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Pelvic Organ Prolapse
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Pelvic Prolapse
www.PelvicProlapse.com
The Leading
Site for Pelvic Prolapse and
Pelvic Organ Prolapse
Education, Resources, Healthcare & Medical Information
What is Pelvic Prolapse?
Pelvic
Prolapse is another term used for "pelvic organ prolapse."
Pelvic prolapse is a very common condition, particularly among older women. It's
estimated that half of women who have children will experience some form of Pelvic
Organ Prolapse in later life. Many women, particularly because they may
no longer be sexually active, and fail to continue receiving their annual pelvic
exams, don't seek help from their doctor. Therefore, the actual number of women
affected by Pelvic
Organ Prolapse is unknown.
Pelvic
Organ Prolapse may also be called; genital prolapse, pelvic relaxation,
prolapsed uterus, uterovaginal prolapse, pelvic floor
dysfunction, urogenital prolapse, vaginal
relaxation, or vaginal vault
prolapse.
What is Pelvic Organ Prolapse?
Pelvic
Organ Prolapse is a very common condition, particularly among older women.
It's estimated that half of women who have children will experience some form of
Pelvic
Organ Prolapse in later life. Many women, particularly because they may
no longer be sexually active, and fail to continue receiving their annual pelvic
exams, don't seek help from their doctor. Therefore, the actual number of women
affected by Pelvic
Organ Prolapse is unknown.
Pelvic Organ Prolapse may also
be called; genital prolapse, pelvic relaxation,
prolapsed uterus, uterovaginal prolapse, pelvic floor
dysfunction, urogenital prolapse, vaginal
relaxation, or vaginal vault
prolapse.
What is a Prolapsed Uterus?
A
Prolapsed Uterus
refers to a collapsed uterus, or descended uterus, or other change in the
position of the uterus in relation to the surrounding structures within the
pelvis. The pelvis contains many soft tissue structures vital to normal body
functions, supported primarily by the diaphragms, layers of muscles, fibrous
coverings called fasciae, and various ligaments and tendons. These soft tissues
of the pelvis derive their ultimate support from the bony pelvis.
A Prolapsed Uterus may be one of three types, depending on the severity:
• First-degree prolapse occurs when the uterus sags downward into the upper
vagina.
• Second-degree prolapse occurs when the cervix is at or near the outside of
the
vagina.
• Third-degree prolapse (sometimes referred to as total prolapse) occurs when
the entire uterus extends outside the vagina.
What
is a Vaginal Vault Prolapse?
The vaginal vault is the area at the top of the vagina, next to and adjacent to the cervix. It can only “fall” or descend downwards toward the
introitus, or the entrance of the vagina, after a woman's womb has been removed (hysterectomy).
Vaginal Vault Prolapse occurs in about 15% of women who have had a hysterectomy for uterine
prolapse, and in about 1% of women who have had a hysterectomy for other reasons.
What is the Vaginal Vault?
What
is Vaginal Vault Suspension?
Vaginal Vault Suspension is a surgical procedure that provides support for the apex/vault of the vagina to various pelvic structures.
What is
Vaginal Dryness?
Vaginal dryness is one of the most distressing, and painful problems a woman faces. Vaginal dryness occurs when the natural vagina secretions decreases within the vagina. The amount of vaginal moisture varies throughout a woman's monthly menstrual cycle. Vaginal dryness is particularly problematical as a woman enters and becomes menopausal.
Vaginal moisturizers, provided by numerous companies, and a variety of brand names, are products designed to relieve the pain and discomfort of vaginal dryness. These products are applied or inserted, into the vagina, one or more times per day, depending on the amount of vaginal dryness she may be experiencing.
A vaginal moisturizer may or may not be a vaginal lubricant. Vaginal lubricants are normally used as an aid for intercourse and used on a short-term basis to help a woman that is not able to produce enough vaginal moisture to permit her to comfortably (and painlessly) engage in intercourse.
A menstruating woman's vaginal moisture changes from day to day, and varies depending upon her hormones that control the production of vaginal moisture. A woman can experience vaginal dryness even during times of menstrual bleeding.
Menopause is a normal change in a woman's life when her period stops. That's why some people call menopause "the change of life" or "the change." During menopause a woman's body slowly produces less of the hormones estrogen and progesterone. This often happens between the ages of 45 and 55 years old. A woman has reached menopause when she has not had a period for 12 months in a row.
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How do hormones help with menopause? Reduce hot flashes Treat vaginal dryness Slow bone loss Who should not take hormone therapy for menopause? Women who... Think they are pregnant Have problems with vaginal bleeding Have had certain kinds of cancers Have had a stroke or heart attack in the past year Have had blood clots Have liver disease |
Hormone therapy for menopause has also been called hormone replacement therapy (HRT). Lower hormone levels in menopause may lead to hot flashes, vaginal dryness and thin bones. To help with these problems, women are often given estrogen or estrogen with progestin (another hormone). Like all medicines, hormone therapy has risks and benefits. Talk to your doctor, nurse, or pharmacist about hormones. If you decide to use hormones, use them at the lowest dose that helps. Also use them for the shortest time that you need them.
Every woman's period will stop at menopause. Some women may not have any other symptoms at all.
As women begin reaching the age of 40, their bodies are preparing for menopause, or the stopping of their monthly menstrual periods. Menopause never happens all at once. As young ladies approach their first period and monthly menstruation, her body's hormones are "transitioning" to producing hormones levels that will support monthly menstruation for about the the next 35 years. Similarly, as women reach their 40's, their bodies' hormone levels begin to change, and in preparation of menopause.
Women will know they are approaching menopause, as they will notice the following symptoms:
Changes in your period - time between periods or flow may be different.
Hot flashes ("hot flushes") - getting warm in the face, neck and chest.
Night sweats and sleeping problems that lead to feeling tired, stressed or tense.
Vaginal changes - the vagina may become dry and thin, and sex may be painful.
Thinning of your bones, which may lead to loss of height and bone breaks (osteoporosis).
For some women, many of these changes will go away over time without treatment.
Some women will choose treatment for their symptoms and to prevent bone loss. If you choose treatment, estrogen alone or estrogen with progestin (for a woman who still has her uterus or womb) can be used.
Hormone therapy is the most effective FDA approved medicine for relief of hot flashes, night sweats or vaginal dryness.
Hormones may reduce your chances of getting thin, weak bones (osteoporosis) which break easily.
For some women, hormone therapy may increase their chances of getting blood clots, heart attacks, strokes, breast cancer, and gall bladder disease. For a woman with a uterus, estrogen increases her chance of getting endometrial cancer (cancer of the uterine lining). Adding progestin lowers this risk.
You can, but there are also other medicines and things you can do to help your bones.
No, do not use hormone therapy to prevent heart attacks or strokes.
No, do not use hormone therapy to prevent memory loss or Alzheimer's disease.
Studies have not shown that hormone therapy prevents aging and wrinkles or increases sex drive.
You should talk to your doctor, nurse or pharmacist. Again, hormones should be used at the lowest dose that helps and for the shortest time. (For example, check if you still need them every 3-6 months.)
The risks and benefits may be the same for all hormone products for menopause, such as pills, patches, vaginal creams, gels and rings.
At this time, we do not know if herbs or other "natural" products are helpful or safe. Studies are being done to learn about the benefits and risks.
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