By: Jessica Collins
Updated: Dec. 10, 2020
Originally Published: Nov. 29, 2017
At my six-week postpartum appointment after the birth of my second child, my midwife casually informed me that I had developed a condition known as a rectocele. Sensing my confusion, she clarified, “It’s when your rectum is pushed against your vaginal wall. You’ll notice it especially during constipation.” Great, just what I needed!
She reassured me that my rectocele was relatively minor and likely a result of childbirth (let’s just say that delivering my second child was quite an ordeal). She advised that strengthening my pelvic floor could help reposition my rectum. To be honest, I didn’t give it much thought for a while, lost in the whirlwind of motherhood. I did my Kegel exercises sporadically, hoping that would suffice.
Fast forward a few years, and as I approach my 40s, I’m realizing that everything in that region seems to be slipping further down. The rectocele is becoming more bothersome. While I won’t delve into the unpleasantries, let’s just say it sometimes feels like my butt is too close for comfort to my vagina (don’t worry; it’s not literally!).
Determined to tackle this issue, I set out to educate myself on rectoceles and explore potential remedies. Shockingly, around 40% of women experience rectoceles, though the severity can vary significantly.
Understanding Rectoceles
You might be wondering, “How can 40% of women have rectoceles and I’ve never heard of them?” The American Society of Colon and Rectal Surgeons notes that many women with rectoceles don’t exhibit noticeable symptoms. For those who do, the symptoms tend to be mild. Common issues include increased vaginal pressure during constipation, difficulty with bowel movements, the sensation of incomplete evacuation, and occasionally, the need to assist with a finger during bowel movements (yes, it’s documented guidance by medical professionals!).
Other potential symptoms include discomfort during intercourse, vaginal bleeding, and a noticeable bulge in the vagina. In more severe cases, women might experience fecal incontinence or fecal “smearing.” The unfortunate truth is that all of this stems from weakened pelvic muscles, allowing the rectum to protrude against the vaginal wall.
To visualize the issue, consider the anatomical differences between a healthy vagina and one affected by rectal prolapse. In an ideal scenario, there is ample space between the vagina and rectum. However, in cases of prolapse, this space is significantly diminished. Additionally, other organs like the bladder and uterus can also experience similar issues due to childbirth and aging. Chronic constipation can further exacerbate the situation.
Steps to Alleviate Discomfort
So, what steps can be taken if your rectocele is causing discomfort? According to the Mayo Clinic, making specific lifestyle adjustments can help alleviate symptoms. Prioritize a diet rich in fiber and stay hydrated to combat constipation. Avoid excessive straining during bowel movements, minimize heavy lifting, and try not to cough too forcefully (easier said than done, I know).
And don’t forget to do your Kegels! These exercises are essential not just for maintaining vaginal tone; they play a crucial role in supporting pelvic organs as well. It’s vital to learn the correct technique for performing Kegels, and you may want to explore pelvic organ prolapse physical therapy, which might even be covered by your insurance, as detailed in this insightful article on the subject from Modern Family Blog.
If lifestyle changes don’t bring relief and symptoms continue to disrupt your daily life, surgery may be an option. However, as warned by the American Society of Colon and Rectal Surgeons, surgery carries risks such as bleeding, infection, new pain during intercourse, fecal incontinence, and the potential for recurrence or worsening of the rectocele.
On a positive note, the initial success rate for surgery is quite high, with 75-90% of patients experiencing improvement. However, this rate drops to 50-60% after two years, which is a concern. Ultimately, the decision to pursue surgery is a personal one that should be made in consultation with your healthcare provider.
Conclusion
In summary, rectoceles are a common issue among women, similar to “mommy bladder” and uterine prolapse. The important thing to remember is that you are not alone, and there are options available to help you manage the condition. We all deserve to feel comfortable and healthy in our bodies, and rectoceles shouldn’t define our well-being!
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