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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
Male25-34
1 week ago

Exploring Abdominal Repair During C-Section with EDS Type III

Greetings! I'm a woman in my mid-30s, currently 36.5 weeks into my pregnancy, and living with EDS type III. My baby is already measuring over the 97th percentile (no gestational diabetes!). This marks my second pregnancy, and I stand at 5'11" with a weight of 199 lbs, which indicates a significantly larger belly compared to my first pregnancy given the size of the baby. In the event that I need a cesarean section due to either the baby's size or potential complications, I am interested in having my abdominal muscles repaired during the procedure. However, I've encountered a range of opinions in research regarding the outcomes of repairing diastasis recti versus the associated risks. On one hand, there are concerns, but on the other, I find encouraging reports that indicate benefits beyond merely stitching the fascia together. After relocating, I've had to change my healthcare provider. At my previous facility, it was typical to perform comprehensive repairs during C-sections, but my current one claims this isn't standard practice and highlights risks, which seems overstated to me. Given my recent EDS diagnosis, I'm particularly worried about my body’s tendency towards laxity and the implications it has for healing. I'm concerned that my diastasis recti might not resolve on its own, which would further complicate my already compromised pelvic floor. Therefore, I’ve requested that they conduct a repair, should a C-section become necessary. Are the potential dangers truly as significant as they suggest? Is there a notable advantage for individuals with EDS type III concerning this repair? Is this approach routine in your practice, or are they resisting the idea too much? Am I overlooking anything crucial? Moreover, I want to avoid the financial burden of a medical issue that might not be covered by insurance. I am already preparing for the challenge of rehabilitating my pelvic floor and preventing any worsening of prolapse symptoms from my first birth, so I'm eager to set myself up for the best recovery possible. I've also been advised that at full term, especially given that I've started dilating and my cervix is mostly effaced, I face a heightened risk of complications such as shoulder dystocia. Any insights, perspectives, or shared experiences would be incredibly helpful and greatly appreciated!

ENTAllergy & ImmunologySore Throat
Male25-34
1 week ago

Considering Life Without Birth Control: Thoughts and Concerns

As I approach my mid-50s, the chatter about menopause being standard around 51 is beginning to wear thin. Right now, I’m dealing with persistent bleeding—such as experiencing spotting for the entirety of March. Typically, I have a few days each month with heavier flow that I would label as my period. My copper IUD is in place, but several gynecologists have suggested that this continuous bleeding may be attributed to the IUD itself rather than signs of perimenopause, particularly since I don't exhibit many other symptoms typically associated with this transition. I'm contemplating the removal of my IUD to determine if it is the source of my bleeding issues (I have scheduled cancer screenings for next month for peace of mind). I’m in a stable relationship and prefer to steer clear of condoms. Additionally, I have had adverse reactions to all hormonal contraceptives. While I have entertained the idea of undergoing a tubal ligation, I would prefer to avoid surgery unless it’s absolutely necessary. My research into natural childbirth rates post-55 has yielded little valuable information, which isn’t too surprising. Reflecting back to my early 30s when I was eager to have children, I was quite fertile and conceived nearly immediately when my partner and I decided to begin trying. If I choose to have the IUD removed, will I constantly be anxious about unexpected pregnancy due to the irregularity of my bleeding? Am I prepared for the potential outcomes of an unintended pregnancy, including miscarriage or the option of abortion? How does the likelihood of these scenarios weigh against the potential risks associated with a bilateral salpingectomy? I would appreciate any insights or advice you can offer. Thank you for sharing your perspectives!

ENTAllergy & ImmunologySore Throat
Male25-34
1 week ago

Addressing Abdominal Repair During C-Section with EDS Type III: Insights Needed

Hello everyone, I’m a woman in my mid to late 30s, currently 36.5 weeks pregnant and diagnosed with EDS Type III. I’m expecting a baby who is already measuring in the over 97th percentile, and I don't have gestational diabetes. This is my second pregnancy, and I stand at 5’11”, weighing 199 lbs at the moment. My belly has become significantly larger compared to my first pregnancy due to the size of the baby. If I require a C-section, either due to the baby's size or other complications, I am interested in having my abdominal muscles repaired during the procedure. I’ve been reviewing various studies and articles on repairing diastasis recti, and while there are different views on the associated risks, I’ve noticed many favorable outcomes especially when the procedure involves more than just suturing the fascia and perhaps the fat layers. After relocating, I had to change healthcare providers, and whereas my previous provider routinely performed abdominal repairs during C-sections, my current one seems hesitant, citing risks that don’t appear very significant to me. Given my recent diagnosis of EDS and my history of connective tissue issues, I am particularly concerned that my diastasis recti may not heal properly on its own, which would complicate matters for my already compromised pelvic floor. Thus, I requested that if a C-section is necessary, they also address this issue. How substantial are the risks really? Are there proven advantages in performing this procedure for those with EDS Type III? Is it standard practice within your facility? Are the medical professionals being overly cautious? Am I missing any important aspects in this discussion? I also have financial concerns about potential costs if this procedure isn’t covered by insurance. Managing recovery after my previous experience with pelvic floor issues is already daunting, and I want to optimize my recovery this time. I've also been informed that at full term, particularly since I’m already dilating and my cervix is mostly effaced, there’s a heightened risk for potential complications such as damage and shoulder dystocia. I greatly appreciate any advice, perspectives, or shared experiences you all might have on this topic!

BronchitisAllergy & ImmunologyPulmonology
Male25-34
1 week ago

Considerations for 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 of pregnancy, anticipating the arrival of a baby already measuring above the 97th percentile (no gestational diabetes reported). This is my second pregnancy, and I stand 5'11" tall, weighing 199 pounds at this stage. My abdominal size is considerably larger this time compared to my first pregnancy due to the baby's size. Should I require a cesarean for any reason, including baby's dimensions or potential complications, I am keen on having my abdominal muscles repaired during the procedure. I've come across varying information regarding the benefits and potential risks associated with correcting diastasis recti. However, I have also encountered numerous positive accounts regarding the advantages of this approach when considering the repair of more than just the fascia and any excess fat. After relocating, I had to change healthcare providers. I know that in my previous system, it was routine to conduct full repairs, but my current provider suggests otherwise, emphasizing certain risks that seem relatively minor to me. Since I've recently been diagnosed with EDS, which could complicate recovery, I'm worried about the likelihood of diastasis recti not healing effectively on its own, especially given my already compromised pelvic floor. I have requested that the surgical team considers this repair if a c-section becomes necessary. Are the risks truly substantial for individuals with EDS Type III? Is there a greater advantage for us when it comes to this surgery? Is it customary in your practices? Are they being overly cautious? Am I overlooking any important factors? Additionally, I have concerns about incurring out-of-pocket expenses for a medical issue that might not be covered by insurance. I anticipate challenges with rehabilitating my pelvic floor to prevent aggravating previous prolapses, so I want to set myself up for the best possible recovery. I've also learned that at full term—if I reach that point, as I am already dilating and my cervix is nearly fully effaced—I face heightened risks of damage and complications such as shoulder dystocia. I would greatly appreciate any insights, perspectives, and shared experiences you may have on this topic!

ENTSore ThroatPulmonology
Male25-34
1 week ago

Intensifying Pain in Lower Back and Coccyx

(21 years old, 5'5", 150 lbs): Two months ago, while seated at my desk, I experienced an excruciating pain, rated at a 10/10, primarily focused in the vicinity of my S1, sacrum, and tailbone. My understanding of anatomy isn't great, but the sensation was overwhelming. I fell onto my bed, applying a heating pad, yet on waking the next morning, the pain had lessened only slightly to a 9/10, making it impossible for me to move or change positions. I had to call my father for assistance because the agony was so intense that even gentle pressure on the affected area was unwelcome; he could only provide a soft massage. Gradually, I was able to walk, but not without a significant limp, as it was an act of sheer determination rather than relief from the massage. During the following night, I woke up three times with persistent pain, which had started radiating down to my legs and feet, all while the initial discomfort lingered in the same region. However, as the day progressed, the pain diminished to a 5/10, leading me to believe it was improving, so I attended school without a limp. Unfortunately, while using public transit, the sharp pain returned, reaching an intensity of 8-9/10 once more, and I resumed limping home. As I removed my socks while standing with my legs crossed, I felt a pop in the sacral area that immediately sent a burning sensation down my left leg, forcing me to retreat to bed with a heating pad. This left me incapacitated and missing school for a duration of two weeks. As time went on, the severity of the pain subsided somewhat, but I found it challenging to perform simple tasks such as showering, standing, or sitting for extended periods and walking even short distances. Believing it to be sciatica, I sought physical therapy, where it was suggested I might have a herniated disc. Yet, after three weeks of therapy and an MRI scan of my lumbar spine, it was confirmed that my spine was intact and my condition was not indicative of a herniated disc. The pain I was experiencing, which had begun to centralize as it remained in my feet and calves but heightened in my lower back and sacrum, was not due to a healing issue with a disc. Currently, the discomfort in my lower back and the coccyx is relentless, sharp, and burning, leaving me unable to alleviate it through any means, whether ice, heat, massages, or shifting positions. I have been frequently absent from school and find myself in tears regularly; my eyes become puffy from the distress. During class, I often sneak away to an empty room to lay on my stomach; while this does not relieve the pain, it is somewhat less intolerable. I've been experiencing extreme fatigue, going to bed at 8 PM and frequently taking naps throughout the day. Though I'm uncertain if it correlates, I have endured undiagnosed abdominal pain for the past year, which has been unresponsive to scans. Additionally, my menstrual periods have become increasingly painful, although I cannot determine if these two issues are related since the new pain manifested only two months ago and has persisted since then. The situation has become so unbearable that I am contemplating extreme measures. I assure you, I'm not exaggerating my pain; I have previously endured severe tooth pain due to a dental abscess for an entire week, as I lacked insurance. That experience was the worst, and this new pain is a close second. I am reaching out for assistance because I am desperate. The agony is unbearable.

BronchitisAllergy & ImmunologyPulmonology
Male25-34
1 week ago

Unexplained Symptoms with Ongoing Health Concerns

At 19 years old and identifying as male, I am approaching my 20th birthday this August. Standing at 5 feet 5 inches tall and weighing 176 pounds, I'd like to share my health journey along with the medications I'm currently using. I have been receiving subcutaneous testosterone injections for a year now, initially at a dose of 0.25 ml, and I've recently increased this to 0.3 ml over the last three weeks. Beyond my hormone therapy, I have a history of health complications. Just yesterday, I commenced a 40 mg regimen of Cymbalta, adding this to my current intake of 18 mg Concerta which I started in January. Additionally, I’ve been using 325 mg of Ferosul since September 2025. My medical diagnoses include depression, anxiety, ADHD, and autism, and I am actively seeking a diagnosis for OCD. Previously, I dealt with issues regarding high blood pressure during my sophomore year in high school, and I have also noted some irregularities in my bloodwork, the results of which I plan to discuss further with my healthcare provider. Sometimes, consuming electrolytes helps mitigate my symptoms, and I try to maintain a routine with an over-the-counter multivitamin. Lately, I find myself oscillating between periods of anxiety about my health, particularly during episodes when my symptoms exacerbate before gradually returning to a baseline of normalcy. Presently, I have been experiencing tightness in my chest for the past four days, accompanied by difficulty in taking deep breaths as though my lungs are constricted. It's a sensation akin to having just completed a strenuous run, despite not engaging in any physical activity. This discomfort coincides with occasional heart palpitations—about two daily on average, a common occurrence for me. I also frequently experience lightheadedness upon standing, but it has intensified during this episode, making me feel dizzy while walking. On several occasions recently, including just moments ago, I nearly lost consciousness, requiring me to steady myself against a wall for a brief respite. Interestingly, I faced similar breathing difficulties last November that lasted roughly a week and a half before dissipating, and now it appears these same issues have resurfaced. I find myself questioning whether my condition warrants a visit to the emergency room or if it would be better to wait and see if these symptoms resolve on their own. Do these experiences resonate with anyone?

Shortness of BreathWheezingSinus Congestion
Male25-34
1 week ago

Severe Low Back and Tailbone Discomfort

I am a 21-year-old female, 5’5 and weigh 150 pounds. Approximately two months ago, while seated at my workplace, an intense pain struck in the area of my sacrum and tailbone, at a level of 10 out of 10. My understanding of anatomy is limited, so I apologize for any inaccuracies. The pain was so severe that I had to collapse onto my bed, using a heating pad for relief. Unfortunately, the following morning, the pain had decreased only slightly to a 9 out of 10, rendering me nearly immobile—I couldn’t even change positions without help, forcing me to call my dad to assist me. The pain was unbearable, preventing direct pressure on the affected area, so he could only provide a gentle massage. Ultimately, I managed to walk, not due to the massage but through my sheer determination, though I was limping considerably. That night, I woke up three times due to discomfort; by the next morning, the pain had radiated to my legs and feet while still concentrated in the original spot. However, it settled to a 5 out of 10, leading me to believe it was improving enough to return to school. I was no longer limping at that point, but while on public transport, the agony surged again, reaching an 8 to 9 out of 10. I found myself limping home once more. As I attempted to remove my socks while standing with my legs crossed, I felt a sudden pop in my sacral region, which triggered immediate burning pain down my left leg, and I had to retreat to bed with a heating pad. My condition left me incapacitated, forcing me to miss school for two weeks. Although the pain gradually subsided over time, it never fully disappeared; I struggled to perform simple tasks like showering, standing, sitting for more than 10 minutes, or walking even short distances. I suspected sciatica and sought physical therapy, where they diagnosed a potential herniated disc. After undergoing three weeks of therapy and an MRI of my lumbar spine, I learned that my spine was healthy and that the supposed centralization of pain—which was described as the discomfort spreading from both feet and calves while becoming concentrated in my lower back—was not indicative of a healing disc. Currently, the discomfort in my lower back and tailbone persists in a constant, burning, and sharp manner. No remedy seems effective; ice, heat, massage, exercise, or any position change fail to lessen the pain. Regrettably, I’ve started missing school again and often find myself in tears, my eyes swollen from distress. During class, I frequently sneak away to an empty room to lay on my stomach, though this position offers minimal relief. Additionally, fatigue has become a significant issue; I’m crashing by 8 PM every night and require numerous daytime naps. It’s uncertain if this is related, but I’ve dealt with chronic abdominal pain for over a year with inconclusive scan results. My menstrual cycles have intensified in pain, but I can’t tell if these two sets of discomfort are linked, especially as the back pain emerged only two months ago and continues unabated. The intensity has reached a point where I am genuinely contemplating self-harm. Please, I’m not exaggerating my situation; I previously endured a week of excruciating tooth pain from a dental abscess without insurance, and that was the worst pain I could bear until now. This new ordeal qualifies as the second-worst experience. I am desperate for assistance because I am suffering tremendously.

BronchitisAllergy & ImmunologyPulmonology
Male25-34
1 week ago

Unexplained Health Concerns: A Personal Account

I am a 19-year-old transgender male, with my 20th birthday approaching in August. Standing at 5 feet 5 inches tall and weighing 176 pounds, I have a history of health issues that date back further than my transition. I have been receiving testosterone injections subcutaneously for a year now, initially starting with 0.25 ml and more recently increasing to 0.3 ml over the last three weeks. Currently, I am beginning a new medication regimen with Cymbalta at a dosage of 40 mg, which I just started yesterday. Additionally, I have been taking Concerta at 18 mg since January and Ferosul at 325 mg since September 2025. My medical history includes diagnoses of depression, anxiety, ADHD, and autism, and I am actively seeking clarification on a possible OCD diagnosis. In high school, I dealt with episodes of high blood pressure and have had some concerning blood test results. Occasionally, electrolyte drinks help alleviate my symptoms, and I try to stay consistent with an over-the-counter multivitamin. Recently, I've experienced fluctuating concerns about my health, particularly during episodes when my symptoms worsen significantly before subsiding back to normal. For the past four days, I've felt a tight sensation in my chest that makes it hard to breathe deeply, as if my ribs are restricting my lungs. This uncomfortable feeling is akin to the exhaustion one feels after a strenuous mile run, though I haven't partaken in any physical exertion. I also experience heart palpitations on an almost daily basis, averaging around two instances a day. When I stand up, lightheadedness usually strikes, but it's intensifying at present. While walking, dizziness sticks with me, and on several occasions recently, including moments just moments ago, I've felt close to losing consciousness, needing to lean against a wall for a minute to regain my balance. These breathing issues resurfaced in November of last year, lasting about a week and a half before vanishing, and it seems like they're reappearing again. I'm grappling with whether this warrants a trip to the emergency room or if it's better to allow this episode to pass. Does anyone have insight into what this might indicate?

Shortness of BreathWheezingENT
Male25-34
1 week ago

Symptoms Without Clarity on Causes

At 19 years old and transitioning from female to male, I am set to celebrate my 20th birthday this August. I currently stand at 5'5" and weigh 176 lbs. To give some context regarding my medical treatments, I've been on subcutaneous testosterone injections for the past year, starting with 0.25 ml and increasing to 0.3 ml for the last three weeks. My medical history is quite intricate, as I've had health concerns even prior to this treatment. Just recently, I began a trial of Cymbalta at a dosage of 40 mg, while I've been taking Concerta at an 18 mg dosage since January of this year. Additionally, I have been on 325 mg of Ferosul since September 2025. My diagnoses include depression, anxiety, ADHD, and autism, and I'm currently pursuing a diagnosis for OCD. Historically, I've encountered issues with elevated blood pressure during my sophomore year in high school and have also had irregularities in my blood work, which I've documented. Occasionally, consuming electrolytes helps alleviate some of my symptoms, and I make it a point to take a multivitamin daily. I often find myself fluctuating between periods of concern regarding my health, as there are times when I feel significantly worse before returning to a normal state. For the past four days, I have been experiencing a tightness in my chest that makes it difficult to take in sufficient air, as if my ribs are constraining my lungs. This sensation is reminiscent of having run a mile, despite not engaging in any physical exertion. Alongside this, I've been noticing heart palpitations, occurring about twice a day; these are not uncommon for me but seem more prevalent lately. Each time I stand, I typically feel lightheaded, but the sensation has intensified. This discomfort persists while I am walking, causing dizziness to accompany me. On several occasions, including just moments ago, I have almost blacked out and needed to brace myself against a wall for stability. Interestingly, I experienced similar respiratory issues last November that lasted for about a week and a half before subsiding, and it seems these symptoms might be resurfacing. I'm uncertain whether this warrants a trip to the emergency room or if I should wait it out for the symptoms to resolve. Does this presentation echo anything you might recognize?

Shortness of BreathBronchitisPneumonia
Male25-34
1 week ago