My decision to have rectocele repair surgery was a BIG one and a lot of though and research and care provider consults contributed to it. I feel a missing element of prolapse surgery is pre-hab and re-hab guidance. I hope to help change that with the aim of preventing surgery for some and improving the outcomes of those that go ahead. Here are some considerations for pre-op and post-op that may help you with your decision making and/or prep and recovery.
What is a rectocele?
A Rectocele is a type of prolapse indicated by the rectum bulging into the vagina. They can contribute to discomfort, difficulty voiding, feeling like ‘something is in there’, difficulty inserting a tampon or keeping it in. They can also be asymptomatic. Many people don’t even know they have a prolapse and the grade (1-4) of prolapse is not always indicative of the severity of or presence of symptoms.
What is a rectocele repair?
The most common rectocele...
Let me just start by saying...my number one treatment for pelvic floor dysfunction is pelvic physical therapy. It is my answer to anyone who asks “What should someone do if they experience pelvic floor discomfort?" or "What kind of treatments are there for pelvic floor dysfunction?” In my opinion, pelvic floor physical therapy (or pelvic floor physiotherapy if you are in Canada or the UK) should be the first line of defense for things like incontinence, prolapse, chronic back pain and even diastasis recti.
While many pelvic floor related challenges are common, like post-partum leakage or stress urinary incontinence, they aren’t necessarily “normal”. Folk wisdom suggests these are things that should be endured, but the truth is that there is help available and you can significantly improve your quality of life by taking the time to treat pelvic floor dysfunction with pelvic floor physiotherapy...
This post is about my decision to have surgery for my prolapse, a rectocele, that I have lived with for over 8 years now. Surgery is something I have been debating for 4 years and I did not come to this decision lightly but I know it is the right choice for me.
16 years ago I gave birth to my first son. I believe that was the start of my rectocele.
My goal for childbirth was to have a vaginal birth with no epidural and no tearing.
I did everything I knew about to prepare for birth with the aim of avoiding episiotomy and tearing like my mom had experienced. She also dealt with incontinence and because at the time with my limited knowledge about pelvic health, I equated tearing with incontinence, I felt that because of the fact that I did not tear must mean that my pelvic floor was doing well!
Or so I thought….
I Wish I Had Known
Knowing what I know now, I would have understood that just because there was no external tearing...
Have you been told to do kegel exercises to help with your incontinence? Urinary incontinence in women is very common and kegel exercises are often the initial prescription but Kegel exercises are a bit of an elusive exercise that people know they should do but are never sure if they are doing them correctly.
Kegel exercises were designed by doctor, Dr. Kegel, who used a biofeedback device called a perineometer, to help women learn how to contract and relax their pelvic floor after childbirth. Read that again...contract AND relax.
Studies have shown that over 50% of women are doing kegels incorrectly and many are simply trying to squeeze as hard as they can and end up using their inner thighs or their glutes instead of their pelvic floor and they fail to consider the relaxation portion. But it is not their fault.
What's happened to the kegel over time is that its regularly prescribed, but rarely taught and seldom do people have a proper pelvic floor evaluation to...
I get a lot of questions from women who are expecting and who are interested in finding out the benefits of performing kegels exercise during pregnancy. Having questions is natural and I’m so grateful for my education as a trainer to be able to educate my clients about doing kegel exercises in pregnancy and to be able to address their concerns.
They worry about if it’s safe to keep doing their kegels now that they are pregnant or if pregnancy is a time that they should start doing them if they haven’t been doing them before. They wonder how to do kegels and when they should start doing them if they are pregnant, if there is an ideal time. .
As a Core Confidence founder, women come to me with a lot of questions about pelvic wellness at all stages of life, prenatal, postnatal or even if they never plan to have a child. Kegels are foundational to pelvic wellness and a hot topic of conversation in the media, among pelvic wellness practitioners and...
While you may not feel like it, you absolutely can do kegels while on your period. Your sense of motivation may be lower and your perception of ‘engaging’ the muscles may also be less but that doesn’t mean the muscles aren’t working. Pelvic floor exercise may feel more or less effective depending on where you are in your cycle and if you are nearing menopause or past it.
During menstruation (the follicular phase), estrogen and progesterone are relatively low but there is more estrogen relative to progesterone. Estrogen and testosterone are highest at ovulation and just after and then start to decline in the luteal phase followed by a drop in progesterone which starts the cycle once more.
During the first 14 days of the cycle the follicle is maturing and after the uterine lining has shed it starts to build back up again and...
Guest Post By: Dr. Marisol Teijeiro
Think back to a time where you’re hanging with your girls and the crowned joker of your crew (no, not the Batman villain) but the one that always has something funny to say, gets you to burst out laughing so hard it sounds like your howling, and then suddenly you blurt out…
“OMG, I’m gonna pee my pants!!”
Only it ain’t a joke.The joke is actually on you, literally. You can tell from the moistness you feel in your undies, this is the time that the pantyliners in your bathroom would have come in handy.
Dang. You peed yourself! Not very queenly of you.
Why does this happen?
The vagina and pelvic floor have numerous villains that conspire against its ideal function. They cause it to lose its tone and mess up the function of everything around it, namely your bladder and your bowels. Lucky for you, it was only pee!!!! How do we move from feeling like a victim of our own function, to...
During pregnancy your centre of gravity shifts and many women try to counterbalance that shift by tucking their tailbone, overusing the posterior pelvic floor muscles and under-using the glutes.
This results in a flattened backside that can’t fill up a great pair of jeans – or even hold that pair of jeans up!
While it may seem a bit odd, next time you are at your mom group, check out your friend’s butts – what do you see? Or maybe the better question is what don’t you see?
Chances are you will see a lot of flat bums, flat backs and pants that are continuously being hoisted up. What you won’t see is much, if any, booty! Mum bum syndrome is rampant and below are some tips and exercises to help you get your booty back!
Sitting does nothing to build the glutes and everything to make it flat as a pancake and let’s face it, we spend a lot of time sitting these days don’t we? Minimizing...
When I was first learning about the pelvic floor and core work I would ask every course instructor what their best core cue was. The answer was never what I was hoping for – ‘it depends’ they would say. Ten years later and I am now the person saying ‘it depends’.
I love using imagery and visualization with women to help them connect to their pelvic floor and I can never tell who will respond best to which cue or image. Different strokes for different folks, as they say. What works for one, will not work for another. It is not about THE best core cue, it is about THE best core cue FOR THAT PERSON.
During my initial consultations with people I take them through a series of functional assessments to determine what, if any, non-optimal core stabilization strategies or postural adaptations they may have. I then teach them how to release those strategies then re-assess and work with them to find their best core cue.
One cue that seems to be a...
Aside from sleeping, eating, and drinking a ton of water, this is all you should be focused on after your babe is born:
That’s it!! You need to take time to heal your postpartum body.
The importance of postpartum recovery is so often overlooked. Moms are anxious to feel like themselves again, to move in a non-pregnant body, and to get back into their pre-pregnancy clothes, but too much too soon can spell disaster for the postpartum body.
By taking time to heal, to rest, and to support your body, you will better restore your form and function, leaving you less likely to experience the common postpartum complaints of mummy tummy and a weak pelvic floor.
Restoring your body actually starts while you are pregnant. By...