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Doctor insights on: Pelvic Support Problems

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Dr. Stephen Richards
50 doctors shared insights

Pelvic Support Problems (Overview)

Pelvic support problems are weaknesses in the muscles, nerves and/or connective tissue that support the pelvic organs. In women, these problems result in pelvic organ prolapse.


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I want to know my options for treating pelvic support problems?

I want to know my options for treating pelvic support problems?

Pessary vs surgery: You can do kegel exercises to help lift the walls that have dropped minimally. For moderate to severe prolapse a person usually needs something mechanical done (either use a pessary or have surgery to lift the organs back into their proper position). Surgery includes using own tissue, cadaver tissue, pig tissue, suture mesh) and can be done vaginally or abdominally. ...Read more

Dr. Stephen Richards
50 doctors shared insights

Pelvic Support Problems (Overview)

Pelvic support problems are weaknesses in the muscles, nerves and/or connective tissue that support the pelvic organs. In women, these problems result in pelvic organ prolapse.


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Can pelvic heaviness be a symptom of a pelvic support problem?

Can pelvic heaviness be a symptom of a pelvic support problem?

Yes: Synptons may include pelvic pressure, pelvic pain, feeling like something is falling out, leaking urine, urinary urgency, feeling like you are not empting your bladder completely, constipation, pain with intercourse, feeling like the vagina is to large during intercourse. ...Read more

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Treating Pelvic Inflammatory Disease (Checklist)

Ask your doctor for further STD testing
Once
Ask your partner to get tested for STDs
Once
Take all of your medication exactly as prescribed
Once
Use condoms when having intercourse to prevent STD transmission
Once
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How is pelvic support problems diagnosed?

How is pelvic support problems diagnosed?

Physical Exam: A thorough pelvic exam by an experienced gynecologist or urogynecologist is usually sufficient to determine the characteristics and stage of the prolapse. Treatment options depend on your goals and includes no treatment, vaginal pessaries, pelvic floor physical therapy, or surgery. ...Read more

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Is there anything you can do to prevent pelvic support problems?

Is there anything you can do to prevent pelvic support problems?

Kegel exercises: Frequent kegel exercises, fast, slow and holding, 50 times a day will help. Keep your weight down and your core strong so your center of gravity doesn't shift. Avoid heavy lifting that isn't necessary and don't gain too much weight during any pregnancy. ...Read more

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Managing Chronic Pelvic Pain (Checklist)

See your doctor for an evaluation
once
Have a pelvic exam
once
Have an ultrasound
once
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How is pelvic support problems diagnosed?

Physical Exam: A thorough pelvic exam by an experienced gynecologist or urogynecologist is usually sufficient to determine the characteristics and stage of the prolapse. Treatment options depend on your goals and includes no treatment, vaginal pessaries, pelvic floor physical therapy, or surgery. ...Read more

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Can pelvic heaviness be a symptom of a pelvic support problem?

Yes: Synptons may include pelvic pressure, pelvic pain, feeling like something is falling out, leaking urine, urinary urgency, feeling like you are not empting your bladder completely, constipation, pain with intercourse, feeling like the vagina is to large during intercourse. ...Read more

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I want to know my options for treating pelvic support problems?

Pessary vs surgery: You can do kegel exercises to help lift the walls that have dropped minimally. For moderate to severe prolapse a person usually needs something mechanical done (either use a pessary or have surgery to lift the organs back into their proper position). Surgery includes using own tissue, cadaver tissue, pig tissue, suture mesh) and can be done vaginally or abdominally. ...Read more

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What is the definition or description of: Pelvic support problems?

Causes of prolapse: Pelvic support problems are weaknesses in the muscles, nerves and/or connective tissue that support the pelvic organs. In women, these problems result in pelvic organ prolapse. ...Read more

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Is there anything you can do to prevent pelvic support problems?

Kegel exercises: Frequent kegel exercises, fast, slow and holding, 50 times a day will help. Keep your weight down and your core strong so your center of gravity doesn't shift. Avoid heavy lifting that isn't necessary and don't gain too much weight during any pregnancy. ...Read more

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How do you diagnose pelvic pain problems?

How do you diagnose pelvic pain problems?

History and exam: A thorough history and examination often gives us clues. An ultrasound exam gives additional information though some common causes, like endometriosis and pelvic adhesions, may not be visible on ultrasound. Sometimes a trial of treatment helps establish a diagnosis. For some diseases, the only way to make a definitive diagnosis is through a laparoscopy. ...Read more

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My fiance has lower pelvic pain any problem for the future?

My fiance has lower pelvic pain any problem for the future?

Possibly: This could lead to problems with sexual activity if the pain gets worse with intercourse. Could be due to endometriosis which could cause fertility problems as well. She should seek healthcare. ...Read more

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If the pelvic nerves are damaged a bit could this cause problems with sexual organs?

If the pelvic nerves are damaged a bit could this cause problems with sexual organs?

Yes: It certainly can! The exact surgery (or trauma) involved, and whether this is in a man or a woman will help identify clearly the possible problems. But healthy nerves are critical for normal sexual function, as are healthy blood vessels and circulation. Medications can cause problems as well. ...Read more

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If someone has a left pelvic kidney are there serious problems that may come in the future? And is there anyway of fixing that kidney?

If someone has a left pelvic kidney are there serious problems that may come in the future? And is there anyway of fixing that kidney?

Fix only if injury: Pelvic kidneys(ectopic) is more mobile (lacks normal attachment) than normally located kidneys. Usually pelvic kidney is smaller. The collecting system and ureter can kink causing hydronephrosis or dilated collecting system. This can increase incidence of stones and infection. Blunt trauma to the pelvis can damage kidney. If in contact sports, need protective wear. Many people have no problems. ...Read more

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I am a 35-year-old male and having intermittent sharp pain in my right pelvic area just had it for couple hours now. What could be the problem?

I am a 35-year-old male and having intermittent sharp pain in my right pelvic area just had it for couple hours now. What could be the problem?

Hard to say: In the lower abdomen, sharp pain without other significant symptoms usually indicates bowel stretch such as due to gas or constipation or something in the abdominal wall such as a hernia or muscle strain. Could also represent shingles, but I think young male — muscle strain. ...Read more

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Hello, have never had any female problems. I am 26 yrs of age. Have had 2 c-sections and started having bad lower pain in my left pelvic area about 3 months after having my second child. I thought this would go away but has gotten worse. I have pains in m

Hello, have never had any female problems. I am 26 yrs of age. Have had 2 c-sections and started having bad lower pain in my left pelvic area about 3 months after having my second child. I thought this would go away but has gotten worse. I have pains in m

If : If there was a tumor they would have likely seen in on ultrasound. If your ovaries do not go down then they may order a ct scan (cat scan) of your pelvis to get a better look at your ovaries. Depending on the results additional testing will be ordered.
Were you on birth control pills or hormones or any other supplements recently? If so that may be to blame. Lastly, it sounds like your doctor(s) are doing the appropriate work up. Make sure you get an explanation as to why your ovaries were/are enlarged.
Best of luck. ...Read more

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Tell me about pelvic mesh problems I see advertised on tv?

Tell me about pelvic mesh problems I see advertised on tv?

Complicated: Problems have occurred with the use of mesh. Most are related to mesh eroding thru the vaginal wall. Some have required a second surgery. The fda issue with the use of mesh vaginally is: many of the products were not studied prior to putting them on the market. Companies only had to show similarity to a product already approved. Docs were not trained adequately. Reported complications increased. ...Read more

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What to do if I have a penis/pelvic area problem question.?

What to do if I have a penis/pelvic area problem question.?

Spit it out & we'll: Try to help. Please submit a clear & specific question about pelvises/ peni. Clarify and re-ask. ...Read more

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How is pelvic support surgery done, and how successful is it?

How: Repair of pop surgically may be done abdominally, laparoscopic, robotic assisted, or vaginally. Most surgeons will have a preferred approach depending on training & experience. The fda warnings have caused many surgeons to stop using mesh by vaginal approach. However, those that have a lot of experience with transvaginal mesh have had excellent results. It matters more who do you surgery. ...Read more

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What do urogynecologists think about mesh for pelvic floor problems?

What do urogynecologists think about mesh for pelvic floor problems?

No simple answer: Mesh is a tool that is used in many ways in uorgynecology. Some uses appear to have low risks of problems(e.g. for urinary incontinence) and have significant advantages, and other uses have high risks of serious complications and no proof of advantages. If your doctor is recommending the use of mesh for your prolapse or incontinence, make sure they do the procedures often. ...Read more

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Hi, I have a lower right back pain just after the pelvic, what could be the problem?

Hi, I have a lower right back pain just after the pelvic, what could be the problem?

Back pain: Could be irritation to your ovary. Why did you have the exam? Were you hurting before. Right lower quadrant and back pain can be related to ovary, appendix, bladder, urinary tract or back problem ...Read more

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How can you tell if the pain in the pelvic area is not an Ovarian problem or a Bladder problem or possibly both?

Pain is confusing: Pelvic pain can be confusing, even for doctors who treat it every day. It's not always possible to tell where it is coming from on symptoms alone. Sometimes you need and exam, tests or even a surgical procedure to determine the cause. An Ob/Gyn is a good place to start to try to figure it out. Best wishes! ...Read more

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I believe this is the problem I am having because I was constipated, but I am now having severe nonstop pain in my pelvic area.

Severe pain: Too non-specific! If you are really having non-stop pain you have to be seen and evaluated promptly. When did it begin, is it focal, does it associated with any other symptoms, does anything you do make it better or worse, there are loads of important questions that you have to answer. See a doc ASAP. ...Read more

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I'm having discomfort in my lower left pelvic area. No urinary problems, no other symptoms present. It's just uncomfortable. Should I be worried?

I'm having discomfort in my lower left pelvic area. No urinary problems, no other symptoms present. It's just uncomfortable. Should I be worried?

Lower left quadrant: Discomfort in that area may be due to an inguinal hernia, muscular strain or inflammation, or inflammation of the descending colon as seen in diverticulitis or inflammatory bowel disorders. If this discomfort persists, you should be examined by a physician for diagnosis and treatment. Appropriate referral to a specialist may be advised. ...Read more

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For last 3 month I have been suffering from pain on my left upper part near pelvic muscle. I have ultrasonograph but nothing found. Problem still exist.

For last 3 month I have been suffering from pain on my left upper part near pelvic muscle. I have ultrasonograph but nothing found. Problem still exist.

Investigate: Vaginal and rectal exams? Any abdominal complaints? Bleeding? Weight changes? Urinalysis, infection, stone, trauma, ovaries? Premenopausal or post-? Ct scans? Back to your doctor. Do not stop asking? ...Read more

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I have pressure in my pelvic area and pain in my back and hips, I'm trying to have another baby is that going to give me problems?

I have pressure in my pelvic area and pain in my back and hips, I'm trying to have another baby is that going to give me problems?

What's the cause?: Unless a cause can be found and treated for your pelvic pressure and back/hip pain, it is unlikely these conditions will improve when you carry a baby to term and deliver. ...Read more

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I am having stabbing pain in lower pelvic area for 2 days now, I have had a hysterectomy 15 years ago. What seems to be the problem?

Depends: Stabbing pain is unlikely related to a Hysterectomy from long ago. Think Kidney stone — especially if the pain doubles you over. Think bowel if it comes and goes with your diet and bowel movements. You need an examination and blood/urine test to sort it out. ...Read more

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I have pain near the base of my spine in the pelvic region hurts when standing for long periods of time or after excersize. What could be the problem?

Spine : Could be herniated disc. The pain from disc could go down either or both legs if this persists or accompanied by numbness please see you md. ...Read more

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What bleeding problems may be identified with a pelvic ultrasound?

What bleeding problems may be identified with a pelvic ultrasound?

4 disorders: A pelvic ultrasound may show 1)a pregnancy that is in the wrong place (ectopic) or that is miscarrying, 2) fibroids (benign growths coming from the wall of the uterus, 3) a thickened lining of the uterine cavity from a polyp or overgrowth of the endometrial cells, 4)ovarian cysts or masses and 5) adenomyosis. ...Read more