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