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Re: GYNECOLOGIC: Pelvic Prolapse At AGE 26

From: bubbley (anonymous@obgyn.net)
Fri, 21 Dec 2007 07:39:52 -0600 (CST)


Thank you Dr. von Almen for your repsonse. I went to try my 2nd pessary yesterday and the pessary is still coming down when i try to make a bowel movement and is sticks out of the vagina, is this normal? My doctor wouldnt say, he said that my problem is very hard to fix and told me to try it for 4 weeks, as you may know, having a piece of plastic pop out of my vagina everytime i go is not very comfortable, And will this pessary hurt my husband since my organs are so low- i know he will feel it. This has been very hard for me only being 26 a newlywed and trying to not get sick because i cant go to the bathroom because something is blocking the way. I lost my job because i have to take off to go to the doctor trying to get some help, and still have no relief, can surgery be performed without a hysterectomy or even just to fix my rectum so i can go?

At Wed, 19 Dec 2007, William F. von Almen, II, MD, FACOG wrote: >
>Bubbley
>
>Not much to add. Some people have weak fascial support to their pelvic
>organs and this can happen. A well fit pessary can be a godsend. My
>advice would be to have a child or children quickly and then you will
>probably need a hysterectomy with careful attention paid to maximal
>support issues...Dr. von Almen
>
>At Wed, 19 Dec 2007, bubbley wrote:
>>
>>I am 26 years old with pelvic prolapse.Protrusions out of the vagina and
>>rectum. I have never had kids and have been to 5 doctorsa; a
>>gastroenterologist, 2 physicians, a colorectal surgeon, my OBGYN and a
>>pelvic surgeon- I am very uncomfortable wearing a pessary, it feels like
>>it may be pushing against my rectum which does not help matters since i
>>couldnt go to the bathroom well to begin with. The Pelvic surgeon i see
>>has me trying my second pessary, i am not comfortable at all and would
>>like to still have kids in 3 years or so. Im at a loss since this
>>condition usually happens to people who have had kids and/ or are older.
>>Please help. Any advice would be greatly appreciated.
>
>--
> 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, they will receive no response.
>
>William F. von Almen, II, MD, FACOG
>Private Practice
>New Orleans, La.
>






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