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Answer to your Health Question


I had a c section 2 years ago September and now when I have a period I cannot use a tampon my urine fills my tampon or it comes out from having to push out the urine.

Why is this happening?



Dear Sharon,

Usually if there is a fistula, the urine would run out continuously and never stop.

The way to find out is to have an exam done.

The doctor may ask you to insert a tampon into the vagina, and then he or she would fill your bladder with blue dye.

They then usually have you walk around for 30 minutes and then remove the tampon.

If it is NOT blue, you don't have a fistula.

They could then insert a catheter into the bladder through the urethra to see if the blue dye drained out through the catheter.

It is not too unusual for someone with several children to have a tipped urethra.

A tipped urethra still works fine, just points downward or upward.

One thing that you could try--insert a tampon, (when you are NOT having your period) and then empty your bladder.

Only the string should be saturated. If the tampon is saturated too, there is more of a problem.

The risk of urinary incontinence is higher among women who have had cesarean sections than among nulliparous women (women who has never given birth) and is even higher among women who have had vaginal deliveries.

Cesarean section offers little protection against incontinence after the postpartum recovery period. Some women experience incontinence despite cesarean childbirth.

Normally, your nerves, ligaments, and pelvic floor muscles work together to support your bladder and keep the urethra closed so urine doesn't leak out.

Overstretching or injury to these areas during pregnancy or childbirth can cause them to stop working properly.

The risk of developing a pelvic floor disorder may be less with a cesarean delivery than with a vaginal delivery.

Injuries (including those due to surgery) are causes of disorders of nerves to the pelvic floor.

It is possible for bowel injury after a c-section to occur; however, this is typically rare

Surgical injuries to the ureter or bowel occur in approximately 0.1% of c-sections.

Having a cesarean section rather than a vaginal birth increases risk for injuries from surgery: all women who have a cesarean have a wound; a woman with a cesarean may also be injured from accidental cuts to nearby organs such as the bladder or bowel or ureter (the tube that carries urine from the kidney to the bladder), especially if the surgery is done in haste.

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