When you say your not sure if bits are falling out, does it feel like they are, or any different? How's your pelvic floor? It could be related to the epi, or a prolapse, or a number of things.
Do you have a good gp? If you do maybe book a double appointment and go in an have a good debrief of the whole thing when you are ready.


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If you're worried about bits falling out maybe google uterine prolapse and see if the symptoms fit. Here is a link to the Mayo clinic with a list of symptoms. 
I assumed it was something hormonal that caused some changes.

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