236. Prolapse - Surgical and Non Surgical Options

236 – Prolapse – Surgical and Non-Surgical Options This podcast is sponsored by Femselect Thanks to our sponsor Sprout Pharmaceuticals addyi.com/notbroken Go to Addyi.com and use code NOTBROKEN for a $10 telemedicine appointment. Thanks to our sponsor Uber Lube 10% off, Code NOTBROKEN  uberlube.com Dr. Sonya Ephraim, MD, FACOG, FPMRS, is a urogynecologist and the founder of Allure Pelvic Wellness and Aesthetic Gynecology in Deer Park, Illinois, outside of Chicago. She talks about how she decided to go back to do a fellowship in female pelvic medicine. In this episode, we talk a lot about prolapse and touch on-  ·      What is pelvic organ prolapse? ·      Why prolapse needs a rebranding – so much shame ·      Risk factors for prolapse ·      What are the signs and symptoms? ·      Our tips for treating constipation ·      Prolapse risk goes up after menopause – we discuss the likely role of hormones and decreased muscle strength. ·      The impact of prolapse on those suffering ·      Why we hate calling it “bladder prolapse” ·      How the bladder can be affected by vaginal prolapse and what may and may not improve ·      How do we know if we have prolapse ·      How do we know if we should treat prolapse ·      Risk of de novo stress urinary incontinence when prolapse is fixed, either with pessary or surgery ·      What is a pessary and what are the risks of a pessary. ·      Can you be sexually active with prolapse? ·      The role of pelvic floor physical therapy and prolapse. ·      Surgical treatment options: o   One size does not fit all. o   Obliterative surgery – colpocliesis o   Hysteropexy vs. hysterectomy o   Minimally invasive options – suture or mesh based (sacrocolpopexy) procedures o   New treatment options (EnPlace) benefits and data o   The cervix as a sexual organ for some people and the consideration of cervix/uterine preservation in prolapse surgery. ·      Modern prolapse repair is safe, effective and recovery is not too stressful for most women. ·      Post surgery instructions and rehab – vaginal estrogen and pelvic floor physical therapy ·      The risk of recurrent prolapse ·      When to consider adding a sling to your prolapse procedure ·      Just because someone or something said you have prolapse, doesn’t mean you need surgery Instagram.com/allurebydrsonya https://allurepelvicwellness.com/ #EnPlace, #PelvicOrganProlapse, #WomensHealth #PelvicHealth My previous Prolapse episodes 21 – pelvic organ prolapse master class 138 – February Live – Hormones, prolapse, pelvic floor PT and more 161 – “I Just need to put something in my vagina”, Prolapse, and how PT helps Did you get my “You Are Not Broken” Book Yet? https://amzn.to/3p18DfK Listen to my Tedx Talk: Why we need adult sex ed Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message