i have a moderate cystocele prolapse which first occurred halfway during my pregnancy last year. It occasionally flared up during my pregnancy, and we made the decision to have a natural birth. I had one - with failed suction and forceps. Bubs was only 7lb 7oz but it wasn't particularly straightforward (with episiotomy also).

Following DS's birth I've been seeing a phsyio who specialises in women's pelvic floor stuff and we've done heaps of work to strengthen my pelvic floor as much as possible. 9 months on she has just confirmed that I've sustained some nerve damage to one side of my PFM and has recommended that i have a c-s for the next baby. Her rationale being... you need a nice strong PFM to hold up your prolapse. As she said, if i had a small baby & nice uncomplicated birth, it should make no difference to my prolapse. However, if it isn't an easy birth (i.e. like last tiem) I run the risk of more nerve damage ofthe PFM, thus meaning the prolapse is harder to manage. And the resulting consequences could be a PITA for many years to come.

I wonder if you are in a similar situation given you have all three prolapses? I'm toying with the thought of getting a second opinion, and will discuss it further once I'm pregnant. So saying, this physio is a very anti-surgery lady and tbh, this recommendation surprised the hell out of me.... but on reflection I can see why she is suggesting it.

GL with your PG and working out the best thing for you to do (oh and aren't prolapses just a nuisance!!!)