I'm on my second pregnancy and had an episiotomy and stitches with my first. There was mention of an internal tear but no one gave me any details. This was 4.5 years ago and I often had sensations of feeling like there was a weight coming down and was a little lax with my pelvic floor exercises. I also used to experience a lot of discomfort with internal examinations and sometimes with intercourse but after healing up I no longer get this. Intercourse is easy now and continues to be enjoyable with no pain. I'm 28 weeks now and looked in a mirror the other day and can see a slightly smaller than pea sized lump sticking out the bottom of my vagina. Could this be a prolapse? Scar tissue? I'm not even sure who to discuss this with - is it a GP, midwife or consultant issue? Any advice would be appreciated please.
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I’m not sure a pea size lump is a prolapse as a prolapse is an organ, so it’s much bigger.
I’m also not sure a GP would know , they can send you for an ultrasound to see if you have a prolapse and if so they will refer to a gynaecologist.

Please. Please. Please start Physical Therapy with a Pelvic Floor Specialist. Your OB or Midwife will send over your referral if you ask. But start ASAP please. They’ll help you fix up what you can in the meantime and help prep you for labor. Postpartum continue going to them.
I had a feeling of prolapse too. I tried doing kegels, etc at home bc the military refused to refer me to a pelvic specialist but once I started seeing one it made a huge difference. This second pregnancy I have started PT at the beginning of the 3rd Tri but definitely should have started as soon as my hips started to hurt.

I thought I had a prolapse the other day so went to get checked out by the GP. Turns out all is fine, it’s just your Vag becomes swollen and squishy in pregnancy. It has given me a kick up the bum to do my kegels though!!