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Re: UROGYNECOLOGY: Weight Traing & Exercise After Small Anterior/Posterior Repairs- What About PME As Alternative To Surgery?
From: anonymous@obgyn.net
Wed, 20 Aug 2008 10:06:39 -0500 (CDT)
Thank you so much Dr. Rosenman for taking the time out your busy
schedule to address my questions. I have a few more questions if you
don't mind me picking your brain. Because I have between a 1 and 2
cystocele and rectocele would I be a better candidate for PME training?
Are you familiar with the Athena Pelvic Muscle Trainer? Even if I get
the surgery would PME still help to keep things toned and prevent
further injury or prolapse in the future? Further question about a
particular exercise, specifically squats...What about performing squats?
Squats are known to stretch your pelvic muscles. I was always told this
was a good thing. However, given the prolapse and the area is now
compromised can squats encourage damage to those areas that have been
surgically repaired?
Thanks again for your reply. I greatly appreciate it. Regards, Kim
At Tue, 19 Aug 2008, Amy Rosenman, M.D. wrote:
>
>Message posted on Amy Rosenman, M.D. behalf by: Hope Waltman, Women’s
>Health Forum Moderator
>
>Prolapse is affected by multiple issues, the strength of the tissues,
>the damage from prior childbirth, hormones, gravity, activity. Since
>you are young to have a prolapse and surgery, you are at risk for
>recurrence later in life. Afterall, even a face lift is an antigravity
>procedure and does not stop aging or last forever. That said, I usually
>recommend reduced activity for 8 weeks after prolapse surgery, no
>lifting over 10 pounds. There is very little science here, no good
>studies comparing different regimens for recovery. As for long term
>exercise, it is important to your overall health and should be possible.
>I do, however, recommend that high impact exercise is not best for most
>women from the point of view of the pelvic floor, breast support, and
>joints. Rather than jumping rope, an elliptical trainer, cycle or
>inclined treadmill are all better. You should be able to return to all
>sports you enjoyed before. Quality of life needs to be balanced with
>the longevity of the repair.
>
>--
>Amy Rosenman, M.D.
>Assistant Clinical Professor GYN
>Geffen School of Medicine at UCLA
>Santa Monica, California
>
>http://www.obgyn.net/meet.asp?page=/all_advisors/A_Rosenman
>
>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.
>
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