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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Back To Sports After Child Birth, Feel Heaviness In Vagina. Is This Mild Or Douglas Prolapse ?

I am 26 and had a baby six months ago and have returned to sport and my usual daily activities (at 4month's post partum) I'm finding however that after a day on my feet or playing sport I feel very heavy in my vagina/pelvic region. I am in the process of consulting a Dr who seems to thiBjorn it might be fluid in pouch of Douglas - how likely is it that the issue is this as opposed to a prolapse/mild prolapse?
Mon, 26 Aug 2013
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Anesthesiologist 's  Response
Hello,
Welcome to Healthcaremagic.

I had gone through your query and understand your concern.
Yes, it is possible for the prolapse at this time.
As your pelvic floor muscles and muscles are weak at this time after delivery of your baby.

But still as you think, it may be due to fluid in douglas pouch.
It could be confirmed only by examination and investigations like transvaginal ultrasound.

There are plenty of reasons for developing Prolapse at this age.
1. Pregnancy weakens pelvic floor muscles
2. weight of the growing baby towards gravity can weaken the pelvic floor muscles.
3. Relaxin , a pregnancy hormone relaxes the pelvic floor muscles.
4. Earlier resuming to normal work after delivery.
5. Not properly doing pelvic floor muscle exercise during pregnancy as well as after pregnancy.

As you have the history of resuming to heavy work ie sports activities earlier, it may be cause for Prolapse.
Any investigation and examination may be needed to confirm.

If it is a mild prolapse, it can be easily corrected by proper pelvic exercises.

Hope this helps.If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Regards,
Dr.Manjeth
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Back To Sports After Child Birth, Feel Heaviness In Vagina. Is This Mild Or Douglas Prolapse ?

Hello, Welcome to Healthcaremagic. I had gone through your query and understand your concern. Yes, it is possible for the prolapse at this time. As your pelvic floor muscles and muscles are weak at this time after delivery of your baby. But still as you think, it may be due to fluid in douglas pouch. It could be confirmed only by examination and investigations like transvaginal ultrasound. There are plenty of reasons for developing Prolapse at this age. 1. Pregnancy weakens pelvic floor muscles 2. weight of the growing baby towards gravity can weaken the pelvic floor muscles. 3. Relaxin , a pregnancy hormone relaxes the pelvic floor muscles. 4. Earlier resuming to normal work after delivery. 5. Not properly doing pelvic floor muscle exercise during pregnancy as well as after pregnancy. As you have the history of resuming to heavy work ie sports activities earlier, it may be cause for Prolapse. Any investigation and examination may be needed to confirm. If it is a mild prolapse, it can be easily corrected by proper pelvic exercises. Hope this helps.If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Regards, Dr.Manjeth