236 \u2013 Prolapse \u2013 Surgical and Non-Surgical Options\n\nThis podcast is sponsored by Femselect\n\nThanks to our sponsor Sprout Pharmaceuticals addyi.com/notbroken Go to Addyi.com and use code\nNOTBROKEN for a $10 telemedicine appointment.\n\nThanks to our sponsor Uber Lube 10% off, Code NOTBROKEN\xa0\nuberlube.com\n\nDr. 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. \n\nIn this episode, we talk a lot about prolapse and touch on-\xa0\n\n\xb7\xa0\xa0\xa0\xa0\xa0 What is pelvic organ prolapse? \n\n\xb7\xa0\xa0\xa0\xa0\xa0 Why prolapse needs a rebranding \u2013 so much shame\n\n\xb7\xa0\xa0\xa0\xa0\xa0 Risk factors for prolapse\n\n\xb7\xa0\xa0\xa0\xa0\xa0\nWhat are the signs and symptoms?\n\n\xb7\xa0\xa0\xa0\xa0\xa0\nOur tips for treating constipation\n\n\xb7\xa0\xa0\xa0\xa0\xa0\nProlapse risk goes up after menopause \u2013 we discuss\nthe likely role of hormones and decreased muscle strength.\n\n\xb7\xa0\xa0\xa0\xa0\xa0\nThe impact of prolapse on those suffering\n\n\xb7\xa0\xa0\xa0\xa0\xa0\nWhy we hate calling it \u201cbladder prolapse\u201d\n\n\xb7\xa0\xa0\xa0\xa0\xa0\nHow the bladder can be affected by vaginal\nprolapse and what may and may not improve\n\n\xb7\xa0\xa0\xa0\xa0\xa0\nHow do we know if we have prolapse\n\n\xb7\xa0\xa0\xa0\xa0\xa0\nHow do we know if we should treat prolapse\n\n\xb7\xa0\xa0\xa0\xa0\xa0\nRisk of de novo stress urinary incontinence\nwhen prolapse is fixed, either with pessary or surgery\n\n\xb7\xa0\xa0\xa0\xa0\xa0\nWhat is a pessary and what are the risks of a\npessary. \n\n\xb7\xa0\xa0\xa0\xa0\xa0\nCan you be sexually active with prolapse?\n\n\xb7\xa0\xa0\xa0\xa0\xa0\nThe role of pelvic floor physical therapy and prolapse.\n\n\xb7\xa0\xa0\xa0\xa0\xa0\nSurgical treatment options:\n\no\xa0\xa0\nOne size does not fit all.\n\no\xa0\xa0\nObliterative surgery \u2013 colpocliesis\n\no\xa0\xa0\nHysteropexy vs. hysterectomy \n\no\xa0\xa0\nMinimally invasive options \u2013 suture or mesh based (sacrocolpopexy) procedures\n\no\xa0\xa0\nNew treatment options (EnPlace) benefits and data \n\no\xa0\xa0\nThe cervix as a sexual organ for some people and the consideration of cervix/uterine preservation in prolapse surgery. \n\n\xb7\xa0\xa0\xa0\xa0\xa0\nModern prolapse repair is safe, effective and recovery is not too stressful for most women. \n\n\xb7\xa0\xa0\xa0\xa0\xa0\nPost surgery instructions and rehab \u2013 vaginal estrogen and pelvic floor physical therapy\n\n\xb7\xa0\xa0\xa0\xa0\xa0\nThe risk of recurrent prolapse\n\n\xb7\xa0\xa0\xa0\xa0\xa0\nWhen to consider adding a sling to your prolapse procedure\n\n\xb7\xa0\xa0\xa0\xa0\xa0\nJust because someone or something said you have prolapse, doesn\u2019t mean you need surgery\n\nInstagram.com/allurebydrsonya\n\nhttps://allurepelvicwellness.com/\n\n#EnPlace,\n#PelvicOrganProlapse, #WomensHealth #PelvicHealth\n\nMy previous Prolapse episodes\n\n21 \u2013 pelvic organ prolapse master class\n\n138 \u2013 February Live \u2013 Hormones,\nprolapse, pelvic floor PT and more\n\n161 \u2013 \u201cI Just need to put something in\nmy vagina\u201d, Prolapse, and how PT helps\n\nDid you get my \u201cYou Are Not Broken\u201d Book\nYet? https://amzn.to/3p18DfK\n\nListen to my Tedx Talk: Why we need adult sex ed \n\nJoin my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed\n\nJoin my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. \n\nwww.kellycaspersonmd.com/membership\n\n\n--- \n\nSend in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message\nLearn more about your ad choices. Visit megaphone.fm/adchoices