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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Postpartum Vaginal Prolapse

I had my child 13 weeks ago and I had a quick traumatic birth, episiotomy and sore at each side also, I lost over a litre of blood and had blood transfusion. I have been left with lumps of skin around my hole and also the inside of my vagina is having very low. The hole is still wide and it s affecting my mood and my relationship as I am not wanting to have a physical relationship because of it. Do you have any idea what could be wrong with my vagina, is there anyway I can get it fixed?
Tue, 11 Oct 2016
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General & Family Physician,  's  Response
Hello.

The female reproductive system i.e. the uterus, cervix and vagina undergo tremendoous changes during pregnancy and during childbirth itself and take anywhere between 3-6 months to regain their normal structure. Even then it may not be completely as in pre-pregnancy.

From your description, you do seem to have some mild degree of vaginal prolapse.

I would suggest the following:

1. Pelvic floor muscle exercises : Called Kegel's exercises, include holding the pelvic muscles tightly as if holding in urine and then relaxing. This sequence can be repeated 20-30 times about 3-4 times a day. This strengthens the muscles in the pelvic area and helps regain the pre-pregnancy anatomy.

2. Vaginal pessaries : are support deivices. These may be prescribed by your gynaecologist after an internal examination (as there are some contraindications for their use like injury or infection). These might be helpful in mild cases.

3. Surgery : If the above methods fail, surgery will have to be considered where there is reconstruction of the pelvic organs.

Hope this helps. Wishing you good health.

Regards,
Dr Geeta
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Suggest Treatment For Postpartum Vaginal Prolapse

Hello. The female reproductive system i.e. the uterus, cervix and vagina undergo tremendoous changes during pregnancy and during childbirth itself and take anywhere between 3-6 months to regain their normal structure. Even then it may not be completely as in pre-pregnancy. From your description, you do seem to have some mild degree of vaginal prolapse. I would suggest the following: 1. Pelvic floor muscle exercises : Called Kegel s exercises, include holding the pelvic muscles tightly as if holding in urine and then relaxing. This sequence can be repeated 20-30 times about 3-4 times a day. This strengthens the muscles in the pelvic area and helps regain the pre-pregnancy anatomy. 2. Vaginal pessaries : are support deivices. These may be prescribed by your gynaecologist after an internal examination (as there are some contraindications for their use like injury or infection). These might be helpful in mild cases. 3. Surgery : If the above methods fail, surgery will have to be considered where there is reconstruction of the pelvic organs. Hope this helps. Wishing you good health. Regards, Dr Geeta