Will progressive vaginal weights or vaginal cones sit correctly in my vagina?
Some women may find that Aquaflex cones ,or urethral support device Incostress, are too small to sit correctly within the vagina This may be due to several reasons:
- Prolapse - if it is a mild prolapse then you may be able to successfully insert the cones, however if you can feel a bulge at the opening to the vagina then it is likely that this will prevent correct placement or that the cones/ device will sit above the prolapse and not do the job they are designed to do.
- Large hiatus ,or gap ,between the left and right sides of the deep pelvic floor muscle plate.
Many women feel that following childbirth, their vagina is larger, weaker, floppy or loose. Whilst this may initially be the case , you should notice improvement in this over the coming months especially if you actively work on regaining your pelvic floor and core strengthIn women who still feel this way some time after the birth , the causes can be:
- Weak pelvic floor muscles
- Stretched or torn fascial or elastic tissue - there are sheets of this tissue between the vagina and the bladder at the front which support the anterior or front wall of the vagina, and between the vagina and rectum which supports the posterior or back wall. if this is the case then the relevenat organs ( bladder at the front , rectum at the back ) can slide into the vagina leaving you feel heavy or with a bugle in the vagina. This is called a prolapse.
- Avulsed deep pelvic floor muscle layer- these attach at the pubic bone at the front and sometimes one side may tear away from the pubic bone. It can happen on both sides but this is much rarer
Any of these scenarios can leave you with a large hiatus, or gap , between the two sides of the deep pelvic floor muscles and this is what gives you the perception of a loose or slack vagina.
It is the deep pelvic floor muscles which then provide support underneath the organs, closing the gap to squeeze and lift to support the organs especially under load.
Whilst we cannot alter torn or stretched fascial tissue without surgery, we can improve the strength and bulk of the pelvic floor muscles , thus providing better support and reducing the strain on the elastic tissue. Many women have even reduced the degree of POP by doing this.
It is possible to have:
- weak pelvic floor muscles, stretched or torn fascial/e;astic tissue·
- weak pelvic floor muscles , intact fascial/elastic tissue
- strong pelvic floor muscles , stretched or torn fascial/elastic tissue
- strong pelvic floor muscles , strong intact fascial/elastic tissue
It is also possible to improve weak pelvic floor muscles
How to test your hiatal or vaginal size.
A quick test to see if you may be able to use vaginal cones or whether slightly larger vaginal balls may be the best product to start with:
- Can you still use the same size tampon as pre- baby? If you can't retain the same size tampon then you may not be able to use cone/ smaller devices initially
- Insert one or two lubricated fingers into your vagina - as if putting a tampon in. If you can feel the walls of the vagina against your fingers then you should be able to use the smaller cones. If you can easily spread your fingers apart then you will find vaginal balls a better product at this point in time.
If this applies to you, products such as vaginal balls with a wider diameter than cones, may be a preferable choice.
Products such as the PFX2 will be suitable and if pelvic floor muscle weakness or damage has been diagnosed then electrical stimulation may be the first choice for you.
Check with your doctor or physiotherapist
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