If you’ve gone through pregnancy or childbirth, you know that the body experiences a fascinating (and occasionally frustrating) array of changes. And while certain changes are expected after you give birth (feeling tired, tender, or not quite yourself) other changes can come as more of a surprise.
For example, if you’re dealing with bladder leaks, bowel changes, pelvic pressure, or stubborn pain, it could be time to speak with a urogynecologist. Below, we’ll go over the essentials: the role of a urogynecologist, signs you may need to see a urogynecologist, and a few notes on pelvic prolapse and pressure.
What Does a Urogynecologist Do?
A urogynecologist is a doctor who specializes in pelvic floor disorders. If you’re still learning about the pelvic floor, it’s the group of muscles and tissues that supports the bladder, uterus, vagina, and rectum.
After childbirth, these muscles and tissues can become stretched, weakened, or injured. This can lead to symptoms that affect daily life, comfort, intimacy, and confidence. Common reasons to see a urogynecologist after childbirth include urinary leakage, pelvic organ prolapse, bowel control issues, painful sex, and ongoing pelvic pressure.
Signs You May Need Pelvic Floor Support
Some postpartum discomfort improves naturally as your body heals. But you do not have to live with pelvic floor symptoms just because they are common. Such symptoms often occur after childbirth, but they typically are treatable. You do not need to wait until they become severe.
Consider seeing a urogynecologist if you notice:
- Leaking urine when you cough, sneeze, laugh, or exercise
- A strong or sudden urge to urinate
- Trouble fully emptying your bladder
- A heavy, full, or bulging feeling in the vagina
- Tissue that feels like it is coming down or out of the vagina
- Ongoing pelvic pain or pressure
- Pain during sex after you have been cleared to resume intimacy
- Difficulty controlling gas or bowel movements
- Symptoms that make you avoid exercise, errands, or social activities
Is Bladder Leakage Normal After Having a Baby?
Some bladder leakage can happen after childbirth, especially after a vaginal delivery. However, “common” does not mean you should ignore it.
If leaking continues beyond the early postpartum period, worsens, or keeps you from feeling comfortable in your body, bring it up with your provider. A urogynecologist can help identify what is happening and recommend treatment options based on your symptoms.
What About Pelvic Pressure or Prolapse?
Pelvic organ prolapse can happen when the pelvic floor no longer supports the pelvic organs as well as it should. Some people describe it as heaviness, pressure, or a bulging feeling in the vagina.
This can feel scary, but it is not something to be embarrassed about. Prolapse is a well-known pelvic floor condition. Treatment may include pelvic floor physical therapy, a support device called a pessary, lifestyle changes, or, in some cases, surgery.
Should I Ask My Doctor About Pelvic Floor Symptoms?
A good rule of thumb: If a symptom is affecting your comfort, confidence, movement, bladder habits, bowel habits, or sex life, it is worth discussion. You may want to schedule an appointment if symptoms last beyond your six-week postpartum visit, return when you become more active, or feel more significant at any point.
Seek care sooner if you have severe pelvic pain, trouble urinating, loss of bowel control, or a bulge that’s painful or difficult to manage.
Pelvic Floor Issues After Childbirth: Get the Support You Deserve
After childbirth, it’s completely understandable to put all your focus and attention on your baby. But your healing matters, too! And when you feel better, you’re in a better position to give your child the love and energy they need.
If something feels uncomfortable, frustrating, or not quite right, you might be tempted to think it’s “in your head” or you’re just tired. But the symptoms you’re feeling are very real! A urogynecologist can help you understand what is normal, what can improve, and what treatment options may help you feel stronger, more comfortable, and more like your old self again. Call our care team today for an appointment.
