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! :)