# 236. Prolapse - Surgical and Non Surgical Options

An episode of [You Are Not Broken](https://invisiblenetwork.ai/podcast/1495710329), 5 Nov 2023, 53 min.

Audio: https://rss.art19.com/episodes/8bc4f4d4-1eea-4f07-a40d-3e0bb7034b8d.mp3?rss_browser=BAhJIhVJbnZpc2libGVOZXR3b3JrBjoGRVQ%3D--0761ee75eb25694efc17849092f8583c07f6c68b

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 Learn more about your ad choices. Visit podcastchoices.com/adchoices See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

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