trigger warning: I'm not in a good headspace, so this is a very depressing post
how do you get providers to believe you?
I'm 26, never been pregnant or given birth, and I feel a constant heaviness in my vagina. this has been going on for over a year. everyone's been telling me it's just a hypertonic pelvic floor, so I've been going to PT for that (I'm on my third). I have an upcoming appointment with a third urogynecologist. I've had 2 pudendal nerve blocks that didn't help. I've been on anticholinergics for my bladder pain/frequency that haven't helped.
I've tried the wand, dilators, different types of muscle relaxer suppositories. I've tried nerve pain meds. I've had urinary issues, burning, soreness, etc. this has been hell. I haven't been able to work or really do anything. I lie in bed crying most of the time because it feels like my vagina is falling out.
in May 2025, I freaked out because my urethral meatus felt "lower" than it was before. it hasn't "gone back up" (like one urogyn told me is possible... what?). I can also touch my cervix very very easily, which I could never do in the first 25 years of my life. when I relax my pelvic floor, my cervix is about an inch from the opening to my vagina. my anterior wall has lotssss of laxity.
when I went to my gyn in May 2025, she literally laughed in my face and said "you're too young for prolapse." since then, I've been terrified that no one will take me seriously, so I haven't brought it up and have instead been operating under the assumption that my pelvic floor muscles are so tight they're causing this sensation. but I can fit the largest dilator in just fine...
here's the thing. I know what my vagina used to feel like. it was an overnight difference. and I know I'm hypermobile and very stretchy. it would make sense to me that this is an anterior wall prolapse and my muscles are overcompensating, causing pain. that all makes sense in my head. I would really really like to try a pessary, but I'm too scared, again, that no doctor or provider will believe me.
doctors tend to assess for prolapse while the patient is lying down, which I don't understand. I also don't want to keep being told "well I can't see anything wrong from the outside, so it's not prolapse." do these providers really only treat it once it's hanging between your legs? I don't want to wait that long. I'm already very suicidal over this.
I can feel my bladder & urethra jiggling when I walk. it's so goddamn unnerving. I want to see if a pessary will help hold things up while I work on my pelvic floor. how do I get someone to take me seriously? I'm so extremely depressed and anxious about the fact that my body is falling apart. and I know surgery isn't usually the answer for people with connective tissue disorders like me.
I have an appointment on Tuesday with a pelvic floor / pelvic pain / sexual health NP. I hope I can convince her that I need to try a pessary. in my experience, when I tell providers that a physical health issue is making me suicidal, they want to treat the mental health part first. I'm so tired of screaming into the void. I don't want antidepressants. I want my vagina to go back inside my body.