Bladder prolapse and exercise for PSD

Bladder prolapse was another major problem for me. I was told it was minor but it was already causing me too much discomfort. When I wanted to sit down I always felt it was squashed/squeezed (YKWIM). When I stood up I always had to hold my breath to 'help' keep my bladder where it should be. When I walked I also had to hold my breath trying to keep my bladder where it should be. If you're having the same feeling as I did, maybe we share the same problem.

From what I was told, it doesn't affect sex, it doesn't affect another pregnancy. To me, the above statements are true. Bladder prolapse is simply due to the weakened muscles on your vagina wall. When the muscles are weak, they cannot support the bladder above it, hence bladder falling a little bit down, causing the discomfort. It doesn't cause any problems, just discomfort. Of course mine didn't protrude so I don't know what'll happen if the bladder "falls out".

However, the bladder prolapse can become worse when you're pregnant because the hormones will weaken the muscles further causing the bladder to fall even more. BUT don't worry, here's the good part: after I suffered from a lot worse bladder prolapse during my 2nd pregnancy, I started pelvic floor exercises straight after the birth (of course I was doing them when pregnant too but the exercises could hardly beat the speed of the muscles' weakening), and STAYED IN BED AS MUCH AS I COULD for the first month after the birth, and have continued doing the pelvic floor exercises and now I can hardly feel the bladder prolapse. I think it's almost recovered, just waiting for the last bit to finish after I wean my 2nd baby (which will be in 7 months hopefully).

The key is, you need to get a special physiotherapist who specialize in pelvic floor exercises. Maybe ask your hospital. My current physio is one of them. She sticks her finger/s into my vagina and tells me how to do the pelvic floor exercises. It's "squeeze, lift, lift, lift, hold, relax". If your physio does this to you then you've got the right one. Then she can tell me whether I'm doing it correctly or not. If not, the exercise can hardly help you. But if you do it correctly, you can see improvements in days. I benefit from this special physio and thanks to her efforts I'm now rarely feeling any discomforts in my vagina.

Although no one would admit it to me, I agree with you that prolapse could be part of the side effect of the separation. I have this theory but no one agreed with me, probably because they've never had a separation in their lives.

So in summary, my answers:

yes to sex,
yes to another pregnancy,
a good physio for pelvic floor exercises,
keep doing the pelvic floor exercises

About exercises for PSD: from my experience, core strength and pelvic floor exercises are the only exercises that I could do when I had PSD. No other exercises can help, if they don't aggreviate the condition. I was given some exercises by various physios who seemed confident in what they're doing but only felt more pain after doing them. Only symmetrical exercises can be done under this condition.