Understanding Pelvic Organ Prolapse BY CHEROKEE WOMEN’S HEALTH SPECIALISTS, PC
Pelvic organ prolapse occurs when the muscles and tissues that hold the pelvic organs in place weaken and drop lower into the pelvis. Prolapse refers to the drooping of pelvic organs that include the cervix, uterus, bladder, vagina, small intestines and rectum. There are different types of prolapse that affect different organs in a woman’s body. After an examination, your doctor will discuss your specific diagnosis and treatment plan.
Causes of Prolapse
In addition to childbirth, risk factors include a family history of the condition, obesity, advancing age, hysterectomy or prior pelvic surgery, menopause, intense physical activity, and more. Conditions such as asthma or constipation are a risk factor due to the increased intra-abdominal pressure.
Symptoms
Many women experience no symptoms and discover the condition during a routine gynecological exam. Symptoms vary by which organ is drooping, i.e., if urine is leaking, the bladder might have prolapsed. Other symptoms include: • A feeling of constant heaviness around the pelvic area. • Organs bulging out of the vagina. • Lower back pain. • Painful intercourse. • Problems having a bowel movement. • Problems inserting tampons.
Diagnosis
Diagnosis of the exact cause is critical. A simple pelvic or rectal examination is completed during a physical examination for a diagnosis. Your doctor will attempt to determine the severity of the prolapse, by observation of the vaginal walls and cervix. Your doctor might also ask you to strain to cough during the exam.
Treatment
Depending on the severity, your age, and other factors, options include: • Observation. Women experiencing no symptoms get treatment through regular exams. • Kegel exercises. A pelvic floor physical therapy where you squeeze the pelvic muscles, ultimately strengthening them. • Lifestyle and dietary changes that address obesity. • Pessaries. A non-surgical solution using silicone devices for structural support. • Surgery. Performed through the vagina or abdomen, or by laparoscopy depending on the support problem. For proper diagnosis and treatment options, make an appointment with a urogynecologist, an expert in prolapse.
Cherokee Women's Health Specialists PC has seven physicians with offices in Canton and Woodstock. 770-720-7733. www.cherokeewomenshealth.com.
AROUND WOODSTOCK | February 2021
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