hi Rachel,

I find myself posting quite a bit about this lately as I'm struggling with similar problems myself.

Did the doctor say it was a prolapse? Prolapse of various types (uterine, bladder, bowel etc) can cause incontinence. Basically its caused by a weakness in the pelvic floor - often caused by vaginal births (exacerbated by large babies, difficult deliveries etc).

I find it amazing that the doctor suggested surgery right away! My understanding is that the surgery is quite invasive and not always successful. I see a post natal physio and gynae about mine and they both recommend conservative measures first (pelvic floor exercises, oestogen cream, pessaries).

Also - are you still breastfeeding as this can affect the symptoms too. Are you planning other babies in the future as they will usually not perform surgery until you have finished your family.

Incidently my physio says latest recommendations are the pelvic floor squeezes be done for at least 20 seconds per squeeze (rather than short sharp ones). The duration is the most important factor in strengthening these muscles according to her.

Do you see a gynae or can you access a women's physio. I'd be gathering more info from the experts - I'm doing it at the moment too!

I wish you the best!