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[quote=Anonymous][quote=Anonymous]

To the OP — I’m sorry; this sucks. I wish there were better answers. [/quote]

I think 1) doctors just aren't trained in this yet, and 2) a lot of common birth practices really aren't healthy for the pelvic floor (like pushing forcefully on your back), so thinking about the pelvic floor would really call a lot of other common birth practices into question. Even c sections can lead to problems in the pelvic floor, which nobody really talks about.

Also, it's not just the birth itself that causes the issues. A lot of times it's poor habits pre-pregnancy, during pregnancy, and post-partum. All kinds of things like how your posture is, how much you sit, what kind of exercise you do, etc.

The most widespread pelvic floor health advice we have right now is "do kegels," but even in that case, a lot of people do them incorrectly (like they push down instead of pulling their pelvic floor up, in which case they are making something like prolapse WORSE), AND a lot of women actually have a hypertoned pelvic floor, which can ALSO cause incontinence, and kegels just make that worse too.[/quote]

This post is some straight up victim blaming. And many younger women get prolapse, not just older women. The major modifiable risk factor is vaginal delivery with forceps but sure, blame women for poor posture FFS[/quote]

I wasn't trying to blame women. I was talking more about how we're set up to fail in multiple ways, including before birth even happens. In talking about posture, I just meant that women are taught and/or forced into bad posture that is really bad for our pelvic floor health and can contribute to incontinence, etc. Like all the exercise classes that tell us to "tuck your pelvis" - terrible for your pelvic floor! Or being forced to sit in a crappy office chair all day. Or how we're all told to "do kegels," but a lot of us do them wrong, or shouldn't be doing them at all, and that can definitely make prolapse and incontinence worse. Yea, if someone had a forceps delivery, I'm not saying their office chair is the cause of their prolapse vs. the forceps. But even those of us who didn't get forceps have problems, and those problems often have roots in lifestyle stuff that we're never taught about.[/quote]

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