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GYNECOLOGIC: 'Gap' in muscle between vagina and rectum - normal? From: Carrie (anonymous@obgyn.net) Fri, 31 Oct 2008 04:17:50 -0500 (CDT) Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Neena Agarwala, MD: "Re: ULTRASOUND: Arcuate uterus on ultrasound?" Previous message: Christine: "ULTRASOUND: Arcuate uterus on ultrasound?" Next in thread: William F. von Almen, II, MD, FACOG: "Re: GYNECOLOGIC: 'Gap' in muscle between vagina and rectum - normal?" Reply: William F. von Almen, II, MD, FACOG: "Re: GYNECOLOGIC: 'Gap' in muscle between vagina and rectum - normal?" I have been having problems with bowel movements since the birth of our second child. If my stools are even the slightest bit firm I find it very difficult to pass them, and have a lot of cramping, and often I have to 'help them along' by using my fingers in my vagina. For the first year or so I also had a problem with fist-sized faeces gathering up at the entrance and bulging up into my vagina before I even had the urgency to go to the loo (when I had to manually push it out), but that is much better now and has been replaced by a lot of cramping pain and urgency long before the faeces reach my anus. It is by doing the manual evacuation that I noticed I can press my fingers down into a gap between my vagina and rectum - it is enclosed by skin, and when I do pelvic floors I feel muscle pressing around my fingers. I told a GP about it, and that my vagina seems very loose and 'different', and she seemed very bemused and didn't particularly understand what I was talking about! She didn't examine it but referred me to an obstetric physiotherapist. My physio is currently supervising me as I try to retrain my muscles doing pelvic floor exercises, which is helping the small urine leaking problem I also had, but doing nothing for my bowel issues. She gave me a grade 2 out of 5 for my muscle strength and says that my bladder is pushing down quite a lot (which I can visibly see). She says that if any gap in the muscle exists it can be rectified by pelvic floors but she too has never actually examined it. This leads me to think that a gap in the muscle is a normal thing - am I worrying for nothing and continued pelvic floors will solve the problem? I worry about a future childbirth (if it happens) and the word 'fistula' fills me with dread! Next message: Neena Agarwala, MD: "Re: ULTRASOUND: Arcuate uterus on ultrasound?" Previous message: Christine: "ULTRASOUND: Arcuate uterus on ultrasound?" Next in thread: William F. von Almen, II, MD, FACOG: "Re: GYNECOLOGIC: 'Gap' in muscle between vagina and rectum - normal?" Reply: William F. von Almen, II, MD, FACOG: "Re: GYNECOLOGIC: 'Gap' in muscle between vagina and rectum - normal?"

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