WOMENS-HEALTH Messages for February, 2008: Re: POSTPARTUM: Possible prolapse

Re: POSTPARTUM: Possible prolapse

From: anonymous@obgyn.net
Wed, 6 Feb 2008 11:56:52 -0600 (CST)

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Reply: Kris: "Re: POSTPARTUM: Possible prolapse"

At Wed, 6 Feb 2008, Kris wrote: >
>I apologize... this is very graphic, but I am scared and embarrassed to
>call the DR. I delivered vaginally about 10 days ago with no tear or
>episiotomy. I have had very little postpartum pain and was walking and
>doing normal activity within a few hours. Last night curiosity lead me
>to view myself using a mirror. I noticed a fleshy bulge that appears to
>be blocking my vaginal opening. It is not outside the vagina, but
>instead about 2 CM inside. At the top of the "bulge" is a small red
>spot or possibly a hole (I can't easily tell) and at the bottom I can
>see an opening into the vagina but it is very small.
>
>After looking through the web, I am worried this could this be a uterine
>or bladder prolapse. From what I've described, should I make a DR
>appointment or just wait and see if it gets better. Of course, I do
>have a postpartum checkup scheduled in about 4 weeks. If I wait, could
>it get worse? Or, am I overreacting?

This is not uncommon soon after delivery. You're noticing your cervix inside the vagina. It takes some time for the tissues to retract to their normal shape and size. The uterus can remain enlarged for 4-6 weeks, and the vaginal opening (introitus) takes several weeks to fully resolve the fact that it just had a baby pass through it! If it's not causing you any trouble, I would not worry about it, and just follow up with your doctor as scheduled in 4-6 weeks.

Travis McCoy, MD

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