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You Are Not Broken

Prolapse — Surgical & Non Surgical Options

ABOUT THE EPISODE

I talk with Dr. Sonya Ephraim MD, FACOG, FPMRS, about prolapse.

HERE’S WHAT WE DISCUSS

  • 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.
  • One size does not fit all.
  • Obliterative surgery – colpocliesis
  • Hysteropexy vs. hysterectomy
  • Minimally invasive options – suture or mesh based (sacrocolpopexy) procedures
  • New treatment options (EnPlace) benefits and data
  • 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

MORE ABOUT Dr. Sonya Ephraim, MD, FACOG, FPMRS

Dr. Ephraim 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.

 
Find Dr. Ephraim on IG

@allurebydrsonya

Dr. Ephraim’s Site

https://allurepelvicwellness.com/

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THE YOU ARE NOT BROKEN BOOK

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THANKS TO OUR SPONSORS

This episode is sponsored by Solv Wellness. To get Via, moisturizer for her, visit via4her.com for 30% off your first purchase. Discount automatically applied at checkout.


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Kelly Casperson, MD

MEET YOUR HOST

Kelly Casperson, MD

She’s the sister, urologist, sex expert and friend you never knew you needed….until now.

Dr. Kelly Casperson is a board certified urologist. That makes her an expert of the pelvis. And her mission is to empower women to live their best love lives. Because let’s be honest. None of us were taught right. Combining the power of mind, body and relationships, Dr. Kelly joyously breaks down the societal barriers that are keeping us from awakening into our best intimate experience.

Listen, share and subscribe.

Whether you are young or past menopause, single or in a long-term bond, it is never too late or too early to realize YOU ARE NOT BROKEN. With humor, candor and ease, I break down the stories that we have been told about being sexual beings, to help us play, explore, and normalize our lives. Nothing in this podcast is personal medical advice, of course.

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