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[quote=Anonymous][quote=Anonymous][quote=Anonymous]One year after giving birth, im really not happy with how things now look down there.  Anyone feel the same?

Dr recommendations in the DMV? [/quote]

Hi! First of all, please ignore the peanut gallery on this thread. Not sure who wouldn’t look — those women are the nuts, in my mind.

As someone else noted, pregnancy can cause vulvar changes, but vaginal delivery can *really* wreck havoc on your labia. (My left labia minora was partially torn off during delivery — folks, just another reason to strongly consider a planned c section.) Moreover, if you delivered vaginally, you almost certainly have some pelvic organ prolapse. While my labia don’t bother me too much, the muscle tearing/sagging around the vestibule that occurred after vaginal delivery really bothered me and pushed me to consider surgical repair.

I met with several urogyns around the DMV (including a cosmetic urogyn in Virginia) but ultimately wasn’t comfortable pursuing surgery locally. I will travel when I ultimately get a repair (perineoplasty, possibly a little labia clean up to even the sides out, and rectocele repair, possibly with a levatorplasty). Dr. Miklos at Miklos and Moore in Atlanta comes highly recommended— I am waiting to see outcomes of several friends who have surgeries planned with him in the next year. One thing to note — I would strongly suggest making sure your family is complete before surgery, and of course having a planned c section if you were to get pregnant after surgery. 
[/quote]

Would you be willing to come back and post about you and your friend’s  experience with them? I have consulted several urogyns in this area for my pelvic floor issues (severe prolapses and levator avulsion) but didn’t feel confident in any of them, and they all recommended different surgeries. I’ve considered Miklos for a long time, especially when I heard they have been used by celebrities and athletes, but I’m terrified of making my issues worse or causing new issues so I have not gone for a consult. I’m also curious if they are really such rockstar doctors or if it’s just a lot of marketing hype.

I’m especially curious about their approach to rectocele repair. A good friend of mine had a rectopexy with mesh for her rectocele which didn’t solve her symptoms of obstructed defecation and caused her new back pain, and very much regrets having a mesh now, but feels she’s stuck with it. I’ve also read rectocele surgery has a pretty significant failure rate.

Re: levatorolasty, do you know if your levator ani is still intact?

And yeah, I too wish I’d had a scheduled C section. I also wish someone had told me how much birth can wreck your entire pelvic floor and impact your continence, sexual function, ability to exercise and retain a tampon before I had my babies. My SIL was so affected by hearing about the issues I had from my delivery that she had 2 elective C sections and had straightforward recoveries. [/quote]

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