Think of a hammock that's been outside for a number of years and subject to a lot of kids jumping in and out. The hammock and the ropes that hold it up will stretch with time and sag.Now take that image to the pelvic opening. The connective tissue across that opening keep the bladder and the uterus where they are supposed to be, despite lots of kids and lots of jumping (the jumping can be lifting, chronic cough, constipation; you get the idea). We call the subsequent sagging pelvic relaxation.
Last night a woman presented to the ER worried that everything was going to "fall out, just like a baby."No question but that it feels that way. Too bad that the urologist that she had seen the day hadn't spent a few minutes explaining that though very uncomfortable, this conditioning is not life threatening.
We complain about patients filling up the ER with non-urgent problems, but a proactive minute of teaching would prevent a lot of it.
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