Guest Post: Menopause and Pelvic Organ Prolapse: Oh Joy!

This post comes to us compliments of guest author, Elizabeth Carrollton writes to inform the general public about defective medical devices and dangerous drugs for Drugwatch.com.

If you are a woman who is approaching menopause or have already gone through that change in life, there are a few things you should be looking out for as far as your pelvic health is concerned. No doubt, your doctor has given you a long list of signs and symptoms of various health conditions and diseases to watch for, but there is one common health issue that many doctors forget to include on that list for their female patients: pelvic organ prolapse (POP). If you have children, you are at risk, since POP becomes an issue for nearly half of all women who have given birth, and menopause is prime time for the condition to make itself known.

Trans Vaginal Mesh revision surgeries

Trans Vaginal Mesh revision surgeries

What POP is and How it Happens
Pelvic organ prolapse is caused by pelvic floor stretching or weakening. The pelvic floor is the structure that supports pelvic organs, such as the bladder, uterus and rectum, keeping them in their proper positions to ensure that they can perform their functions efficiently. Made up of muscles and connective tissues, the pelvic floor can be gradually damaged over a woman’s lifetime.
The biggest factor in that damage is the stress placed on the pelvic floor by pregnancy and childbirth, but other factors can also contribute to the development of POP. Heavy lifting, obesity, high-impact sports, pelvic surgery, chronic coughing or frequent constipation can be risk factors, and genetics can also play a role, since POP tends to run in families.
Then, menopause comes along, bringing with it decreased estrogen levels that can reduce elasticity in the pelvic floor. This is often the last straw for weakened and stretched tissues that have been just barely maintaining support for those pelvic organs.
What to Look For
Many women who have pelvic organ prolapse have no symptoms at all. On the other hand, women who have severe POP can have symptoms that are very troublesome and have a big impact on their day-to-day lives. Among the issues reported by women with POP are pressure, pain or a lump in the vagina or pelvic area, painful sex, vaginal bleeding, urinary problems and difficult bowel movements.
In severe cases, women may see tissue protruding through the vaginal opening. If you have any of these symptoms, talk to your doctor about them, since getting treated early can help keep POP from getting worse.

Treatments

Women who suffer mild to moderate pelvic organ prolapse symptoms often find relief with a regimen of pelvic floor exercises, weight loss and dietary changes. A pessary is often prescribed, which is a device that is inserted into the vagina to support the organs.
Severe symptoms may require surgical intervention. However, if you have POP and surgery has been recommended, there are a few things you should be looking out for there too. Many POP repair procedures over the last decade have included the use of transvaginal mesh implants, devices that are inserted through the vagina to support pelvic organs. Unfortunately, they have been linked to a growing number of serious complications.
According to the Food and Drug Administration (FDA), the most frequently reported problems include mesh erosion through vaginal walls, organ perforation, mesh shrinkage and infection. These complications have caused pain for a lot of women and many times the symptoms are irreversible. This had led to the filing of a transvaginal mesh lawsuit by thousands of women seeking justice for their injuries. Often, more surgery is needed to correct these problems, and the FDA says that these procedures show no better clinical results than traditional POP repair.

Please address any questions on the above topic to the patient advocates at Public Outreach Department at DrugWatch.com: 800-452-0949.

Posted in Menologues, menopause.

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5 Responses

  1. Generic Image brendas8 says

    I am 65,and i also have this problem..been to my obgyn,and she suggested surgery,but i am opting for the pessery instead right now..
    Bren

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  2. Robin Donovan, Menologues Robin Donovan, Menologues says

    Brendas8

    Our guest blogger says:

    Pessaries are definitely a better alternative to mesh, as they are a nonsurgical approach to uterine prolapse treatment. There are minor risks involved such as bleeding and wearing away of the vaginal walls. If you would like, you can contact our patient advocates at 800-452-0949, for further details.

    Good luck!

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  3. Lizbet Lizbet says

    My Mom had the surgery, oh, about in her early 70s.  She delivered three chldren and suffered from constipation most of her life.  The rectum was portruding through the vagina.  After the surgery, the problem was remedied. She had it as an elective surgery.  Time will tell whether my sister or I develop any problems.  I’ve birthed five children and my sister only one, though she is built more like Mom and tends to have her health issues more than I.

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  4. Generic Image Cat Lover says

    Had this surgery back in March 2012.  It has improved the quality of my life 1000%.  I can now laugh, sneeze, run with my dog without worrying about an accident.  I am 59, not overweight and have always been physically active.  I brought two babies into the world, not without great difficulty, that and heredity made this surgery so necessary.  With the right Dr. and the right information, I would highly recommend this procedure.  By the way, I work in Physical Therapy, pelvic floor exercises do not work for everyone.

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  5. Generic Image brendas8 says

    I have decided to have the surgery,as finding a pessary to fit me,is almost impossible,my gyn uses lamb skin,not mesh for this,i am in stage 3 she said,and i am sure it will improve my life,,,,

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