bulge on back vaginal wall?

Edited , 1 user is following.

I miscarried last month, and two weeks ago they preformed a d&c to remove retained tissue. I should be all better. But now when I put a finger in my vagina, if I continue along the back wall I can feel the start of a bulge, it then just kind of blends in and goes back to my cervix. It feels squishy and I dont think its supposed to feel that way? Isnt the back vaginal wall supposed to feel ridge-y like the front? Im not even sure what it could be because Ive heard cysts on the back wall are so uncommon. rectocele perhaps? Keep in mind this whole time they enver noticed or told me about this, I only became aware of it today! I had a pelvic exam last night and they didnt mention everything, just said that everything looks good. What could this be? Im so sick of schedulign appointments just to be dismissed!

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  • Edited

    Hi sarah,

    If you look at the diagram of the cross section of a female pelvis attached to this post, you will see that the top of the back wall of the vagina is adjacent to the rectum. So what you might be feeling is faecal matter (poo), especially if you haven't moved your bowels recently or suffer from constipation.

    Rectoceles generally occur if the lower third (outermost) posterior vaginal wall is damaged by a difficult labour or a third degree tear- have you experienced these problems in the past? Your description suggests that your 'lumpiness' is at the top end, which suggests that it's not a rectocele.

    The only other pathological possibility worth considering is a collection of fluid or blood in the Pouch of Douglas (rectouterine pouch, diagram) as a consequence of the miscarriage or the D&C. This can only be assessed with a transvaginal ultrasound scan.

    Adhari

    image

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    • Posted

      Thanks for the reply! Although I may have described it a little off, the bulge starts very near to the entrance of the vagina. it just continues backwards, its not a round lump. Ive also been dealing with constipation and bad hemmroids, caused by how hard I had to push some blood clots out before my d&c I assume.

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    • Posted

      but the bulge feels like its filled with fluid at the beginning, and it puffs out when I strain as if having a bowel movement. You can see the bulge when I strain if somewhat pushing around a little bit, idk if this all looks normal. Im definitely going to see my gyno asap but they dont open until monday, Im considering goint to the ER again but I was just there last night, and they always dismiss me... image

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    • Posted

      okay. its probably for the best because he's a good doctor. Im not used to going through pregnancy, miscarriages, surgeries, or having abnormalities so its hard for me to distinguish whats an emergency and what isn't...

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