pessary,...uterine prolapse..
From: Cindy (anonymous@obgyn.net)
Wed, 18 Oct 2000 17:30:56 -0400
Just another question....why aren't pessaries designed for those in their
30's, 40's etc? I am 34 and really don't want to have surgery to correct
this. Does it hurt if I don't wear a pessary? Is it just a comfort issue?
My doctors office is giving me 3 pessaries tomorrow to try. I hope one
works but I ma not holding out hope.
If I have surgery what is involved? I have a grade 2 prolapse and erctocele
and cystocele. Can this surgery fail?
--
Cindy
>----- Original Message -----
From: anonymous@obgyn.net
To: Multiple recipients of list WOMENS-HEALTH
<womens-health@mail.medispecialty.com>
Sent: Wednesday, October 18, 2000 11:00 AM
Subject: Re: pessary,...uterine prolapse..
> At Tue, 17 Oct 2000, Cindy wrote:
> >
> > I was diagnosed 1 week ago with grade 2 prolapse. Prior to
> >this, I had cramps and a lower backache for 1 month. I got a
> >pessary a week ago today. When my doctor inserted it I felt
> >fine. I walked around for 1/2 hour to see what it would feel
> >like. I could push it down but still it wasn't uncomfortable.
> >That evening I needed to have a BM. I found though that I
> >couldn't. I tried to bear down ad when I did this I pushed the
> >pessary out. Once the pessary was out I had a BM just fine. I
> >also developed pain with it. Pain mostly while sitting. I
> >called my doctor on Thursday and she gave me ideas to work
> >with. She said she would see me on Tuesday (today). I tried
> >her suggesstions but was unsuccessful. I also noticed that the
> >cramping got worse with the pessary in place.
> >
> >I went to see her today (btw...she was on call and made special
> >arrangements with me to come into the office to see her! She is
> >such a fabulous doctor!). At first she was going to try the
> >doughnut one but dropped it on the floor. I was glad! it
> >looked huge to me. So, she tried a ring. I was able to take it
> >out and put it in correctly while there and I didn't feel it.
> >Well, as I was driving home I started having some cramping and
> >pressure. Once I got out of the car and walked around I
> >realized that I was feeling the pessary again. It feels like I
> >have a tampon in and the tampon has slipped down out of place.
> >I have this urge to try to push it back up but it is not out of
> >place. On top of that, I have the worst backache. I had hoped
> >that with the pessary in place the cramping and backaches would
> >stop.
> >
> >Questions: Does any of this sound familiar or am I just
> >different? What should I do? I don't want to call my doctor
> >again. Is it possible I won't be able to wear a pessary? Will
> >I ever get used to this thing? I just can't see how I could
> >adjust. Please share with me if this is normal or not. I am
> >feeling very down on myself and very much like a complainer. I
> >ahte to be a nuisance. Is it possible that I am just too sensitive? I
seem to feel everything in that area.
> >
> >Thanks
> >
> >--
> >Cindy
> >
>
> This is a VERY typical pattern, and is the precise reason why pessaries
> are poorly tolerated by younger, active women. They are ackward and
> uncomfortable for many, particularly if the patient is mobile. What is
> great for a nursing home patient, may not be suitable for a 40 or 50
> year old with prolapse. This is why surgery for prolapse is so common.
> It simply does a better job for active women.
>
> --
> William D. McIntosh, MD, FACOG
> Clarksville, TN
>
> 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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