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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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.