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Pain, bulges, & doctor exam @ 6 wks. Pain, bulges, & doctor exam @ 6 wks.

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Unread 01-12-2011, 01:52 PM
Pain, bulges, & doctor exam @ 6 wks.

I had a cystocele, rectocele, bladder sling, hysterectomy, pelvic floor rebuild, and repaired perineum five weeks ago. My three week check up was horribly painful. He said this is going to hurt and used a speculum for a good look see. OMG, that was agony! He said I wasn't healing as fast as he expected and was swollen. I am still very sore but last night did some exploring and found a lump in my vagina below my urethra. I can feel it when I walk. There is also an itchy lump with something in it in my pubic area where he inserted the sling. I have been having what I think are bladder spasms and still have discharge. Is there anything I can say or do so the exam is less painful @ my 6 week check? Is it normal to start having pain now when I didn't a week ago? I am so frightened and depressed. I've always dealt with stress by exercising and now can't do anything, am wondering if I unknowingly messed something up. I have a farm and am wondering if I can ever do anything I love again - including sex.
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Unread 01-12-2011, 03:23 PM
Re: Pain, bulges, & doctor exam @ 6 wks.

Ouch! I couldn't imagine having a that intense of of a pelvic exam at 3 weeks post op. I know that at 3-4 weeks my dr did an internal exam but used a lidocaine jelly to lubricate and kinda numb when he did it and it still was really uncomfortable. I think by 6 weeks though, it wasn't as bad and he didn't need to use the numbing gel. I know that I felt "bulge-like" for about 6-8 weeks post op from internal swelling, and my incisions from my sling were on the sides of my vagina and those were swollen and tender for quite some time. That is likely the itchy bumps you mentioned, I remember them itching as the stitches were thinning. Also the bladder spasm's I had post op continued for a few months

If you feel more of a bulge or the pain is alot worse than before the exam, you should probally try to call in and ask the nurse or doctor just to be sure they don't want you to come back in. Also for your next exam, if it hurts alot, don't hesitate to speak up! Tell the doctor it hurts and ask him to try another angle or something. Some doctors are receptive to those requests, some are "my way or the highway types" and they tend to forget that we have pain and feeling in the area they want to just get a good look at. Good Luck and I hope you feel better soon

Unread 01-13-2011, 10:46 AM
Re: Pain, bulges, & doctor exam @ 6 wks.

I will ask him about the numbing gel. Last time he told me it would hurt and bleed so I don't think he is very concerned about a woman's tender spots, and I am still so sore I'm dreading the exam. It helps to hear my symptoms might be normal healing. Right now my biggest problem might be depression, but I have a feeling he isn't the one to talk to about it. He is a urologist. I'm not sure who to talk to about that. Any suggestions? Gynecologist who did the hysterectomy? Or family doctor who advised against the procedure unless I actually had sores?
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Unread 01-13-2011, 02:06 PM
Re: Pain, bulges, & doctor exam @ 6 wks.

Sometimes doctors don't have much bedside manner, I typically refuse to deal with doctors that have no regard for their patients feelings. But sometimes you have no choice to when its the best person for the job if a specialist is needed, but I am picky when it comes to primary care docs and pediatricians for my kids. When you go back voice to him BEFORE the exam how much it hurt and about the bleeding, tell him that you are very anxious and tense about it and could he please be as gentle as possible until he sees that you aren't as tender in there. And if that doesn't work, you could accidentally kick him in the ear when he's done before he gets up Well not really but you can do it in your head I've asked a few doctors when they are hurting me if anyones ever kicked them in the face while doing that, you should see the expression they give you. I think it gets the point across to them that they are not making for a very pleasant experience.

For the depression, you could mention it to him, and the gyn could give you an rx for something, but you'd be better off seeing your family doctor about it because once the Uro is done with your post op care he will release you and the gyn isn't someone you see on a regular basis so obviously the family doc is the best bet. If you have had alot of issues with depression and such in the past and you feel its more than just from the surgery and stuff I would recommend you talk to your family doc about seeing a psychiatrist just because they are much better at getting meds that cater more to your needs. Family docs tend to just give Anti-anxiety or anti-depressants which may not be the right one or treatment for what the patient needs. I speak from experience on this. I have had problems on and off with what I thought was depression, doctors have given me every imaginable anti-depressant med and I never saw a change, only horrible side effects. I finally went to my son's psychiatrist (he has bipolar and ADHD) after seeing how well she was able to find what he needed and treat the symptoms not just give him a generic cover all kinda med. She put me on meds that are not anti-depressants because I was concerned over weight gain and jitteriness and stuff and I am not 100% but its the best any med has ever helped.

When do you see your Urologist again? If you have time maybe you could call your pcp and see them about the depression beforehand. I hope you start feeling better, and do talk to the doctor about the depression. It can definately make us feel much worse overall than we have to feel.


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