<![CDATA[Vagina etc... - Blog]]>Sat, 05 Dec 2015 18:10:13 -0800Weebly<![CDATA[I love my pessary!´╗┐]]>Sat, 05 Dec 2015 05:51:01 GMThttp://www.vaginaetc.com/blog/i-love-my-pessaryWhile I was pregnant with my second child I felt something was not right down there. I felt pressure and I could see a bulge inside my vagina. Oh, no! I knew I had developed a pelvic organ prolapse. POP in pelvic floor physio lingo. I informed my midwife and she told me she had referred some patients in the past to be fitted for a pessary in very extreme cases. I decided to wait as I thought maybe my case wasn't too extreme. So after delivery the pressure and funny sensation was worse. I was very upset, as I knew I would have to completely modify my life style, and worse, to stop my dance classes. I knew that any constant increase of abdominal pressure will make the prolapse worse. See, i was still dancing while I was 8 months pregnant and I was planning to go back after 3-4 months post-partum.

At my 9 weeks follow up my midwife sent me a referral to see a Specialist. Then I decided to see a pelvic floor physiotherapist and pessary nurse instead. 

Pessaries are rings that go inside your vagina and pushes everything that is not supposed to be there out of there.(upwards) I wasn't keen in having something inside my vagina, but I wanted to try something less invasive so I could go back to my beloved dancing :)

My appointment with the nurse lasted maybe 20 minutes, and voila, I came out of there with a pessary already inserted. The funny thing was I felt almost instantly like normal again. The pressure, the bulge, gone... Amazing, I thought. 

Anyway, I am not going to lie that it took me a few trials of inserting and pulling it out to completely master the task on my own. 

After that I started my physiotherapy sessions. I had other issues to address such as weak pelvic floor muscles and a 3 finger abdominal separation called diastasis recti. I went to the physio maybe once a month for about 8 months. I also tried to be consistent with the exercises she prescribed me. During my last assessment with the physiotherapist my diastasis was less than 1 finger wide and my lower abdominals were stronger and toned. My pelvic floor muscles were also very strong and coordinated. She even noted that my prolapse without the pessary was also improved. I was amazed!!! So happy about my improvement and also surprised. Even being a pelvic floor physio myself i didn't think my progress would have been so significant. 

I thank the pessary. I think it was there making things more secure and also preventing things from getting worse. It gave me the support I needed during dance but also during those long nights of "cuddling" and carrying my daughter. 

I also thought it helped to push things out of the way so I could perform the pelvic floor exercises more efficiently.

Now I am 15 months post-partum and I don t need to wear the pessary every day. I choose to wear it for dance classes, more strenuous activities and sometimes when I feel more tired and I experience more downward pressure inside.

I just love my pessary and I trust to say that it isn't what I imagined it would be. It is a simple solution for POP and I would recommend to post-natal patients in a heart beat. 

Post-natal patients are more susceptible to POP even if they haven't developed one through pregnancy and birthing experience. They are still lax from the hormonal changes especially if they are breast feeding.  In my opinion the pessary can help prevent prolapse from worsening while helping them maintain their level of activity.

Simple as that! :)
<![CDATA[´╗┐Leaking is not normal!]]>Sat, 05 Dec 2015 05:48:35 GMThttp://www.vaginaetc.com/blog/leaking-is-not-normalI live in Canada. It's supposed to be this amazing country, with this amazing health care system... I am not complaining, just saying... 

The more I see patients with urinary incontinence the more I wonder how can we get the right information out there. I see patients of all ages but what really frustrates me is when women come to me only after years, and years of experiencing incontinence. Why did they wait so long? Why they didn't ask for help sooner. Ladies, I have news for you: leaking urine is NOT normal and it is treatable. And of course the sooner you seek treatment the more chances you have to improve. 

Going back to our healthcare system. Why are the population not receiving the proper information, and getting immediate treatment  for incontinence? And the population in question here is the post-partum women. Here in Canada vaginal delivery is the standard procedure. Vacuum, episiotomy, forceps are used to facilitate delivery and avoid cesarean section. Then these women after hours and hours of labour, sometimes days, are sent home with instructions on how many Tylenol and ibuprofen pills to take to ease the pain. They have no idea of the possible side effects of delivery, which can include urinary incontinence, pelvic organ prolapse, urgency, frequency, etc. What should they be avoiding? Where can they seek treatment? What are the signs and symptoms of prolapse?

​I heard in Australia every women that had delivered a baby in one of their main hospitals are seen by a pelvic floor physiotherapist before discharged, or being referred by a pelvic floor program/ information session. Why aren't we doing the same here? ]]>