I have a stage 2 rectocele and stage 1 cystocele with stress incontincence, which is basically unmanageable if I ever get a cough or cold. I have 2 kids, 4 and 5 years old, and I'm 42. Both kids were big babies, both were 2 weeks overdue, and I had episiotomy with one and some tearing with the other.
I talked to my gp about my discomfort a couple of times, the first time about a year after DC2 was born. It was a male GP who basically said, lose weight, do pelvic floor exercises, and we won't do anything til you decide whether you're having another baby or not (not entirely unreasonable but still...). We decided about a year ago we were done on the kids, and I had a coil fitted. I went back to my female GP who did an internal exam, and refered me both to physio and a consultant.
I've had physio through the gynae physio team, and done thousands of pelvic floor exercises. None of which has been effective. I saw a consultant gynaecologist in late september, who did a very thorough and unpleasant internal exam (she did it as kindly and gently as possible, but it was still grim) and she said that I have a fairly bad muscle tear/deterioration and that physio would do very little for me. Surgery would be the next step, along with a prescription for Duloxetine and a referal to a pessary clinic.
So now I'm waiting for all of those to come through and I have been told to get my BMI to under 30 before they can do the surgery. I have 8kg to go on that, and the consultant refered me to the local healthy lifestyle team to support with it. No idea what the waiting list looks like, but I'm on track to be there by about mid January.
In terms of symptoms I feel a bulge in my vagina every time I sit on the toilet, worse during my period. I find it hard to poo, especially if I am constipated. I wee every time I sneeze, cough, jump, stand up too quickly, and I can't run either without risking it. I often don't empty my bladder fully, and I have a constant fear of dribbling and smelling bad, not being able to get to a loo in time etc. Sex is quite uncomfortable in some positions (me on my back), but perfectly normal in others. Psychologically it's a continuous negative undercurrent in my life.
Oh and I have gallstones and I'm waiting on surgery for those too. Next year is going to be a barrel of fun.