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Guess what happened? She was prolapsing her cervix and uterus. The patient was always thinking that the downward pressure sensation was from bladder prolapse. Remember the connective tissue between the bladder and uterus once one “sister” is going down the other one will follow. If you have weakness in your pelvic floor muscles, weakness in your lower transverse abdominus and anterior/posterior tilt you will decrease the suspensory support to your organs such as bladder, urethra, uterus, rectum.
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