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Addressing Abdominal Repair During C-Section with EDS Type III: Seeking Insight

Greetings! I’m a woman in my mid to late thirties, currently at 36.5 weeks of pregnancy, carrying a baby who's already in the 97th percentile, and I don’t have gestational diabetes. This is my second pregnancy. Standing at 5'11 and weighing 199lbs, I’ve noticed that my belly is significantly larger this time around compared to my first pregnancy. In the event that I require a cesarean section—whether due to the baby's size or possible complications—I’m keen on having my abdominal muscles repaired. I’ve come across varied research concerning the repair of diastasis recti, noting both potential benefits and associated risks. While some literature supports the positive outcomes of repairs beyond simply stitching the fascia and perhaps addressing some fat, I’m still feeling unsure. After relocating, I transitioned to a new healthcare provider. Unlike the previous system, where it was customary to perform an abdominal repair during a c-section, my current provider seems hesitant, citing various risks which appear manageable. With a recent diagnosis of EDS type III, coupled with a history of my body not responding optimally (indicating a likelihood of diastasis recti not healing naturally), my concern is heightened. This further complicates my already vulnerable pelvic floor. Consequently, I have requested that my abdominal muscles be repaired if a c-section is necessary. Are the risks genuinely that significant? Do patients with EDS type III stand to gain more from this procedure? Is this practice routine in your experience? Am I encountering undue resistance from my healthcare team? Is there something I might be overlooking? Additionally, I want to avoid any unexpected expenses for a procedure that some insurance policies may not cover. Given my past challenges with pelvic floor recovery and the potential exacerbation of prolapse, I aim to optimize my healing prospects this time around. I've also been informed that, if I reach full term (especially since I’ve already started dilating and my cervix is mainly effaced), there’s a substantial risk of damage, including shoulder dystocia concerns. I would greatly appreciate any insights, perspectives, or personal experiences related to this topic! Thank you for your assistance!

ENTAllergy & ImmunologyPulmonology
Male • 25-34
4 hours ago

Considering Abdominal Repair During C-Section with EDS Type III

Hello everyone! I’m a woman in my mid to late 30s, currently at 36.5 weeks into my second pregnancy. I have been diagnosed with Ehlers-Danlos Syndrome (EDS) type III, and my baby is measuring over the 97th percentile without gestational diabetes. At 5'11" and weighing 199 lbs, my belly is much larger compared to my first pregnancy. Because of the baby’s size or potential complications, I am contemplating whether to have my abdominal muscles repaired during a cesarean section. I’ve come across various studies presenting conflicting views on the benefits of addressing diastasis recti, alongside some associated risks. However, I’ve also found numerous positive accounts suggesting that repairing not just the fascia but potentially the fat as well could yield good results. Having relocated, I’ve had to transition to a different healthcare provider, and it seems that while my previous one routinely performed repairs during C-sections, my current one is hesitant and cites various risks that seem relatively minor to me. Given my condition with EDS, which I was only recently diagnosed with, I’m worried about the likelihood of healing complications. The existing weakness in my pelvic floor means I'm especially vulnerable to diastasis recti not resolving on its own, which could further compromise my pelvic health. Thus, I’ve requested that any necessary repairs be made during the C-section. Are the identified risks truly significant? Do individuals with EDS type III experience added benefits from such procedures? Is this approach common practice in your medical facilities? Could the resistance I’m facing be excessive? Is there any angle I might be overlooking? I also want to avoid the scenario where I incur unexpected out-of-pocket expenses, should my insurance decide not to cover these treatments. I anticipate having a difficult recovery process with my pelvic floor as it is, so I’m determined to do everything possible to facilitate my healing. Additionally, it has been mentioned that as I reach full term (assuming I make it that far, given that I have begun dilating and my cervix is mostly effaced), there are heightened risks of injuries and shoulder dystocia. I would greatly appreciate any insights, opinions, or personal experiences related to this situation! Thank you!

InsomniaPsychiatryDepression
Male • 25-34
4 hours ago

Seeking Guidance and Support

In brief, I fell ill with C. difficile on January 23, 2023. This illness confined me to bed for a staggering 18 months, resulting in a loss of 120 pounds along with significant muscle deterioration. Upon finally getting up in June 2024, I immediately recognized the extent of my deconditioning. I embarked on a rigorous six-week physical therapy regime, attending three sessions daily. My goal was to rebuild my strength sufficiently to find a job accommodating to my debilitating fatigue and weakness, which I achieved in January 2025. Since then, my journey of recovery has continued alongside regular appointments with my primary care physician, yet my blood tests consistently yield unsatisfactory results. Most alarmingly, I have been diagnosed with gastroparesis, which has severely impaired my nutrient absorption. The last four to five months have been particularly challenging, to the point that simple tasks such as showering leave me breathless for 10 to 12 minutes afterward. My legs feel incredibly heavy, akin to dragging around weights, while my arms lack strength to lift. I frequently experience dizziness and a sense of imbalance. As a parent to a one-year-old, I find myself physically incapacitated, and despite managing this for 21 months, I am reaching my limits. Looking at my latest blood test results from March 18, 2026: - **Erythrocyte Sedimentation Rate (ESR)**: My level is 42, while the normal range is 0-15. - **Complement C4**: My result stands at 49.8, compared to a normal range of 12-36. - **Complement C3**: I recorded 205.7, in contrast to the normal range of 90-170. - **Total Iron Binding Capacity**: My value is 40, while the normal range is 65-175. - **Iron Percent Saturation**: I show a level of 13.8, where normal lies between 19.7 and 50. Researching these figures suggests that I am experiencing significant inflammation and critically low iron levels. Unfortunately, my doctors seem dismissive, recommending merely to "take some iron," ignoring the fact that my gastroparesis prevents proper absorption. Given these results, should I consider going to the emergency room? I’ve been relying solely on determination to manage my responsibilities at work, walking daily between 10,000 to 12,000 steps, yet I feel utterly drained. I am reaching out in hope that someone can provide insight or advice. Thank you.

AnxietyDepressionStress
Male • 25-34
4 hours ago

Should I Seek Medical Attention After a Shock?

To provide some background: I’m 22 years old, standing at 5’1, and weigh around 105-110 lbs. I use a vape, take Wellbutrin 150mg, and have previously experienced heart palpitations, although tests such as an EKG and echocardiogram showed nothing alarming. It appears these issues stem from stress and an eating disorder. There's a history of heart conditions in my family—my aunt has Wolff-Parkinson-White syndrome and my mom has a bicuspid aortic valve—but I've never been diagnosed with anything similar. Being somewhat of a hypochondriac, I suspect I already know the answer to my concerns, yet I seek reassurance. Recently, while I was typing on my laptop, a nearby lightning strike caused a power outage. I felt a jolt in one finger for just a brief moment. This incident accelerated my heart rate, and I experienced slight shortness of breath and tremors; however, I attribute this mainly to the sheer fright of the event. I understand that electrocution can affect heart rhythms, but I’m unsure how to check for potential issues. My heartbeat seems normal, yet my mind tends to dwell on worries. My finger has an unusual sensation, but I wonder if this is a result of my heightened anxiety rather than the shock itself. There’s no visible injury such as burns or redness. Ultimately, I’m seeking advice to put my mind at ease or to determine if my situation warrants a visit to a medical professional.

AgingFamily MedicineInternal Medicine
Male • 25-34
4 hours ago

Considering Abdominal Repair During C-Section with EDS Type III: Seeking Insight

Hello everyone, I’m a woman in my mid to late 30s, currently 36.5 weeks into my second pregnancy. I have Ehlers-Danlos Syndrome (Type III) and my baby is already measuring above the 97th percentile (no gestational diabetes detected). Standing at 5’11” and weighing 199 pounds, my belly is noticeably larger this time compared to my first pregnancy. I’m contemplating abdominal repair during my scheduled C-section, especially since it may become necessary due to the baby’s size or potential complications. I’ve encountered a variety of opinions regarding the procedure—specifically whether to address diastasis recti—and while there are concerns about risks, I’ve also come across numerous benefits, particularly if the procedure goes beyond just stitching the fascia and includes additional supportive work. After moving, I had to change healthcare providers. Previously, my first delivery included extensive repairs, but my current provider has informed me that they don’t typically perform such repairs, citing risks that don't appear to be substantial. Given my recent EDS diagnosis, I’m particularly worried that my condition could prevent the natural healing of diastasis recti, leading to further issues with my already compromised pelvic floor. Consequently, I’ve requested that they consider the repair if a C-section is necessary. I’m curious—are the risks genuinely significant? Are there specific advantages for patients with EDS Type III? Is this type of repair a standard practice in your facility, or is there resistance that seems unwarranted? Is there anything critical that I might be overlooking? Additionally, I’m anxious about the prospect of facing complications post-surgery while also navigating financial concerns, especially if this procedure isn’t covered by insurance. I already anticipate challenges with my pelvic floor recovery from previous issues, including the possibility of exacerbating any prolapses. I’ve also been informed that reaching full term—if that happens, given that I’ve begun to dilate and my cervix is significantly effaced—could lead to heightened risks of damage and complications such as shoulder dystocia. Any insights, personal experiences, or different perspectives would be immensely valuable and greatly appreciated!

Morning SicknessPostpartumObstetrics
Male • 25-34
4 hours ago

Seeking Answers for Persistent Symptoms

I'm a 22-year-old male weighing around 145 pounds, and I've recently stopped taking a high dose of Ibuprofen (800 mg) to manage my Costochondritis. Lately, I've been experiencing a rapid heartbeat, palpitations, discomfort in my chest, pain in my arms and jaw, along with back pain. For the past month, I have also felt consistently lightheaded and encountered random nerve pain in various parts of my upper body. To investigate these symptoms, I've undergone multiple ECGs, blood tests, and x-rays. Additionally, I was monitored for 48 hours with a Holter Monitor and even had a CT scan due to my lightheadedness. Despite these tests, the doctors have not diagnosed any significant issues. In my last visit to the emergency room, I was discharged with a diagnosis of Costochondritis, which could explain the chest pain I've been experiencing for the past month. However, it doesn't clarify the symptoms from the six months prior to that. Recently, I’ve felt somewhat better for about a week, but the random nerve pains have returned. I’m wondering if this could truly be related to anxiety. These pains and palpitations seem to occur even when I’m just relaxing—whether I'm on my phone, reading, or playing video games—without actively thinking about it. It's becoming quite frustrating, and I am eager to find out the root cause of my issues. I’m skeptical about the notion that anxiety is the sole cause behind my pain.

ArthritisCOPDInternal Medicine
Male • 25-34
4 hours ago

Considering Life Without Birth Control: Seeking Insights

Approaching the age of 55, I find myself in a peculiar situation. It seems that every healthcare professional insists that menopause typically occurs around 51, which is not particularly helpful. Currently, I'm experiencing continuous bleeding, having dealt with spotting throughout March alone. Moreover, there are a few days each month where the bleeding is considerably heavier—what I would classify as a menstrual period. Although I have a copper IUD, several gynecologists suspect that this ongoing bleeding is attributable to the device and not to the onset of perimenopause. Notably, I don’t exhibit many of the other common symptoms associated with perimenopause. I am contemplating the removal of the IUD to determine if it’s the root cause of my bleeding concerns. My partner and I are committed, so the idea of relying on condoms is not appealing. Additionally, hormonal birth control has adverse effects on my body, making it an unsuitable option. I’ve even thought about undergoing a tubal ligation, but I prefer to avoid surgery unless absolutely necessary. My research on natural birth rates beyond 55 has yielded limited information, which is not surprising considering the topic. Reflecting back to my early 30s when I was eager to become a mother, I was fortunate enough to conceive shortly after we began trying. Should I opt for IUD removal, would I find myself in a perpetual state of anxiety about unexpected pregnancy due to the irregularity of my bleeding? What if I face the possibility of miscarriage or the need for an abortion? How does that risk compare to potential complications from a bilateral salpingectomy? I would greatly appreciate any guidance or insights you might have on this matter. Thank you for sharing your perspectives!

Morning SicknessIVFGynecology
Male • 25-34
4 hours ago

Considering Abdominal Repair During C-Section with EDS Type III

Greetings! I am a woman in my mid-to-late 30s, currently 36.5 weeks into my pregnancy. I have been diagnosed with Ehlers-Danlos Syndrome type III, and my baby is already measuring above the 97th percentile, without gestational diabetes. This marks my second pregnancy, and at 5'11” tall and weighing 199 pounds, I’ve noticed that my belly is considerably larger compared to my first pregnancy. If a cesarean section becomes necessary due to the baby's size or any complications, I am interested in the possibility of having my abdominal muscles repaired during the procedure. My research has led to conflicting information about the benefits and risks associated with repairing diastasis recti. However, I have encountered numerous positive accounts that suggest advantages beyond just reconnecting the fascia and addressing any excess fat. Since relocating, I’ve had to switch healthcare providers. In my previous system, it was routine to perform complete repairs during a C-section, but my current provider has indicated otherwise, citing risks that seem relatively low to me. Given my recent EDS diagnosis, I am particularly worried that my condition may increase the likelihood of my diastasis recti not healing properly, which would further complicate my already weak pelvic floor. I have expressed my desire for a repair if a C-section becomes necessary. Are the potential risks genuinely significant? For those with Ehlers-Danlos Syndrome type III, is there a greater advantage to obtaining this repair? Is this standard practice in your expertise? I feel as if there may be excessive resistance from my healthcare team regarding this issue. Are there any other aspects I should be contemplating? Additionally, I am concerned about the possibility of incurring out-of-pocket expenses for treatments related to this issue, especially since some insurance plans may not cover it. I anticipate facing a challenge with the recovery of my pelvic floor, especially to prevent exacerbating any previous prolapses from my first pregnancy. I genuinely want to optimize my chances for a successful recovery. Moreover, I have been informed that as I approach full term—especially since I have already begun to dilate and my cervix is nearly effaced—I face heightened risks of damage and an increased likelihood of shoulder dystocia. Any insights, experiences, or perspectives you can share would be immensely valued and appreciated!

Pregnancy SymptomsObstetricsGynecology
Male • 25-34
4 hours ago

Considering Abdominal Repair During C-Section for EDS Type III: Seeking Insight

Greetings! I'm a woman in my mid-to-late thirties, and I’m currently at 36.5 weeks of pregnancy with my second child. I have been diagnosed with Ehlers-Danlos Syndrome (EDS) type III, and I’m expecting a baby who is already measuring over the 97th percentile in size (without any gestational diabetes). At 5'11" and weighing 199 pounds, my abdomen is considerably larger compared to my first pregnancy. Given the circumstances, I am contemplating the possibility of having my abdominal muscles repaired during my cesarean section if it becomes necessary due to the baby’s size or other complications. I’ve come across various studies discussing the pros and cons of rectifying diastasis recti, and while some findings highlight the risks associated, I also see encouraging information about the benefits when a more comprehensive approach beyond just suturing the fascia and possibly the fat is considered. Since I’ve relocated and switched healthcare providers, I’ve noticed that my previous provider routinely performed these repairs during c-sections, while my new provider has indicated that such repairs aren't standard and mentioned potential risks (which seem generally low to me). Moreover, with my recent EDS diagnosis, I worry about complications given my history of loose connective tissue and the likelihood of my diastasis recti not resolving on its own. This is especially concerning as it could further compromise my already weakened pelvic floor. Hence, I’ve requested this repair be conducted if a c-section is deemed necessary. Are the reported risks truly significant? Do individuals with EDS type III experience different benefits from this procedure? Is this practice common in your experience, or are there too many reservations? Is there a perspective I may not be considering? Additionally, I’m apprehensive about the possibility of incurring out-of-pocket expenses for this needed procedure, especially if it’s not covered by some insurance plans. I recognize I will already face an uphill battle to heal my pelvic floor and manage any existing prolapses from my first pregnancy, so I want to ensure I set myself up for the best possible recovery. I've also been informed that at full term, given my current condition—having started to dilate and with my cervix mostly effaced—I carry a heightened risk of complications such as shoulder dystocia. Any advice, personal experiences, or insights would be greatly appreciated! Thank you in advance!

EndometriosisObstetricsWomen's Health
Male • 25-34
4 hours ago

Seeking Immediate Assistance!

Five months ago, my uncle tied the knot at the age of 36. Just two months into his marriage, an unsettling incident occurred one ordinary night. He experienced an unusual seizure-like episode where he became partially paralyzed, unable to articulate any words. His legs stiffened and remained rigid while he emitted a deep, roaring sound; both of his hands rested on his chest, and most concerning of all, he struggled to breathe. In a frantic response, my other uncle administered mouth-to-mouth resuscitation followed by CPR, which revived his breathing. They then quickly carried him in their arms to a well-known hospital. Remarkably, after about an hour, he returned to his normal state. Comprehensive tests followed—blood work, ECG, MRI, and numerous others—but all results came back normal and we felt a wave of relief. Fast forward to today, the exact same scenario unfolded, this time occurring at night while he was asleep. Once again, he was rushed to the hospital, carried just as before, and thankfully, he is stable now. However, the doctors remain baffled as there are still no findings to explain his condition. Please, I am reaching out for guidance regarding this situation. His wife is utterly distraught; as a newlywed couple, this ordeal weighs heavily on the entire family, but especially on her. He has no harmful habits, stands at 5'9", and this is the first time anything like this has ever happened to him. It's truly disheartening for all of us.

Crohn's DiseaseCOPDEndocrinology
Male • 25-34
4 hours ago
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