Pregnancy and severe uterine prolapse?

[abcv329]

I'm 36 years old.  I have 3 biological children.  There were no uterine or bladder issues after my first child 10 years ago.  After second child, I had a pretty bad bladder prolapse.  Surgery (lift) to correct when she was 9 months old - only lasted a few months of relief.  I suffered through for the next few years.  2 years after the surgery, third child was born.  Two weeks after her birth, I went to the emergency room to get a catheter because my bladder was so full (2 1/2 times capacity).  They first thought we may need to do a hysterectomy if I continued to have problems urinating.  Since it was just that one time, though, the doctors said we needed to wait until my uterus had shrunk back after the pregnancy.  Three months later, I had the "lift" surgery due to uterine prolapse.  Even right after surgery, my doctor was not optimistic that the lift had worked.  He was pretty sure a hysterectomy was the only thing to cure it.  He said that as long as I could stand it, the hysterectomy wasn't urgent, but due to the severity it was probably the only thing to help.  
Two and a half years later, it seems the problem is even worse!  My cervix is outside hanging with swollen bulge sometimes the size of a cantaloupe.  I would say at least 40-50% of the time I have to push everything back in so that I can use the bathroom  - and pee on my hand yuck...  I would have had the hysterectomy except that we have two more frozen embryos and wanted to use them.  With my last pregnancy I spent 10 days in the hospital with a placental abruption, numerous sciatic issues, etc.  I did NOT have an easy pregnancy!  We have waited until my youngest is old enough that even with pregnancy issues I wouldn't have to find care for her if I was on bedrest or anything.
All that being said, we are moving forward with our final embryo transfer, and I hope to be pregnant within a few months.  My OB said that when I am pregnant, my uterus will get bigger and pull back up (like it does during certain times of the month).  What about when/if I'm first pregnant?  It seems like a horrible thing to be pushing on my cervix to get it back in my body to urinate.

[ipurr2]

Hi, I am not sure if this is something you can do while pregnant, but have you tried a pessary? Even if you use one while in the trying to get pregnant phase it might be most helpful to keep you comfortable. I too would strongly suggest seeing a urogynecologist as you have a rather complicated situation and discuss your options as they are the specialists in the pop arena of medicine, I too have spoken with women who have gone on to have babies with uterine prolapse. You will most likely have a lot of resting ahead of you! Good luck and please do let us know how you fair with a uro/gyn!

[UKlady1001]

I do know of ladies who have gone on to have more children with similar prolapses to yourself, however, you may wish to look into procedures with the best uroygne you can find as a back up for future reference as it looks like you will have the same issues after the birth of future children.  I am sure you know that prolapses dont go away.  If you have your uterus taken out then the top of your virgina will have to be suspended if you want to avoid further prolapses and you may have a cystocele repair at the same time etc.,  

Other ladies have mentioned how during there pregnancies the growing urterus and baby lift up, however, i am not sure how the first month or 2 are, regarding prolapse symptoms.  I can only suggest therefore that you consult your Uroygyne on this in order to be prepared.  
I hope all goes well for you