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Reply to "Frequency and Butt Burn in Pregnancy (oh and Vaginal Delivery Q)"

Hi lina!

Congrats on your pregnancy! I'm 2 weeks out from the C-section now (37 weeks tomorrow) and really want to reiterate how blessed I feel about the whole thing. It has been a good experience so far! The butt burn and frequency do seem to be related to hormones and movement/pressure--not pouchitis, which is mostly good news! (Good because it should clear after birth and there's no discomfort outside of butt burn and occasional leaking if I eat the wrong thing; the only downside is I really have never found a good way to treat the problem during pregnancy. A bland, boring diet and lots of carbs...seems to help me. But everyone is different.)

It is good to hear from another pregnant J-poucher! It makes me feel better too to know my experience isn't unusual. I'll post an update to this thread after the C-section to give details and updates for those of you who are curious. Ultimately, my OB left the decision up to me. He researched and said that the risk to the pouch for IBD patients post IPAA surgery is small--but there is a risk of tearing and damaging the sphincter (which for us is already weaker post-surgery than for most women.) He also told me today, after a routine check/exam, that the area between my vagina and rectum is shorter than usual, meaning it is more likely (not definite, just more likely) that I could tear during vaginal birth. I don't know if the short (perineum? maybe? is that the right word??) area is specific to me or if it is related to the surgeries though. He has also said that it is unlikely a c-section will affect my fertility in the future, BUT again...my OB and I have found that much of this is really hard to determine beforehand. There is a slight possibility that he'll encounter scar tissue inside that complicates the section, but he is going to proceed carefully and cautiously, and I feel confident in my decision to go for the C-section. The uterus is pushed up and out of the pelvis at this point, so it seems like the ovaries/tubes will probably be protected from any serious harm or scarring.

Good luck & congrats again on your pregnancy!

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