Pelvic organ prolapse

Ask one of your doctors to prescribe estrogen cream. If they think this is a big deal ask them to just prescribe once with no refills. Until you can see urogynecologist.
This is what saved me. I seem to be a slow learner, so I stopped using it and stopped doing pelvic floor exercises- all the symptoms came back.
Now, i use the estrogen cream twice a week and coconut oil in between. This seems to work, so I am committed to it.

Does the cream help decrease severe bulging?

did anyone have surgery for prolapse that did not work, or even got worse after the procedure???
What next? Another surgery? Mesh?

The cream helps reduce discomfort but will not affect bulging. I have also read that it is beneficial to estrogenize the tissue to help strengthen it prior to surgery.
It is recommended to use daily for the first 7-14 days then twice weekly.
I also use Revaree ( vaginal moisturizer) you can buy on Amazon or through their website directly. This also reduces discomfort . I use the estradiol cream twice a week, and Revaree once a week.

I am not sure where my previous comment went ( I can't find it). I will repeat it here. I had a child at 26 years old and a total hysterectomy at 43 yrs old. I am an active still practicing part-time Nurse Practitioner at 72 years old with a 3rd degree bladder prolapse, a 2nd degree vaginal prolapse, and 1st degree rectal prolapse that has been worsening exponentially this past year. I have delayed treatment since my sister was diagnosed with Stage 4 pancreatic cancer last year at The Mayo in Rochester. She just passed away in July.
The only reputable urogyn here in Nevada I do not care for. I had a workup with him and do not feel confident.
I am thinking of going to Mayo in Rochester where my cousin's husband is a surgeon (at Mayo in a different field) and I would have a place in Rochester to recuperate.
I have heard horror stories about mesh as well and wonder if anyone here has had this surgery years after total hysterectomy and what the outcome was. Also, recuperation time from surgery.

I had my surgeries at U of Colorado Anschutz Medical Campus (lived there and worked at the U)
1st surgery at age 55 was hysterectomy and bladder repair with mesh, no complications or problems. started on estradiol creme and was able to get Imvexxy under my benefits plan.

However pelvic organ prolapse stage 2 diagnosed, 10 yrs later. So repair included correction of rectal prolapse (stapled back in place IIRC) cystocele repair and oophorectomy/salpingectomy. they recommended the latter due to being over 65, risk of ovarian CA;
had to wait a couple extra years because of COVID. again, no major difficulties--absolutely didn't lift anything over 5 pounds for 12 weeks post op
I did have some problems with intercourse, so saw a pelvic PT for a course of treatment over a period of 8 or 12 weeks, and have no regrets

Did you have mesh for the cystocele repair?

Is mesh the next step??? after a prolapse surgery for both:
rectocele and vaginal prolapse did not help.

Can you please explain how/where to use the cram/oil?
I suffer from stage 4 prolapse (after a failed surgery) ...
Thanks

had my hysterectomy in 2009 (age 55) with bladder repair with mesh at CU Anschutz Med Ctr in the Aurora-Denver metro area; highly professional women uro-gyns there, in my experience
no problem with the mesh since; use of estradiol cream initially, then switched to Imvexxy suppository for convenience for GUSM
in 2018-19 diagnosed with stage 2 prolapse with cytocele, rectocele, but had to wait til 2021 for surgery, had ovaries and tubes removed then as well as recommended for my advanced age/family Lynch syndrome connection; also at CU uro-gyn practice
in both cases, significantly limited physical activity, especially and specifically not lifting anything over 5 pounds for a minimum of 6 weeks in 2009 and 12 weeks (per dr) in 2021
no problems, and also joined WW and dropped 25 pounds
missed out on MHT all these years due to the poor interpretation of the WHI data