floor exercises did NOT work and this sure did! Sometimes your muscles are just too damaged...
Jenna Nicholson That is good advice. Because after 6 pregnancies and my tomboy lifestyle, my pelvic muscles were wrecked. I first noticed POP after a long run. Cramped like labor! That was ten years ago. I am still trying all I can to avoid surgery but now I have adenomyosis....SIGH!!! One friend had repair surgery and she feels fantastic after 4 months of healing. The healing was intense. But prior to that, she was suffering "UTI's" so said her drs. but it wasn't a UTI it was prolapsed bladder and uterus!!!
Great informative video. I am in Germany and I went to my GYN last June of 2021. She prescribed me estrogen cream because I felt that I had a tiny ball between my legs. Anyway, my GYN never told me that I have early stages of prolapse and I needed to do pelvic exercises. I'm so happy that I can watch videos like this so I can help myself. Doctors don't take the time to explain the problem or the cure. I'm taking my health in my own way by getting informed through videos such as this!! Now, I can approach my GYN with more questions.
I am glad to hear that you are so committed to your own health and advocating for yourself ! Feel free to check my free prolapse guide bit.ly/prolapseguide and my Lift program for prolapse relief bit.ly/liftforfree
Thank you for sharing this. I've had POP (Grade 2) for two years. I am 52 and I miss so many activities from my old life. Sometimes, climbing a bus can be a nightmare. I don't go to they gym anymore and riding is bike is not possible. I saw a couple of doctors at that time, but they really hurt me and they treated me as a piece of flesh. I was sick and bleeding for more than a week after going through studies and examinations. The last doctor also made my tried like 4 different sizes of pessaries, but they would stay in position if i was lying, once I stood up, they would reverse and flip inside and they really hurt. It's not easy to find good practitioners where I live. There are days like today, when I feel really defeated, useless and hopeless. It's been really a relief to hear Michelle say that POP can be reversed and comfort improved. I would like to learn more about how I can do that myself. I life in Argentina.
Thank you so much for all your videos but especially this one. I have learned much more about this that I never learned in numerous doctor visits. So far I have only been told about one type of pessary or surgery since the pessary isn't staying in place. These videos are so important to help women make informed decisions.
Thank you this was great to hear, I am a fitness instructor and try to offer pelvic safe exercise. I find the ladies I instruct are not aware of this type of information but I try with my limited knowledge especially leakage regarding the pelvic floor and just doing safe exercise. I can now tell them a little more thanks to your video. 😀
When should someone be concerned that there is prolapse after having a baby? I always thought 6 weeks was when everything should be back in place. I love that you are putting this information out there! Pelvic floor health is so important! Thank you
Hi Tristin! Funny you should ask - next week I'm going to be releasing a video about my own personal journey with prolapse, which occurred after having my baby. Watch for it! I believe it's scheduled for June 15. There is no "set in stone" date at which everything should be back in place postpartum (everyone is so different), but the hormones are shifting and changing dramatically for the first 6 months, and even longer if you're breastfeeding long-term, which has an effect on your connective tissues and ligaments and can absolutely impact your prolapse. So there's a lot of change that can occur NATURALLY (simply due to the body's healing and re-integrating process) after baby! Wishing you all the best, and I hope you'll stay tuned to my RUclips channel. So much more goodness coming!
FemFusion Fitness Thank you, I will be watching for it! I just had my 3rd baby 5 weeks ago and I think I have stage 2 bladder prolapse, I am breastfeeding and I ride horses and I have been doing your exercises I am curious if riding horses would make the problem worse or help.?
To be honest with you Tristin, I'm not sure about horseback riding! I know you use your adductors (inner thigh muscles) when riding, which is typically great for pelvic floor health... But it could also make matters worse if you have hyperactivity of the pelvic floor muscles (which sometimes occurs during prolapse). The bouncing/jostling of riding might also be too much. This might be best discussed with your healthcare provider, and definitely tune into your body to see what works for you (and what doesn't). Good luck!
Very informative video Dr Bri, thank you. Michelle is so knowledgeable & enthusiastic. I live in Ireland too & have located a Woman's Health Physiotherapy locally thanks to Michelle. Yesterday my GP picked up a minor bladder prolapse during my routine smear, I was just told to "do more Kegals". I came out the consultation feeling about 90! Searching for prolapse exercises I found your RUclips channel. I'm 51 & have been on HRT for 12 months & I do have a little stress incontinence when I sneeze etc but I never considered it might be a prolapse. I've subscribed to your channel & will be watching & doing the exercises. I'm also going to read Michelle's blog. I feel much happier now. Thanks again. Julie
So glad you found my channel, and also Michelle!!! She's fantastic and SO knowledgeable. You're in good hands with the PT she recommended, I'm sure, and I hope you'll continue to do some of my exercises/videos as well! One more thing - have you considered (or heard of) Julva? It's been helpful for many women with light bladder leakage and mild prolapse. Here's an interview with more info: ruclips.net/video/FvviqjxXS8g/видео.html and here's a link that should give you a 7-day free trial if you're interested (I know they ship internationally): drann.ontraport.com/t?orid=14881&opid=72
Luckily I don't suffer with any vaginal symptoms (I'm on HRT tablets for 12 months) but will check the link out. I've watched your week 1 exercise/lifestyle video & started doing the exercises yesterday. Thanks to watching/listening to you I've learned I've been doing Kegals wrong all these years breathing in instead of exhaling! I can already feel the difference in the muscles as I'm doing them so I hope they're working. I'm also drinking more water, eating more fibre foods & learning to sitting forward on my sitz bones when sat at the laptop instead of slouching back on my butt. When I see my GP in 3 months I shall mention that perhaps she could make sure her patients are doing Kegals correctly when she says "do more Kegals" & they know not to do exercises such as sit ups/crunches etc.
Thank you for this video. By your explanation I would be a stage 2 cystocele. I am so glad to learn there is hope other than surgery. I am doing your Lift series and I hope it helps!
I am currently under a great team of Uro Gynae nurses. I am 60 and have a grade 1to 2 bladder prolapse Still trying out different pessarys I'm on my 3rd one so far and my current one needs changing As it feels to big. Hopefully one day I'll get the correct fit as I really don't want to Go down the surgery route. 😊
After 2 decades of no health insurance, I was finally lucky to get really good coverage. The doc I went to didn't tell me anything concerning personal involvement in prevention or reversal of my POP, other than telling me the importance of fiber in my diet and not straining. This United States health care is a debacle. Medical pros will focus only on what earns them money. Prevention and reversal doesn't earn them dough. I did get a pessary, but it might not be the answer for me~~having a struggle with that at the moment. I'm hoping I can find a pessary that works for me so I don't have to do anything invasive.
Pessaries are wonderful but they can be challenging to fit. Consider seeing if there's another type/style of pessary that might work better for you. I know it's a hassle, but it might be worth it in the long run. Good luck!
I hear you - Ihave issues with my pessary too. My PT and I tried every possible kind but sometimes you don't get a best fit. In my case scar tissue and adhesions from multiple surgeries affected the "landscape". So physio and diet (including fasting) are my tools to try to heal.
In the sixties, teaching sex education was begun in elementary schools and it shocked parents. I dont think there was enough information about intestinal health...no no" s ! You two are tackling the subject of female bodies beautifully! About time for having models of the vagina available !
Hi ladies ! Thank you so much for this informational video!! Such a help and hope! Michelle had mentioned being able to reverse a stage 2 prolapse...Where can I find information or help to do this?? Thanks so much !
Wow I love this....I just learnt so much...my grade is about a 2 bladder prolapse...learning as much as I can....doctor said that the vaginal walls was still strong..I had been doing the pelvic exercises before I went to her. She wanted to start the hormones because of the dryness however I do not want to take them no matter how safe they think they are. Otherwise I am going to try to find a person like Michelle to help me..I am going back in two weeks for a pap and will ask her then.
Hi betty joggs! GREAT - so glad you're considering seeking evaluation/treatment from a women's health physiotherapist. You might also enjoy my "Lift" series. You can learn more about it and sign up here: femfusionfitness.com/lift-pelvic-organ-support/
I.m very lucky to have found a brilliant women's health physio, but struggled on for years not knowing this profession even existed! Not one of the many GPs I consulted for my rectocele even suggested a specialist women's physio. I can't believe this! Surely GPs should refer, or at least point women in the right direction, as I was led to believe there was no help for my condition and I would simply have to live with it!
While it can be helpful for various pelvic floor issues, including some types of prolapse, it's essential to consult with your doctor about your specific partial rectal prolapse situation. They can provide personalized advice and determine if our exercises are appropriate for your condition. Always prioritize your healthcare provider's guidance for your unique needs. ~Vibrant Support
You explained grades....my question is related to it...how do you check the which grade you fall into ...I mean which position...sitting standing or lying back ..? Pllzzz reply...
I wish I had run into this video a week ago before I had gone under an AP repair surgery for the second time in less than one year. I was told by the doc that my stage II repeated POP would only get worse unless I go for a surgery. I'm only into my early thirties and I still wanna have more kids. I know now that I will follow your channel for more great info. I only wonder if my exercise routine (spin class with mat Pilates) had any effect for my first surgery to fail. Secondly, now that I am post-op just a couple of days, how soon would you recommend for me to resume physical exercises? Thanks a million :)
I'm so glad you found my channel! I hope you will be staying in touch (and staying informed)! You'll love my prolapse series coming up in just a few weeks (it will be called "Lift" --- watch for it). Per your question, it's possible that your exercise routine contributed to an increase in intra-abdominal/intra-pelvic pressure that may have contributed to the surgical failure. This can happen if you aren't aware of the need for proper breathing and certain "tweaks" to your exercise technique. Again, my "Lift" series should help clarify how to proceed with exercise in the future, after you recover from your most recent surgery. As for when you can resume physical exercise, I am not at liberty to provide this information because every surgeon may have slightly different precautions. Please ask him or her (or their office) what their post-op protocol is, as far as when you can resume exercise. All my best to you... Take care and keep watching!
9 weeks pp and grade 1-2 prolapse here.... in your experience, wondering how much breastfeeding and hormone fluctuations can have an effect on prolapse?
Can I reverse a bladder prolapse? I'm sure this is what I have, it disappears then comes back every few months. It's ruining my life. Please can u give me the link for pelvic exercises and core strength. Thank you xx
Very interesting. Thank you I'm at a stage 3 and my Gynecologists discussed surgery and using mesh for Rectocele. I've heard bad things regarding the mesh. Are there other types of surgeries? I would also like to know is it too far advanced at stage 3 to reverse prolapse through exercise.
I have all three prolapses and one a stage 4. I was told that surgery was not an option in 2008 and I've been living with my prolapsed state since then. I tried a few of your exersice videos and I did feel some strengthening and I feel better today! :) I've tried so many pessaries but my body "spits" them out. From this video it sounds like I should try going to another gyno (no pelvic floor experts in my area) and try pessaries again and do these exercises regularly for a while. IF I end up needing surgery I will travel. Do you have a list of physicians that you recommend?
Diana Krystofiak I'm so glad you've started some of my exercises! It's always a good idea to safely strengthen to help prevent further progression, and simply to keep the tissues healthy and strong. As for physicians, I'm sorry but I don't have any specific recommendations. Wishing you all the best!
my walls are very thin and feels like it's soar. My gyn had fitted me with a passery and recommend that I insert estrogen cream to rebuild the walls. When I'm due to do the inserts I feel the discomfort like soateness. I can't wait to hear that there's improvement in the lining; menapause is making it quiet difficult for me however, I'm hopeful.
I’m 23 and had a bad labour experience I’m two weeks postpartum and have a uterus prolapse, I’ve been to the drs and they say just do kegals but won’t refer me to a physio, should I keep trying to soon after or should I wait for 6-8 weeks, causing severe depression
How are you doing? Thinking of you and sending love!!! I am wondering if you would like to join me for extra support with my new program: gum.co/femsquadfounder
Sure! Here's her site: celebratemuliebrity.com/ Sometimes the video notes are hard to view if you happen to be on mobile, but if you view the video on your desktop computer you should be able to see her website in the video notes (video description) as well as some other links and additional resources that might be interesting for you! Take care and thanks for watching.
Hi Im struggling with a proplapse and I m not sure where to find a dr. in my area who has this knowledge especiallay about strenthening muscles and correct pessary.How do I get in touch with youe speaker you said theres a lnk but I dont see one w
I'm definitely not advertising, but have found a Kegel8 ultra works well for me. I'm in my 70's and although fit I don't want lie on the floor and do what I hear are very good exercises 3 times a day.
@@lindag5076 hi Linda, do you pass many examination before the doctor make decision to get surgery? I hope you getting better now. Glad that you take surgery and will getting better. Its seems the surgery itself doesnt take much time, right? I am still collecting many information before getting surgery
Yes! It's the step that's often missed... People may automatically assume that they're weak, when really they need to address the excess tension FIRST and then begin strength and coordination training.
Hello, I just found out that I have a stage III prolapsed uterus at 15 months pregnant. I developed my prolapse during pregnancy and was very active before pregnancy with no problems, so it caught me off guard. Would you recommend the same exercises for a pregnant women?
Sorry, yes! I'm 15 weeks pregnant and developed a prolapse. I've consulted two doctors, and they both say their is nothing I can do. I've been watching your videos, and was wondering if you would recommend the same advice and exercises for a pregnant women.
Thanks for clarifying! Since you're pregnant, this is more of a complex situation and something I'm not able to specifically address without seeing you in person as a client. However, you can still benefit from some of the basic lifestyle, posture, and body mechanics techniques that Michelle and I discuss in this video (exhale with exertion when lifting and when transitioning between movements... stand and sit with good posture - don't slouch... etc.). All my best to you for a comfortable pregnancy. A lot can change postpartum, so please keep that in mind!
You have given me hope! I went to the gynecologist the day before Thanksgiving, just a few days ago. I was thinking I had a prolapse of some kind. He examined me in the normal position in stirrups. He said my cervix looked good, then asked me to push like I was pushing a baby out. I did and nothing happened. He then said he had to go get another instrument. I couldn't see what he brought back into the room because of the position of the exam table. I, very nervously, asked him what he was going to do. He said not to worry that he would tell me everything before he did it. He then proceeded to tell me he was going to grab my cervix and have me push in order to pull the uterus down into the vagina!!!!!! WHAT THE HECK????? This sounded SO BARBARIC to me!!!!! I asked him if that was going to hurt and he said, "You've had a baby before, right?" Insinuating that to think this was painful was being a baby, I guess. Well, he then excitedly said, "Push, come on, push that baby out!" Well, I pushed, but I have to say it wasn't with much effort, this did not seem right. He stopped and said, "You really don't want to push do you?" I told him, no, I didn't! He then told me he would have a specialist contact me and that I would need a hysterectomy and if I were his wife to have them take my ovaries as well. Is this normal?
Tina so sorry you had to go through this! They wonder why us women don't trust male gynecologists. I have to say..."what a sick jack 🤬" Sounds like he was trying to cause damage so you would have no choice but to have a hysterectomy. Evil 🤬!!!
Hi Geraldine Hanna! You might benefit from some relaxing and releasing stretches such as those found in my Pelvic Pain/Tension playlist. You can view it here: ruclips.net/p/PLDputRBPsHFQJ6PhSXjW54Oi-QoNCqsGL
I want to thank you i went yo my gynecologist she gave me cream i btiygh up therepy she said well if it gets eirse we can do surgery. Then i found you thank you
I seen videos of doctor suriderpalsingh he said he can fix prolapse by homeopathy in six months plz do contact him as well cause women like me need to know what to do what is good for us...plz plz do contact him and make a video. Thanks
I just had POP here in stares they don't have any physical therapy after surgery. I had complete restoration now I'm concerned it will fail. I'm ten days post op still in bed
👀👂👍💡💡💡💡Thank you💖💖💛💕💞 What cause these weakness happen?? We get scared. We do not desire surgery. No cutting. Many years of consitipation. LIFTING FURNITURE. MENOPASE. 😫 LIFE SKILLS. Foods allergies & TESTS. Embarrasing area to bring up in conversations. Help
Hi Ashitha; while I would never say that it's impossible, I can say that 1st and 2nd degree prolapse symptoms are more easy to manage (and even reverse) with exercise and lifestyle modifications. For stage 3 you'll likely need to look into use of a pessary and/or surgical intervention in order to reverse symptoms. In my opinion, however, it's always ideal to try conservative options FIRST. At the very least you'll get stronger in your pelvic floor/core before going into surgery (if that becomes the best option for you).
I love you. I am deeply grateful. I suspected cystocele in the last 48 hrs. I have been treffied. I allowed my self to cry. Then shifted how I see it all . I am grateful for the info. I intend to deal with it correctly from a relaxed place of mind. I muscle tested it . It is telling me it is reversible. It happened in may 2018, Due to constipation my weight is ideal for my height. I had adrenal fatigue for so long. I have healed it and the stress. I need to pacify my vatta dosha and my water element (kidney , bladder and adrenals) . May be it is the hardest way my body is telling me I need love , comfort, nourishment, healing and gentle sexy movements. But I am more than ok with it now. Not like yesterday. This has been triffing. But I think women's bodies are flexible . I love my beautiful body. It is bringing me back into yoga . Which I have used to love till 2011. Stopped practicing because of a car accident. I have recovered from it. thanks God. My body wants to resume yoga. I think. I am practicing walking and soft dance movement everyday. I am grateful I stopped ordinary ab crunches . Only 30 times since 2011. I intend to flow through your programs . I am grateful for you both. God bless you.
I'm so grateful you're here in the FemFusion community, Heba! Have you done my "At-Home Retreat for the Pelvic Floor?" You can find it amongst my playlists: bit.ly/FemPlaylists I think you will enjoy it (particularly Days 1-3).
Hi Mary Divine Grace Jaudian! I recommend consulting with a women's health physical therapist in your area, and you might enjoy my free "Lift" series. You can learn more about it and sign up here: femfusionfitness.com/lift-pelvic-organ-support/ After signing up, you'll receive 1 email per week for 5 weeks. Each weekly email will link you to the instructional video for that week, and a handout with a summary of the exercises and lifestyle tips (so that you don't have to re-watch the video every day). Good luck!
What about guys?! I feel so lost and forgotten as a guy with pelvic issues, etc. Yeah I have a confirmed hernia too but the general surgeon now thinks something more is going on with all the symptoms I told her about. I swear it felt like everything (i.e. all my small bowels) fell down inside me. What can guys do if they have an enterocele? I believe that's what I've had for a good time but now it's full blown and caused a hernia!
Does it cause NERVE PINS & needles sensations light pains around the groin crotch & anus discomfort. Also discomfort during TENSION FROM DAILY ANXIETIES.
FemFusion Fitness Thank you Dr Bri and just like you I truly believe in HOLISTIC HEALTH AND WELL-BEING (that's why gut health is crucial) every living organ within our bodies is helping and working together and its a shame how modern medicine tends to isolate one problem. After my 2 child I was about a catorgery 3 and I wore the pessary for 1 year which was not all bad had I implemented your techniques maybe I could have avoided surgery which poses recurring problems. Many thanks I will be following and sharing your work for years to come.
Natalia Mendez thanks for your support! I'm sorry for your struggles, but I'm pleased to have you along in this sisterhood of like-minded women! Glad to have you as a part of the FemFusion crew 😘
Shellie, I'm so sorry! This sounds very painful. Definitely talk to your doc about this situation... It sounds like a repair might be in order for you.
What if you've had a hysterectomy and have nerve pain and a rectocel and cystocele. Is ther anything I can do to help with this? Is it at all possible having a pessary if you have had a hysterectomy as I dont have a cervix?
Hello! Thank you for asking! If you have nerve pain, please contact your doctor! Please talk to your doctor about these options that are right for your individual care. Wishing you the best!❤️
She spoke so fast with her email address I would like to ride her. Dr. Bree there are no Physio therapist here where I live my option is surgery I’ve been following you but cannot afford to pay for the lifts program I am a senior on minimal dollars a month and barely surviving but don’t wanna go through surgery at the age of 66 fixed prolapse can you help me help me
I LOVED the rectocele grade model!! Perfect! Now I know there's hope for Miss Puss!! Now to get ole Miz Rectocele back to where she belongs!! Then address Missy Cystocele!(not so urgent(yet!))
It's absolutely safe to have sex with POP, and as for pregnancy you'll want to speak with your gynecologist or midwife about your specific needs when it comes to your level/stage of POP. All my best to you!
Sign up for my free "Lift" pelvic organ support series to see many of the exercises and lifestyle tips that I used to manage my prolapse symptoms: femfusionfitness.com/lift-pelvic-organ-support/
Dear m not married dont have child but i fel there som kind of balon in my vergina is it prolaps
I've been doing these every other day for last 2 week's and has helped hip and greatly for a tight It band thankyou
Exersze for a proĺapse bladder
M kaur
@@sobiakhan6088 hey how are you now
I've been so frustrated with my gynecologist who diagnosed me with both bladder and rectal prolapses. He seems resigned to me eventually needing surgery and only briefly mentioned pelvic floor physical therapy or a pessary as options to consider down the road. I do feel like my questions and concerns and wanting to be proactive in at least maintaining my current level of functionality are dismissed rather quickly. His reassurance to me is that many women have hysterectomies and have full lives afterwards. I'm so thankful for your videos. I have learned more about my body, pelvic floor and pelvic organs in a month's time from your videos, interviews, and exercise videos than I have in going to my gynecologist for the past 30 years.
I'm so glad my videos have helped you see "another way!" Sometimes surgery is, in fact, indicated... But (in my opinion) it's often best to exercise/explore all conservative options first. Stay strong, stay informed, and stay on board with my channel. More good stuff coming!
Mindy Nethercutt did you feel bloated at all having this prolapse!? I am 30 and got rectal prolapse due to my normal childbirth. I hope to here from you.
Mindy...I would strongly advise you to have the surgery! I have tried for 18 years to fix my prolapse..I just couldn't take it any more...one day operation..and my world has changed! So just my opinion but pelvic floor exercises did NOT work and this sure did! Sometimes your muscles are just too damaged...
I hope you are doing well and I would get a second opinion. I think some doctors get paid more to do surgery.
Jenna Nicholson That is good advice. Because after 6 pregnancies and my tomboy lifestyle, my pelvic muscles were wrecked. I first noticed POP after a long run. Cramped like labor! That was ten years ago. I am still trying all I can to avoid surgery but now I have adenomyosis....SIGH!!! One friend had repair surgery and she feels fantastic after 4 months of healing. The healing was intense. But prior to that, she was suffering "UTI's" so said her drs. but it wasn't a UTI it was prolapsed bladder and uterus!!!
Great informative video. I am in Germany and I went to my GYN last June of 2021. She prescribed me estrogen cream because I felt that I had a tiny ball between my legs. Anyway, my GYN never told me that I have early stages of prolapse and I needed to do pelvic exercises. I'm so happy that I can watch videos like this so I can help myself. Doctors don't take the time to explain the problem or the cure. I'm taking my health in my own way by getting informed through videos such as this!! Now, I can approach my GYN with more questions.
I am glad to hear that you are so committed to your own health and advocating for yourself ! Feel free to check my free prolapse guide bit.ly/prolapseguide and my Lift program for prolapse relief bit.ly/liftforfree
Thank you for sharing this. I've had POP (Grade 2) for two years. I am 52 and I miss so many activities from my old life. Sometimes, climbing a bus can be a nightmare. I don't go to they gym anymore and riding is bike is not possible. I saw a couple of doctors at that time, but they really hurt me and they treated me as a piece of flesh. I was sick and bleeding for more than a week after going through studies and examinations. The last doctor also made my tried like 4 different sizes of pessaries, but they would stay in position if i was lying, once I stood up, they would reverse and flip inside and they really hurt. It's not easy to find good practitioners where I live. There are days like today, when I feel really defeated, useless and hopeless.
It's been really a relief to hear Michelle say that POP can be reversed and comfort improved. I would like to learn more about how I can do that myself. I life in Argentina.
I'm so sorry you've had such a struggle Susannah. I wish you only the best on your journey!
Thank you Bri.
Susannah Lorenzo I hav
Did you see male Dr's, if so next time try a female.
@@melodyengland4439 both of them failed and the female doctor was so rude I did not want to try another one.
Thank you so much for all your videos but especially this one. I have learned much more about this that I never learned in numerous doctor visits. So far I have only been told about one type of pessary or surgery since the pessary isn't staying in place. These videos are so important to help women make informed decisions.
Thank you this was great to hear, I am a fitness instructor and try to offer pelvic safe exercise. I find the ladies I instruct are not aware of this type of information but I try with my limited knowledge especially leakage regarding the pelvic floor and just doing safe exercise. I can now tell them a little more thanks to your video. 😀
Excellent! The more fitness pros we have spreading this knowledge, the better --- so thank you for your work in spreading awareness!
FemFusion Fitness thank you so much I wish I could get more fitness instructors interested here in the UK but I'm trying 😀
Your ladies are so incredible. I wish I found this video earlier. My physio didn't give me this much information!
Thank You!
So glad you found this to be helpful!
When should someone be concerned that there is prolapse after having a baby? I always thought 6 weeks was when everything should be back in place. I love that you are putting this information out there! Pelvic floor health is so important! Thank you
Hi Tristin! Funny you should ask - next week I'm going to be releasing a video about my own personal journey with prolapse, which occurred after having my baby. Watch for it! I believe it's scheduled for June 15. There is no "set in stone" date at which everything should be back in place postpartum (everyone is so different), but the hormones are shifting and changing dramatically for the first 6 months, and even longer if you're breastfeeding long-term, which has an effect on your connective tissues and ligaments and can absolutely impact your prolapse. So there's a lot of change that can occur NATURALLY (simply due to the body's healing and re-integrating process) after baby! Wishing you all the best, and I hope you'll stay tuned to my RUclips channel. So much more goodness coming!
FemFusion Fitness Thank you, I will be watching for it! I just had my 3rd baby 5 weeks ago and I think I have stage 2 bladder prolapse, I am breastfeeding and I ride horses and I have been doing your exercises I am curious if riding horses would make the problem worse or help.?
To be honest with you Tristin, I'm not sure about horseback riding! I know you use your adductors (inner thigh muscles) when riding, which is typically great for pelvic floor health... But it could also make matters worse if you have hyperactivity of the pelvic floor muscles (which sometimes occurs during prolapse). The bouncing/jostling of riding might also be too much. This might be best discussed with your healthcare provider, and definitely tune into your body to see what works for you (and what doesn't). Good luck!
Very informative video Dr Bri, thank you. Michelle is so knowledgeable & enthusiastic. I live in Ireland too & have located a Woman's Health Physiotherapy locally thanks to Michelle. Yesterday my GP picked up a minor bladder prolapse during my routine smear, I was just told to "do more Kegals". I came out the consultation feeling about 90! Searching for prolapse exercises I found your RUclips channel. I'm 51 & have been on HRT for 12 months & I do have a little stress incontinence when I sneeze etc but I never considered it might be a prolapse. I've subscribed to your channel & will be watching & doing the exercises. I'm also going to read Michelle's blog. I feel much happier now. Thanks again. Julie
So glad you found my channel, and also Michelle!!! She's fantastic and SO knowledgeable. You're in good hands with the PT she recommended, I'm sure, and I hope you'll continue to do some of my exercises/videos as well! One more thing - have you considered (or heard of) Julva? It's been helpful for many women with light bladder leakage and mild prolapse. Here's an interview with more info: ruclips.net/video/FvviqjxXS8g/видео.html and here's a link that should give you a 7-day free trial if you're interested (I know they ship internationally): drann.ontraport.com/t?orid=14881&opid=72
Luckily I don't suffer with any vaginal symptoms (I'm on HRT tablets for 12 months) but will check the link out. I've watched your week 1 exercise/lifestyle video & started doing the exercises yesterday. Thanks to watching/listening to you I've learned I've been doing Kegals wrong all these years breathing in instead of exhaling! I can already feel the difference in the muscles as I'm doing them so I hope they're working. I'm also drinking more water, eating more fibre foods & learning to sitting forward on my sitz bones when sat at the laptop instead of slouching back on my butt. When I see my GP in 3 months I shall mention that perhaps she could make sure her patients are doing Kegals correctly when she says "do more Kegals" & they know not to do exercises such as sit ups/crunches etc.
Unfortunately, many women are doing pelvic floor strengtheners incorrectly! Thanks in advance for spreading the info. All my best to you!
Thank you for this video. By your explanation I would be a stage 2 cystocele. I am so glad to learn there is hope other than surgery. I am doing your Lift series and I hope it helps!
Great! All my best to you!
Hi, please can I ask you how you're getting on now? I believe this is what I have now.
You are so reassuring and give me hope. Thank you!
You're welcome! I wish you the best!
I just bought Keigal 8 electronic exercise machine 2 weeks in seeing results and doing exersize and watching my everyday movements
hi... how Keigal 8 is working? Did you observe any difference?
Thank u ladies!
I have learned a lot, esp
With the models
I think I will do the exercises better
Thank u 🌺🌺🌺🌺🌻
Remarkable for ladies
I am currently under a great team of
Uro Gynae nurses.
I am 60 and have a grade 1to 2 bladder prolapse
Still trying out different pessarys
I'm on my 3rd one so far and my current one needs changing
As it feels to big.
Hopefully one day I'll get the correct fit as I really don't want to
Go down the surgery route. 😊
Good luck on your healing journey!
After 2 decades of no health insurance, I was finally lucky to get really good coverage. The doc I went to didn't tell me anything concerning personal involvement in prevention or reversal of my POP, other than telling me the importance of fiber in my diet and not straining.
This United States health care is a debacle. Medical pros will focus only on what earns them money. Prevention and reversal doesn't earn them dough.
I did get a pessary, but it might not be the answer for me~~having a struggle with that at the moment. I'm hoping I can find a pessary that works for me so I don't have to do anything invasive.
Pessaries are wonderful but they can be challenging to fit. Consider seeing if there's another type/style of pessary that might work better for you. I know it's a hassle, but it might be worth it in the long run. Good luck!
I hear you - Ihave issues with my pessary too. My PT and I tried every possible kind but sometimes you don't get a best fit. In my case scar tissue and adhesions from multiple surgeries affected the "landscape". So physio and diet (including fasting) are my tools to try to heal.
Thank you so much for your commitment to pelvic health. I will be doing your Lift series and I used your link to find a pelvic specialist in my area.
In the sixties, teaching sex education was begun in elementary schools and it shocked parents. I dont think there was enough information about intestinal health...no no" s ! You two are tackling the subject of female bodies beautifully! About time for having models of the vagina available !
YES! So glad you're on board!
Hi ladies ! Thank you so much for this informational video!! Such a help and hope! Michelle had mentioned being able to reverse a stage 2 prolapse...Where can I find information or help to do this?? Thanks so much !
Have u found anything
Wow I love this....I just learnt so much...my grade is about a 2 bladder prolapse...learning as much as I can....doctor said that the vaginal walls was still strong..I had been doing the pelvic exercises before I went to her. She wanted to start the hormones because of the dryness however I do not want to take them no matter how safe they think they are. Otherwise I am going to try to find a person like Michelle to help me..I am going back in two weeks for a pap and will ask her then.
Hi betty joggs! GREAT - so glad you're considering seeking evaluation/treatment from a women's health physiotherapist. You might also enjoy my "Lift" series. You can learn more about it and sign up here: femfusionfitness.com/lift-pelvic-organ-support/
FemFusion Fitness ok I will.
I.m very lucky to have found a brilliant women's health physio, but struggled on for years not knowing this profession even existed! Not one of the many GPs I consulted for my rectocele even suggested a specialist women's physio. I can't believe this! Surely GPs should refer, or at least point women in the right direction, as I was led to believe there was no help for my condition and I would simply have to live with it!
Are you grading the prolapse standing or laying down and bearing down
What is the fossia & connective tissue? Not sure how to spell that. Even though this video is a few years old it’s still helpful to me!
Hi, will this be beneficial for a partial rectal prolapse?
While it can be helpful for various pelvic floor issues, including some types of prolapse, it's essential to consult with your doctor about your specific partial rectal prolapse situation. They can provide personalized advice and determine if our exercises are appropriate for your condition. Always prioritize your healthcare provider's guidance for your unique needs. ~Vibrant Support
You explained grades....my question is related to it...how do you check the which grade you fall into ...I mean which position...sitting standing or lying back ..? Pllzzz reply...
I wish I had run into this video a week ago before I had gone under an AP repair surgery for the second time in less than one year. I was told by the doc that my stage II repeated POP would only get worse unless I go for a surgery. I'm only into my early thirties and I still wanna have more kids. I know now that I will follow your channel for more great info.
I only wonder if my exercise routine (spin class with mat Pilates) had any effect for my first surgery to fail. Secondly, now that I am post-op just a couple of days, how soon would you recommend for me to resume physical exercises? Thanks a million :)
I'm so glad you found my channel! I hope you will be staying in touch (and staying informed)! You'll love my prolapse series coming up in just a few weeks (it will be called "Lift" --- watch for it). Per your question, it's possible that your exercise routine contributed to an increase in intra-abdominal/intra-pelvic pressure that may have contributed to the surgical failure. This can happen if you aren't aware of the need for proper breathing and certain "tweaks" to your exercise technique. Again, my "Lift" series should help clarify how to proceed with exercise in the future, after you recover from your most recent surgery. As for when you can resume physical exercise, I am not at liberty to provide this information because every surgeon may have slightly different precautions. Please ask him or her (or their office) what their post-op protocol is, as far as when you can resume exercise. All my best to you... Take care and keep watching!
FemFusion Fitness Thanks so much for taking the time for replying. Definitely watching for your great upcoming series.
9 weeks pp and grade 1-2 prolapse here.... in your experience, wondering how much breastfeeding and hormone fluctuations can have an effect on prolapse?
How is it now
I am crying you are so kind so optimist ...😘
Loved the video! So much relevant information, thank you!
Fantastic! I'm so glad you enjoyed it.
Can I reverse a bladder prolapse? I'm sure this is what I have, it disappears then comes back every few months. It's ruining my life. Please can u give me the link for pelvic exercises and core strength.
Thank you xx
Very interesting. Thank you I'm at a stage 3 and my Gynecologists discussed surgery and using mesh for Rectocele. I've heard bad things regarding the mesh. Are there other types of surgeries? I would also like to know is it too far advanced at stage 3 to reverse prolapse through exercise.
Hi have you recieved any answers?
Maybe look into hypopressives. See if you have a PT in your area who is certified but also check out Flower Empowered's channel 😊.
Bless you ladies for this VITAL INFORMATION. INSTRUCTIONS are Vital for womens great HEALTH. WE do not need troubles. Thank you.
I have all three prolapses and one a stage 4. I was told that surgery was not an option in 2008 and I've been living with my prolapsed state since then. I tried a few of your exersice videos and I did feel some strengthening and I feel better today! :) I've tried so many pessaries but my body "spits" them out. From this video it sounds like I should try going to another gyno (no pelvic floor experts in my area) and try pessaries again and do these exercises regularly for a while. IF I end up needing surgery I will travel. Do you have a list of physicians that you recommend?
Diana Krystofiak I'm so glad you've started some of my exercises! It's always a good idea to safely strengthen to help prevent further progression, and simply to keep the tissues healthy and strong. As for physicians, I'm sorry but I don't have any specific recommendations. Wishing you all the best!
my walls are very thin and feels like it's soar. My gyn had fitted me with a passery and recommend that I insert estrogen cream to rebuild the walls. When I'm due to do the inserts I feel the discomfort like soateness. I can't wait to hear that there's improvement in the lining; menapause is making it quiet difficult for me however, I'm hopeful.
Diana Krystofiak m
)2
I’m 23 and had a bad labour experience I’m two weeks postpartum and have a uterus prolapse, I’ve been to the drs and they say just do kegals but won’t refer me to a physio, should I keep trying to soon after or should I wait for 6-8 weeks, causing severe depression
How are you doing? Thinking of you and sending love!!! I am wondering if you would like to join me for extra support with my new program: gum.co/femsquadfounder
im having this problem,, but i don’t know where to start n i don’t know where to get help
Thanks for the great interview. Can you post Michelle's website here. I don't see a link below video.
Sure! Here's her site: celebratemuliebrity.com/
Sometimes the video notes are hard to view if you happen to be on mobile, but if you view the video on your desktop computer you should be able to see her website in the video notes (video description) as well as some other links and additional resources that might be interesting for you! Take care and thanks for watching.
Hi Im struggling with a proplapse and I m not sure where to find a dr. in my area who has this knowledge especiallay about strenthening muscles and correct pessary.How do I get in touch with youe speaker you said theres a lnk but I dont see one
w
Michelle's website: celebratemuliebrity.com/ She's great!
I'm definitely not advertising, but have found a Kegel8 ultra works well for me. I'm in my 70's and although fit I don't want lie on the floor and do what I hear are very good exercises 3 times a day.
That's great that you've found something that works well for you!
Excellent information! Doctors aren’t helpful because their only solution in my region is surgery! I hate my prolapse!
Do you recommend femi-cushion garments?
I am sorry, I don’t have experience with them…
Thank you so much for the information!
Just wondering if swimming doing side stroke handstands and breast strokes. Can theses increase the prolapse.
I would recommend working one-on-one with a pelvic floor PT for indvidualized guidance on breathing, posture, etc to protect your pelvic floor ~Leila
I thought there would be more practical advice here....exercises...things that will help!
Very helpful. Thank you!
Thank you for the helpful information. It gave me strong hope to reverse the uterus prolapse which just happened to me.
if there is stage 3 prolapse can i live with it ? i rather not have the operation . i am 71 .
@@lindag5076 hi linda, do you get some surgery right now? I m curious, i a affraid tp take surgery
@@lindag5076 hi Linda, do you pass many examination before the doctor make decision to get surgery? I hope you getting better now. Glad that you take surgery and will getting better. Its seems the surgery itself doesnt take much time, right? I am still collecting many information before getting surgery
interesting. so the key is to get assessed to see if your muscles are too tight or not tight enough.
Yes! It's the step that's often missed... People may automatically assume that they're weak, when really they need to address the excess tension FIRST and then begin strength and coordination training.
Thank you for this video
Hello, I just found out that I have a stage III prolapsed uterus at 15 months pregnant. I developed my prolapse during pregnancy and was very active before pregnancy with no problems, so it caught me off guard. Would you recommend the same exercises for a pregnant women?
I'm sorry but your question is unclear; are you currently pregnant?
Sorry, yes! I'm 15 weeks pregnant and developed a prolapse. I've consulted two doctors, and they both say their is nothing I can do. I've been watching your videos, and was wondering if you would recommend the same advice and exercises for a pregnant women.
Thanks for clarifying! Since you're pregnant, this is more of a complex situation and something I'm not able to specifically address without seeing you in person as a client. However, you can still benefit from some of the basic lifestyle, posture, and body mechanics techniques that Michelle and I discuss in this video (exhale with exertion when lifting and when transitioning between movements... stand and sit with good posture - don't slouch... etc.). All my best to you for a comfortable pregnancy. A lot can change postpartum, so please keep that in mind!
FemFusion Fitness x
Wonderful information thank you.
my gyno push towards surgery right away and as a result i am not doing great
what issues are you having? I just figured out about mine and I don't want to have surgery.
@@BusyMama-07 did you end up having surgery?
No I am holding my own for now lol
You have given me hope! I went to the gynecologist the day before Thanksgiving, just a few days ago. I was thinking I had a prolapse of some kind. He examined me in the normal position in stirrups. He said my cervix looked good, then asked me to push like I was pushing a baby out. I did and nothing happened. He then said he had to go get another instrument. I couldn't see what he brought back into the room because of the position of the exam table. I, very nervously, asked him what he was going to do. He said not to worry that he would tell me everything before he did it. He then proceeded to tell me he was going to grab my cervix and have me push in order to pull the uterus down into the vagina!!!!!! WHAT THE HECK????? This sounded SO BARBARIC to me!!!!! I asked him if that was going to hurt and he said, "You've had a baby before, right?" Insinuating that to think this was painful was being a baby, I guess. Well, he then excitedly said, "Push, come on, push that baby out!" Well, I pushed, but I have to say it wasn't with much effort, this did not seem right. He stopped and said, "You really don't want to push do you?" I told him, no, I didn't! He then told me he would have a specialist contact me and that I would need a hysterectomy and if I were his wife to have them take my ovaries as well. Is this normal?
Tina Girton )7
That's the reason I stay away from Dr's I really lost trust on them. I trust my body, I listen to it, and I do my own research.
Tina Girto
Tina so sorry you had to go through this! They wonder why us women don't trust male gynecologists. I have to say..."what a sick jack 🤬"
Sounds like he was trying to cause damage so you would have no choice but to have a hysterectomy. Evil 🤬!!!
Hello Bri, is Michelle related to Ted Lyons, known as the "Father of Medical Ultrasound"? Thank you....................
I'm not sure --- great question!
Thank you. Having a lot of trouble with pessaries. Rectal pain.
Hi Geraldine Hanna! You might benefit from some relaxing and releasing stretches such as those found in my Pelvic Pain/Tension playlist. You can view it here: ruclips.net/p/PLDputRBPsHFQJ6PhSXjW54Oi-QoNCqsGL
thankyou so much so helpfull mae me feel a lot better about things xx
You're welcome!
thank you so much!
I wish Michelle had used the model more to explain prolapse.
Wonderful info.❤
So helpful!
I want to thank you i went yo my gynecologist she gave me cream i btiygh up therepy she said well if it gets eirse we can do surgery. Then i found you thank you
You're welcome! Glad to have you here in the FemFusion community.
I seen videos of doctor suriderpalsingh he said he can fix prolapse by homeopathy in six months plz do contact him as well cause women like me need to know what to do what is good for us...plz plz do contact him and make a video. Thanks
Thanks for the suggestion; I'll look into it!
I just had POP here in stares they don't have any physical therapy after surgery. I had complete restoration now I'm concerned it will fail. I'm ten days post op still in bed
👀👂👍💡💡💡💡Thank you💖💖💛💕💞 What cause these weakness happen?? We get scared. We do not desire surgery. No cutting. Many years of consitipation. LIFTING FURNITURE. MENOPASE. 😫 LIFE SKILLS. Foods allergies & TESTS. Embarrasing area to bring up in conversations. Help
Is possible to reverse 3d degree of utrain prolapse with excersice
Hi Ashitha; while I would never say that it's impossible, I can say that 1st and 2nd degree prolapse symptoms are more easy to manage (and even reverse) with exercise and lifestyle modifications. For stage 3 you'll likely need to look into use of a pessary and/or surgical intervention in order to reverse symptoms. In my opinion, however, it's always ideal to try conservative options FIRST. At the very least you'll get stronger in your pelvic floor/core before going into surgery (if that becomes the best option for you).
I love you. I am deeply grateful. I suspected cystocele in the last 48 hrs. I have been treffied. I allowed my self to cry. Then shifted how I see it all . I am grateful for the info. I intend to deal with it correctly from a relaxed place of mind. I muscle tested it . It is telling me it is reversible. It happened in may 2018, Due to constipation my weight is ideal for my height. I had adrenal fatigue for so long. I have healed it and the stress. I need to pacify my vatta dosha and my water element (kidney , bladder and adrenals) . May be it is the hardest way my body is telling me I need love , comfort, nourishment, healing and gentle sexy movements. But I am more than ok with it now. Not like yesterday. This has been triffing. But I think women's bodies are flexible . I love my beautiful body. It is bringing me back into yoga . Which I have used to love till 2011. Stopped practicing because of a car accident. I have recovered from it. thanks God. My body wants to resume yoga. I think. I am practicing walking and soft dance movement everyday. I am grateful I stopped ordinary ab crunches . Only 30 times since 2011. I intend to flow through your programs . I am grateful for you both. God bless you.
I'm so grateful you're here in the FemFusion community, Heba! Have you done my "At-Home Retreat for the Pelvic Floor?" You can find it amongst my playlists: bit.ly/FemPlaylists I think you will enjoy it (particularly Days 1-3).
I have a prolapse i want to know if it will comback to normal?? It will return inside the vagina?? Im a paranoid already
Hi Mary Divine Grace Jaudian! I recommend consulting with a women's health physical therapist in your area, and you might enjoy my free "Lift" series. You can learn more about it and sign up here: femfusionfitness.com/lift-pelvic-organ-support/ After signing up, you'll receive 1 email per week for 5 weeks. Each weekly email will link you to the instructional video for that week, and a handout with a summary of the exercises and lifestyle tips (so that you don't have to re-watch the video every day). Good luck!
Thank you for all the Info, they are vital New Sub,from
What about guys?! I feel so lost and forgotten as a guy with pelvic issues, etc. Yeah I have a confirmed hernia too but the general surgeon now thinks something more is going on with all the symptoms I told her about. I swear it felt like everything (i.e. all my small bowels) fell down inside me. What can guys do if they have an enterocele? I believe that's what I've had for a good time but now it's full blown and caused a hernia!
I have a men's health playlist that you might find helpful: ruclips.net/p/PLDputRBPsHFS-Lyuh0f9KvKwsADA-QpiB
Did you get better
Sorry for your suffering. 🙏
Does it cause NERVE PINS & needles sensations light pains around the groin crotch & anus discomfort. Also discomfort during TENSION FROM DAILY ANXIETIES.
Yes, anxiety can definitely cause pelvic discomfort and tension.
is it to late for me I've had major pelvic surgery and hystorectomy I'm only 36 HELP!!! I've just started doing breathing.
The breathing is key. It's never too late to take care of your health! Sending love!
FemFusion Fitness Thank you Dr Bri and just like you I truly believe in HOLISTIC HEALTH AND WELL-BEING (that's why gut health is crucial) every living organ within our bodies is helping and working together and its a shame how modern medicine tends to isolate one problem. After my 2 child I was about a catorgery 3 and I wore the pessary for 1 year which was not all bad had I implemented your techniques maybe I could have avoided surgery which poses recurring problems. Many thanks I will be following and sharing your work for years to come.
Natalia Mendez thanks for your support! I'm sorry for your struggles, but I'm pleased to have you along in this sisterhood of like-minded women! Glad to have you as a part of the FemFusion crew 😘
What about if you have had 3 posterior repairs 1 with mesh that is prolasping into my vagina?
Shellie, I'm so sorry! This sounds very painful. Definitely talk to your doc about this situation... It sounds like a repair might be in order for you.
What if you've had a hysterectomy and have nerve pain and a rectocel and cystocele. Is ther anything I can do to help with this? Is it at all possible having a pessary if you have had a hysterectomy as I dont have a cervix?
Hello! Thank you for asking! If you have nerve pain, please contact your doctor! Please talk to your doctor about these options that are right for your individual care. Wishing you the best!❤️
I can tell u what my Hynix told me that u can’t have a pesary.
Gyno
Sorry for typos
Why don t basic MD s teach everybody simple CARE. STAND TO SIT. Humans need to be taught. Thank you. Reversal possibilities??!!
I definitely have constipation!
It's very common!
Definitely a grade 1 1\2 rectocele.
She spoke so fast with her email address I would like to ride her. Dr. Bree there are no Physio therapist here where I live my option is surgery I’ve been following you but cannot afford to pay for the lifts program I am a senior on minimal dollars a month and barely surviving but don’t wanna go through surgery at the age of 66 fixed prolapse can you help me help me
No problem!! I have so many videos to help here on youtube! Over 600! Here is a playlist that is to help with prolapse: bit.ly/prolapseplaylist
Is there a chance to have this kind of prolapse in a virgin girl/women
Unfortunately, it is! I recommend seeking out a women's health physical therapist in your area, if possible.
I think I have stage 1 but it messes with my vagina,the PH,I always have an odor!
Pamela Kearnes if you have stage one, do kegals!! Do the work outs you can reverse this 100 percent!
I’m a male that’s only 24 with this I also have hard flaccid I don’t really want to live anymore
I LOVED the rectocele grade model!! Perfect! Now I know there's hope for Miss Puss!!
Now to get ole Miz Rectocele back to where she belongs!!
Then address Missy Cystocele!(not so urgent(yet!))
LOL! I love the names ;)
Sound is horrible!!
Its possible to hav sex n having baby in pop
It's absolutely safe to have sex with POP, and as for pregnancy you'll want to speak with your gynecologist or midwife about your specific needs when it comes to your level/stage of POP. All my best to you!
FemFusion Fitness thank you sooo much
Cry
excellent information, thank you
You're welcome!
wonderful wonderful information thank you
Very helpful, thank you.