by GilmoreGirl » 09 Dec 2016, 16:19
Thanks!
Maybe tmi here - especially for the guys! But I will be thorough in case this helps someone.
So just finished at the physio and surgeon. It was very helpful. She was not able to do anal exam (to be safe) but did feel what muscles she could via the vagina and externally. She says I have tons of tension at the anterior side of the anus and in the perenium, where my FIRST fissure (long "healed") is located. We worked on some biofeedback to practice relaxing, and she has given me some VERY gentle gentle massage to do 5 min daily for scar tissue, blood flow etc.
We discussed not only the fissure/spasms but pelvic floor dysfunction - she thinks I very likely have a rectocoel - but diagnosing that for sure will likely have to wait until I can have a rectal exam without worry. She has suggested that I should try inserting a finger in the vagina and pressing against the vaginal walk towards the rectum when having a bm to see if that helps.
I was very impressed with her extensive knowledge and she was very reassuring. She said she has dealt with a lot worse down there (ie tears from giving birth etc) and that she is confident we will be able to make some progress.
After discussing with the surgeon (who was very pleased to see improvement!) we've decided to make a follow up appointment in January. I will continue with the physio, and if there is no further improvement or if things get worse by then, then I will reschedule LIS. Otherwise, we will re-evaluate in February.
Overall I'm feeling still impatient (aren't I unfgrateful!!!) to get back to normal, exercising etc. But I am setting a goal of being back in the gym by end of January. Until then I will be trying to slowly add in walks, yoga and maybe some light body weight training when ready and as per instruction of physio.
What a long day! 4 PM and I could go to bed!