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Re: Pregnancy with uterine prolapse, Question for Dr. Marchbein

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Fri, 27 Feb 1998 15:56:15 -0600 (CST)


At Fri, 27 Feb 1998, carol wrote: >
>At Wed, 18 Feb 1998, Harvey S. Marchbein, M.D. wrote:
>
>>Concerns include preterm labor secondary to infection, irritation and
>>inflammatin of the cervix and possible infection tracking up to the
>>uterus will prolapse. I have heard of using a pessary to hood the
>>cervix up in pregnancy as we do in prolapse in older patients. I have
>>no personal experience with this.
>
>Yipes! I have a uterine prolapse (Stage 2), cystocele (small), and
>rectocele (small). Few symptoms to speak of (yet?). I have seen four
>doctors about this, and mentioned to each one that my husband and I are
>trying to start another pregnancy. Your reply to April was the first
>inkling I've gotten that prolapse might cause any problems!
>
>Are you saying that the big problem with prolapse is higher incidence of
>infection, which then can cause preterm labor, etc? Or are preterm labor
>and infection independent problems that can occur with prolapse?

We were talking about procedentia - total prolapse - a horse of a different color from what you have.

>My doctors have all said that the growing uterus will push upward with
>pregnancy and that the prolapse symptoms will go away then (until labor
>and delivery). Is this wrong?

Sounds right to me.

--
Harvey S. Marchbein, M.D. FACOG
OBGYN.net U.S. Representative, New York
Great Neck, New York
http://www.obgyn.net/states/bios/marchbein.htm
http://www.obgyn.net/women/advisors/harveym.htm

**Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private emails cannot be entertained due to time constraints, consequently no private emails will receive a response.

**Thank you for your understanding ;-)




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