Question:

I believe I have some pelvic floor weakening and possible prolapse, rectocele/cystocele. Would it be safe to get pregnant again, or should I first be seen for an evaluation? 

Answered by maternal-fetal medicine expert Teresa Berg, MD:

It would depend on the degree of weakening you think you are experiencing and how long it has been since you delivered. The pelvic floor takes time to re-strengthen after delivery. Physical therapy is often the best option for strengthening between pregnancies for women with a degree of prolapse who desire additional children. Very few providers recommend surgical intervention until childbearing is completed. A urogynecology evaluation would be a great option to assess your current pelvic floor status.