Re: uterine prolapse..more ?'s...
From: R. Daniel Braun, MD (anonymous@obgyn.net)
Sat, 30 Sep 2000 08:54:37 -0500 (CDT)
At Fri, 29 Sep 2000, Cindy wrote:
>
>Here is my original post and the answer that Dr. Montgomery kindly gave to me:
>
>Can a mild uterine prolapse turn into a more severe form?
YES
If nothing is done will the uterus continue to drop?
Usually
RDB
>>
>>Also, the cervix changes positions right? If a person is laying down how can the doctor tell if the cervix is bulging or not? For instance, I can see my cervix while sitting on the toilet but if I lay down my cervix gets higher. When I check for my IUD strings I do not have to reach in far to feel them.
>>
>>Also, after intercourse I am very uncomfortable. I think it is from my engorged cervix being so low. Is this a possibility?
>>
>>I have a pap scheduled for Decemeber and was hoping to wait until then to see my doctor. There shouldn't be a problem with this right?
>>
>>Thanks.
>>
>>--
>>Cindy
>>5 pregnancies, and 4 little ones
>>
>--
>Cindy,
>Your 5 pregnancies and 4 little ones caused some problems with the
>ligaments that support the uterus and cervix. As a woman ages, the
>tissues that support the womb gradually loose more of their integrity,
>so pelvic relaxation tends to be incidiously progressive. Occasionally,
>there can be a sudden dramatic change, but this is not as common as the
>gradual progression. There is no real urgency with regard to the issue
>unless you begin to get significant urologic problems or the prolapse
>progresses out of the vaginal introitus and you get irritative symptoms
>of the cervix.
>The cervix does change positions with your position so it is important
>for a physician evaluating this problem to evaluate the relaxation with
>bearing down and even while standing to assess the degree of uterine
>decent.
>I think that you can await your schedule appointment unless something
>changes dramatically between now and then...
>Lynn
>
>Now my questions, when I stand my cervix does not protrude from my vagina nor does it appear to be near the opening. The only time I see it is in a sitting position. Today I was even able to see my IUD string! I know my doctor will answer my questions soon but given this info does it still sound like a prolapse? Would it be prolapsing even when standing?
>
>I don't want to go to the doctor and and have her tell me I am just fine.
>
>Thanks.
>
>Cindy
>
>P.S. Are there any good sites that would show me what I am supposd to see when looking at the vagina? In a sitting position, I see wrinkly tissue at the top of the vaginal opening (cervix?) and then a smooth round part (base of cervix) and my IUD string. I then have more tissue in a ball form at the bottom of the opening. Should I see anything when looking?
>
--
R. Daniel Braun, MD FACOG FOG
This is for educational purposes only, and is not intended to be replacement or substitute for consultation and examination by an appropriate medical professional. Due to time constraints, private e-mails cannot be answered.
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