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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]OP you can also go see a urogynecologist. You may benefit from a stress incontinence pessary. And there are surgical options like a sling if pelvic PT and a pessary don’t help and you exhaust other options. A urogyn would fit you for this and educate you about options. Obviously they are predisposed to surgery but they can give you a good sense of how serious your incontinence is relatively speaking and what options are for managing it from conservative to surgical. [/quote]

+1 you need to see a urogynecologist. Your OB can refer you. I see Dr Shobieri in Falls Church. I am literally having issues 10 years after my first kid now. [/quote]

Is he going to do surgery for you? He’s not my favorite urogyn, and I’ve seen a lot of them. [/quote]

Different poster — do you mind elaborating? I have an appointment coming up with him. [/quote]

I just would not see him. He’s a solo provider and I found him quite negative. He diagnosed me with avulsion and basically made me feel like I couldn’t have another baby because it was going to get so much worse and I couldn’t do any movement or exercise that I wanted to do. I fell into a deep depression after seeing him. Took me 2 years to get over it and I decided to risk it and get pregnant again. That baby was born via C section, my prolapse is exactly the same, and I am so happy I didn’t listen to his advice. There were other issues with the visit that I don’t care to elaborate on. Suffice to say, I would go elsewhere. WHC and JHU have group practices and GW had their own female urogyn who is supposed to be good. [/quote]

Thank you; I appreciate that — as I’m already in a pretty deep depression about all of this and already decided I don’t want any more kids because I can’t take further damage. If you feel comfortable saying, did he use imaging to diagnose you, and did he suggest the possibility of avulsion repair? I am also seeing someone at WHC but saw that he does advanced imaging and has done avulsion repair in limited circumstances— that seemed to be in stark contrast to the other practices around here. I was highly active before delivery so will do whatever it takes to get back to that but can’t stomach being told there’s no way to get me back there.

I am so glad you were able to have another baby like you wanted without it worsening! [/quote]

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