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Female Sexual
Function
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Female Sexual
Function
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Female Sexual Function
www.FemaleSexualFunction.com
The Best Site Available for Female Sexual Function
What
is Female Sexual Function?
Female Sexual Function, in a healthy woman, is someone who successfully responds to, and experiences the 4 phases of the "Female Sexual Response Cycle."
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What is Female ED or Female Erectile Dysfunction?
Female ED or Female Erectile Dysfunction occurs when a woman is unable to attain, and maintain a complete (fully-erect clitoris) erection of her clitoris through orgasm.
Many people do not understand that a woman is unable to orgasm unless she has a fully-erect clitoris.
If the husband of a patient with suspected Female ED or Female Erectile Dysfunction feels this is a problem within their relationship, his concern should be sufficient for him to discuss this problem with her. If she is unwilling to discuss the problem he may want to seek psychological or medical consultation, including notifying his wife's Ob/Gyn, gynecologist, or family physician about their problem as women with untreated/undiagnosed Female ED could lead to significant relationship problems that may end with divorce.
What
is Gynecologic Urology?
Gynecologic Urology, also referred to as
Uro-gynecology, is a subspecialty within the field of
Obstetrics and Gynecology. Uro-gynecology's specialty is female pelvic disorders such as
pelvic organ prolapse (bulges that extend from the uterus into the vagina or extend out of the vagina), urinary incontinence, fecal incontinence and constipation.
Doctors that complete their residency in Obstetrics and
Gynecology, then go onto complete fellowship training in Uro-gynecology, where they spend several years focusing only on Uro-gynecology and female pelvic
disorders.
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Pelvic Organ Prolapse
www.PelvicOrganProlapse.com
Pelvic Organ Prolapse & Pelvic Prolapse Information, Resources and Doctor Referrals
What
is Pelvic Organ Prolapse?
Pelvic Organ Prolapse
or Pelvic Prolapse, is a very common condition, particularly among older women. It's estimated that half of women who have children will experience some form of
Pelvic Organ Prolapsee in later life. Many women, particularly because they may no longer be sexually active, and fail to continue receiving their annual pelvic exams, don't seek help from their doctor. Therefore, the actual number of women affected by
Pelvic Organ Prolapse is unknown.
Pelvic Organ Prolapse may also be called; genital
prolapse, pelvic relaxation,
pelvic prolapse, uterine prolapse, uterovaginal prolapse, pelvic floor
dysfunction, urogenital prolapse, vaginal
relaxation or vaginal
vault prolapse.
Pelvic
Organ Prolapse
www.PelvicOrganProlapse.com
The Leading Sites for Pelvic Prolapse and
Pelvic Organ Prolapse
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Your
Product, Company or Medical Practice
at the BEST website address for
Pelvic Organ Prolapse!
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Advertising inquiries may be directed to:
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What is Pelvic Prolapse?
Pelvic Prolapse
is another
term used for "Pelvic Organ Prolapse."
Pelvic Prolapse is a very common condition, particularly among older women. It's estimated that half of women who have children will experience some form of
Pelvic Organ Prolapse in later life. Many women, particularly because they may no longer be sexually active, and fail to continue receiving their annual pelvic exams, don't seek help from their doctor. Therefore, the actual number of women affected by
Pelvic Organ Prolapse is unknown.
Pelvic Prolapse may also be called; genital
prolapse, pelvic relaxation,
pelvic prolapse, uterine prolapse, uterovaginal prolapse, pelvic floor
dysfunction, urogenital prolapse or vaginal
vault prolapse.
What are the symptoms that
indicate a woman is suffering from Pelvic
Organ Prolapse?
Loss of bladder control.
Loss of bowel control.
Increasing need and frequency to urinate - and then difficulty in completely emptying your bladder.
The feelings that your of pelvic or vaginal heaviness, bulging, fullness and/or pain, or a feeling that something is "dropping."
Recurrent bladder infections.
Excessive vaginal discharge.
Pain or lack of sensation during sex
But Pelvic
Organ Prolapse is a real, common and treatable problem. Consider this:
About half of all women over age 50 suffer from some degree of Pelvic
Organ Prolapse.
One in 10 women undergo surgery for Pelvic
Organ Prolapse by age 80.
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Overactive
Bladder Syndrome
www.OveractiveBladderSyndrome.com
What is Overactive Bladder & Overactive Bladder Syndrome?
Overactive Bladder Syndrome, also known as Female Urinary Incontinence or Stress Urinary Incontinence, is the loss of bladder control.
Symptoms of Overactive Bladder Syndrome can range from mild leaking to uncontrollable wetting. It can happen to anyone, but it is more common in women who have had at least one vaginal childbirth, and becomes even more of a problem during menopause.
Overactive
Bladder Syndrome happens when genitourinary
muscles are too weak or too active. If the muscles that keep your bladder closed are weak, you may have accidents when you sneeze, laugh or lift a heavy object. This is stress incontinence. If bladder muscles become too active, you may feel a strong urge to go to the bathroom when you have little urine in your bladder.
There are other causes of Overactive
Bladder Syndrome, including nerve damage and pelvic
organ prolapse.
Doctors in Genitourinary Medicine
are specialists in Overactive
Bladder Syndrome. Treatments for Overactive
Bladder Syndrome depends on the type of problem you have and what best fits your lifestyle. It may include simple exercises, medicines, special devices or procedures prescribed by your doctor, or surgery.
What is Bladder Neck Suspension?
The purpose of Bladder Neck Suspension Surgery is to return a woman's bladder and/or urethra to its original, "supported" position.
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Vaginal
Relaxation?
www.VaginalRelaxation.com
The Best Site Available for Vaginal
Relaxation
Information, Resources and Physician Referrals
Advertising inquiries may be directed to:
_________________________________________________
What is Vaginal Relaxation?
"Vaginal Relaxation" is a very common and embarrassing medical condition suffered by women who have undergone vaginal childbirth. Vaginal Relaxation is the medical term used by physicians, but most women and men refer to it as "loose vagina."
Vaginal Relaxation refers specifically to the loss of "vaginal tone" or vaginal tightness of the vagina as well as the vagina's supporting structures.
The
symptoms of Vaginal
Relaxation are
usually first recognized after a woman has her first vaginal childbirth.
However, the symptoms of Vaginal
Relaxation become increasingly bothersome with each vaginal childbirth and
worsen as a woman approaches menopause.
Some physicians and medical researchers believe that Vaginal
Relaxation is a "disruption" of the vagina and its supporting vaginal ligaments
- rather than a "stretching" during vaginal childbirth, and that this
then leads to "Vaginal
Relaxation."
Do
I have "Vaginal Relaxation?"
Symptoms of Vaginal
Relaxation include:
Women with Vaginal Relaxation complain (as well as many husbands!) of a loss of vaginal tightness.
Women describe that their vagina feels as if there is a "protrusion," "bulging" or "falling" feeling.
Low back pain
Painful intercourse
Difficulty initiating urination or stress urinary incontinence.
Pelvic pain or pressure
Over 35 million American women (and their husbands) are suffering from Vaginal Relaxation or a loose vagina. Today, women can cure the problem and end the embarrassment of Vaginal Relaxation with a simple and very common medical procedure that takes less than one hour in a doctor's office to complete!
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Facts
About Female Sexual Dysfunction
&
Female Erectile Dysfunction
or "Female ED"
* 43% of all women (and therefore, their husbands/partners as well)
are suffering from various
types
of Female Sexual
Dysfunction, also called "Female Sexual
Problems."
* 50% more women than men, are suffering from Erectile Dysfunction,
which is referred to
as
"Female Erectile
Dysfunction" or "Female ED."
* Many people fail to recognize that unless a woman's clitoris is
fully erect, that she is incapable
of
reaching an orgasm.
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Vaginal Relaxation?
Ladies, is your loose vagina causing you embarrassment or have you lost the joy of intimacy?
If one or more vaginal childbirths have caused your vagina to become loose, and "not tight", he has probably noticed as well. You can once again, have the "tight vagina" of your youth!
What you, and he are experiencing, is something called "Vaginal Relaxation," the medical jargon for "loose vagina."
Did you know that over 35 - 40 million American women (and their husbands) are suffering loss of joy and intimacy due to "Vaginal Relaxation?"
Have you or your husband noticed that the thrill of intimacy you and he used to enjoy has been diminished due to the loss of your vagina's tightness?
Stop
the Suffering!
Our Board Certified Physicians have
Extensive Experience in Solving
Intimacy Problems Related to
Vaginal Relaxation!
Our doctors can treat and cure your (or your wife's)
"Vaginal Relaxation"
Problems!
Vaginal
Relaxation is often referred to as a loose vagina wherein the
vagina is not as tight as it once was, whether due to vaginal childbirth, age,
or other vaginal trauma. The vagina has become relaxed, or loose, and now it has
become a problem for the woman, as well as her husband/partner.
Some
women, as another symptom of Vaginal
Relaxation, have problems controlling their urine in certain situations or
notice changes in their bowel habits. These symptoms of Vaginal
Relaxation are typically related to one or more problems that occur as a
result of vaginal childbirth, other vaginal trauma, aging or a combination of
the above.
There is hope! Women, and their husbands/partners, no longer need to suffer from Vaginal Relaxation. More and more doctors are treating women and couples suffering from Vaginal Relaxation with treatments sometimes including surgery that will help them return to a life without the embarrassment, disappointments and heartache of the symptoms and discomforts associated with Vaginal Relaxation.
What is Pelvic Reconstruction?
Pelvic Reconstruction is a surgical procedure
performed by gynecologists or uro-gynecologies to repair pelvic
organ prolapse and vaginal vault prolapse, among types of prolapse, and to
correct the problem(s) and relieve the symptoms.
Typically,
Pelvic Reconstruction is performed
vaginally and uses an implant to reinforce the strength of the weakened pelvic tissues.
What is a Prolapsed Uterus?
A
Prolapsed Uterus
refers to a collapsed uterus, or descended uterus, or other change in the
position of the uterus in relation to the surrounding structures within the
pelvis. The pelvis contains many soft tissue structures vital to normal body
functions, supported primarily by the diaphragms, layers of muscles, fibrous
coverings called fasciae, and various ligaments and tendons. These soft tissues
of the pelvis derive their ultimate support from the bony pelvis.
A Prolapsed Uterus may be one of three types, depending on the severity:
First-degree prolapse occurs when the uterus sags downward into the upper
vagina.
Second-degree prolapse occurs when the cervix is at or near the outside of
the
vagina.
Third-degree prolapse (sometimes referred to as total prolapse) occurs when
the entire uterus extends outside the vagina.
What
is Gynecologic Urology?
Gynecologic
Urology, also referred to as
Uro-gynecology, is a subspecialty within the field of
Obstetrics and Gynecology.
Uro-gynecology's specialty is female pelvic disorders such as
pelvic organ prolapse (bulges that extend from the uterus into the vagina or extend out of the vagina), urinary incontinence, fecal incontinence and constipation.
Doctors that complete their residency in Obstetrics and
Gynecology, then go onto complete fellowship training in Uro-gynecology, where they spend several years focusing only on
Uro-gynecology and female pelvic
disorders.
What is Colpopexy?
Colpopexy is the surgical suturing of the prolapsed vagina to a surrounding structure - such as the abdominal wall or the sacrum, which is then called Sacral Colpopexy or Sacrocolpopexy
What
Is Sacral Colpopexy (Sacrocolpopexy)?
Sacral Colpopexy, also referred to as also referred to as also referred to as also referred to as Sacrocolpopexy, is the preferred surgical procedure for treating and correcting Vaginal Vault Prolapse with excellent results. Sacral Colpopexy (Sacrocolpopexy) has a very high rate of success and the surgical procedure involves suturing a synthetic mesh that connects and supports the vagina to the sacrum, or tailbone. The Sacrocolpopexy operation is performed from the abdomen to support the vagina to the ligament on the spine (after previous or present surgery to remove the uterus) by using a synthetic mesh.
Why
Is Sacrocolpopexy Performed?
Sacrocolpopexy is performed to treat
severe protrusion or bulge(s) of the vagina after removal of the uterus.
A woman's vagina that has one or more of these vaginal protrusion(s) may
experience one or more of the following:
The vaginal lump/bulge or protrusion feels uncomfortable or causes pain.
Difficulty with urination (e.g. unable to completely empty the bladder)
Bowel difficulties (e.g. constipation, incomplete emptying of bowels)
Pain
Infection
Bleeding
The objective of the Sacrocolpopexy
operation is to relieve the woman's symptoms and to restore her vagina and her
vaginal anatomy (as much as possible) and recover her sexual function.
Are there any risks associated with Sacrocolpopexy
surgery?
Sacrocolpopexy surgery is a very
common and relatively safe operation with excellent prognosis and outcomes.
However, like any surgical procedure, there are complications which may occur.
Possible complications from Sacrocolpopexy
surgery may include:
Bleeding
Infection
Injury to surrounding tissues (e.g. nerve or blood vessels, ureter,
intestines)
Formation of blood clot(s) in the legs or lungs
Recurrence of problem
Slow return of bowel or bladder function
Erosion of synthetic material through vaginal mucosa
What Happens Before Sacrocolpopexy
Surgery?
1. Blood tests, electrocardiography (ECG) and chest X-ray may be done to ensure
that you are in optimal health for Sacrocolpopexy
surgery.
2. Your doctor may prescribe oral or vaginal estrogen (hormone) if you are
already menopausal. It is important to comply with this medication as it ensures
that your vaginal tissues are optimal for surgery and healing.
3.
You will be admitted to the hospital one day before Sacrocolpopexy
surgery.
4. You will be given preparations to clear your bowels.
5.
Your pubic hair surrounding your vulva will be shaved.
6. You will not be allowed to eat or drink after midnight on the day before the
surgery.
7. All your medical and surgical conditions, if any, must be made known to the
doctor and must be optimally controlled.
8. If you are on aspirin, please keep your doctor informed. You must stop taking
aspirin at least one week before Sacrocolpopexy
surgery.
What happens during the Sacrocolpopexy
surgery?
The surgery is done under general or regional anesthesia. The anesthesiologist
will discuss with you the advantages and disadvantages of both methods.
An
abdominal incision is made. The synthetic mesh is stitched to the posterior
surface of the vagina and to the ligaments in front of the spine.
A tube / drain may be inserted into the abdomen to monitor the bleeding.
Another tube will be inserted into the urethra as there may be difficulty in
urination after the Sacrocolpopexy
procedure.
Painkillers, laxatives and antibiotics would generally be prescribed after the
procedure.
What happens after Sacrocolpopexy
surgery?
1.
Immediately after the operation, you may experience one or more of the
following:
Tiredness - You should rest and gradually increase your mobilization until
you feel fit to return to your normal activities.
Discomfort - In the lower part of the abdomen, over the incision. This is to
be expected and painkillers should help to relieve the discomfort.
Vaginal bleeding - Mild to moderate amount of reddish watery discharge after
surgery is quite normal. You will need to wear a menstrual pad during the
recovery period, but you will not be permitted to use tampons for obvious
reasons.
2. One day after surgery, you will usually be allowed to drink and eat. You will
be encouraged to move around. Blood chemistries and normal follow-up visits will
be performed.
3. The catheter that was placed in your urethra is usually removed the day after surgery. The drain is usually removed two days after the operation.
4. You may be discharged on the third or fourth day after surgery if the doctor is pleased with your progress and the outcome of the Sacrocolpopexy procedure.
5.
You should refrain from:
Strenuous exercise for 2 months. You may return to normal activity after
that, or upon clearance by your doctor.
Using tampons, douching, sexual intercourse and driving for 4 weeks.
Carrying heavy weights (> 10 pounds) for 6-8 weeks after Sacrocolpopexy
surgery.
6. You should (immediately) return to the hospital or notify your doctor if you
notic any of the following:
Heavy vaginal bleeding
Foul smelling vaginal discharge
Severe abdominal distension and / or pain not relieved by painkillers
High fever
Pain associated with passing urine
Difficulty in passing urine
Constipation
Follow-up doctor visits after Sacrocolpopexy
surgery
You will be examined by your doctor (at your doctor's office) at approximately;
2 weeks, 4 weeks, six months and and one year after Sacrocolpopexy
surgery.
It is important to keep your follow-up appointments to ensure the best possible results.
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What is "Nerve Stimulation" and how does Nerve Stimulation help patients?
There are various types of nerve stimulation, each with its own protocols for treating various ailments and conditions.
One type of nerve
stimulation is for treating people with moderate to severe depression.
Depression can be a very serious and life-threatening condition that may require
life-long management and treatment. Treating depression may sometimes have
a lower than hoped for success rate and estimates indicate that more than half
of all patients with depression have relapses. Anti-depressant drugs and
medication may lessen symptoms but may not relieve all of the symptoms in some
patients.
Seizures also do not always respond to treatment. Some patients have tried two
or more medications and still have seizures, as well as side effects from the
drugs, both of which affect their quality of life.
Vagus nerve stimulators are a
small medial device that are implanted under the skin of the chest. A very
small wire runs to the patient's vagus nerve, which is then stimulated by the
device, in the same manner a pacemaker works. In general, patients with
depression normally experience an improvement in alertness, energy. memory,
their depression improves as a result. better mood. These quality-of-life
benefits improve over time.
Vagus nerve stimulators, in general, have proven to be a safe and effective way to control seizures and lessen the severity of depression. Because Vagus nerve stimulators are used, drugs are usually not required, and there are no side effects that are associated with anti-depressant or seizure-control medications.
See: www.DepressionHelp.net for more information about depression.
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What is Labia Reduction Surgery?
More and more women are seeking "female genital surgery" to correct problems relating to their vulvas whether they are unhappy with the looks of their vulva or if their elongated labia minora are causing them pain or embarrassment - female genital surgery can correct these problems.
Some of the more common reasons given by women to seek female genital surgery include;
labia minora (smaller lips of the vulva) are uneven, mis-shapen or elongated
one of the labia minora lips is longer than the other
labia minora feel "floppy"
no longer able to wear a bikini or favorite swimsuit because you are afraid that your labia minora may "fall out" of the bikini
long labia minora cause pain during intercourse or when wearing tight jeans.
clitoral hood has excess skin which is either unsightly or interferes with sexual pleasure
too much skin surrounding your clitoris
after childbirth, my vagina seems too loose, and intercourse doesn't feel the same
your vagina feels like it is "gaping" open
intercourse is no longer pleasurable, for you - or for him and doesn't feel as good as it once did
What you, and he, are experiencing, is something called "Vaginal Relaxation" the medical term for having a "loose vagina."
These are just some of the complaints we regularly hear from women who want to improve their vulva and how it looks (and feels) - and what we call "cosmetic gynecology."
Cosmetic gynecology may be what you have been looking for! Look great, feel great, we can help you have the labia minora, vagina or vulva you always dreamed of!
What
is Labial Reduction?
More and more women are seeking "female genital surgery" to correct problems relating to their vulvas whether they are unhappy with the looks of their vulva or if their elongated labia minora are causing them pain or embarrassment - female genital surgery can correct these problems.
Some of the more common reasons given by women to seek female genital surgery include;
labia minora (smaller lips of the vulva) are uneven, mis-shapen or elongated
one of the labia minora lips is longer than the other
labia minora feel "floppy"
no longer able to wear a bikini or favorite swimsuit because you are afraid that your labia minora may "fall out" of the bikini
long labia minora cause pain during intercourse or when wearing tight jeans.
clitoral hood has excess skin which is either unsightly or interferes with sexual pleasure
too much skin surrounding your clitoris
after childbirth, my vagina seems too loose, and intercourse doesn't feel the same
your vagina feels like it is "gaping" open
intercourse is no longer pleasurable, for you - or for him and doesn't feel as good as it once did
What you, and he are experiencing, is something called "Vaginal Relaxation" the medical term for having a "loose vagina."
These
are just some of the complaints we regularly hear from women who want to improve
their vulvar looks - we call it "cosmetic
gynecology" and cosmetic gynecology may be what you have been looking
for! Look great, feel great, we can help you have the labia minora,
vagina or vulva you always dreamed of!
What
is Adhesiolysis?
Treatment
for the removal of Pelvic Adhesions
is through a surgical procedure called "adhesiolysis."
The adhesiolysis
procedure may involve cutting and releasing the adhesions during a laparoscopy
procedure or treating the adhesions during a laparotomy.
What are Pelvic Adhesions?
Pelvic adhesions are bands of scarlike tissue that form between two surfaces inside the body. Inflammation from infection, surgery, or trauma can cause tissues to bond to other tissues or organs.
Pelvic adhesions are the cause of many gynecological problems including significant pain, infertility and conception. Pelvic adhesions are irritations of a woman's pelvic organs as a result of a "pelvic inflammatory event" or from trauma to the area such as in the case of pelvic or gynecological surgery.
What is a Prolapsed
Uterus?
A
Prolapsed Uterus
refers to a collapsed uterus, or descended uterus, or other change in the
position of the uterus in relation to the surrounding structures within the
pelvis. The pelvis contains many soft tissue structures vital to normal body
functions, supported primarily by the diaphragms, layers of muscles, fibrous
coverings called fasciae, and various ligaments and tendons. These soft tissues
of the pelvis derive their ultimate support from the bony pelvis.
A Prolapsed Uterus may be one of three types, depending on the severity:
First-degree prolapse occurs when the uterus sags downward into the upper
vagina.
Second-degree prolapse occurs when the cervix is at or near the outside of
the
vagina.
Third-degree prolapse (sometimes referred to as total prolapse) occurs when
the entire uterus extends outside the vagina.
What is Perineoplasty?
Perineoplasty, also known as "Perineorrhaphy,"is one of the fastest growing elective medical procedures and is the reparative or plastic surgery of the perineum which helps women with problems with vaginal opening laxity or looseness - medically referred to as "Vaginal Relaxation." Many also incorrectly call this procedure "vaginoplasty" or "vaginaplasty."
Perineorrhaphy is the reconstruction of the muscles and tissues at the opening of the vagina and has successfully decreased the vaginal "introitus" or size of the vaginal opening. Perineorrhaphy does NOT reduce sexual sensation, in fact, properly performed, Perineorrhaphy INCREASES sensation for the woman as well as her husband.
What is Colporrhaphy?
Colporrhaphy is the surgical repair of
the vaginal wall. This includes repairing many types of vaginal surgery,
including the repairs of the vagina in a "Pelvic
Organ Prolapse," "vaginal prolapse," "Vaginal
Vault Prolapse," or the repair of a "cystocele" in the
vaginal wall(s) or vaginal vault or a rectocele. A cystocele occurs when the
bladder protrudes into the vagina, and a rectocele when the rectum protrudes
into the vagina.
In the Colporrhaphy procudeure, a
uro-gynecologist,
or gynecological surgeon, places a vaginal speculum inside the vagina, which
spreads/keeps the vagina open, for the doctor to inspect and repair the vagina.
The vaginal wall is cut opened to reveal an opening in the supporting
structures, or fascia and the defect is closed and then the vagina is repaired
by suture and closed, and the speculum removed.
Who performs the Colporrhaphy and
where is it performed?
Colporrhaphy is usually performed in a
nearby hospital operating room by a uro-gynecologist, urologist or gynecological
surgeon.
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What
is "Colposuspension"
surgery?
Age and vaginal childbirth takes it toll on women's pelvic organs.
"Female Urinary Incontinence" is one of the problems most (over 50%) women who have delivered babies vaginally have to contend with. Women with Female Urinary Incontinence "leak" urine when they strain, cough, laugh or run. This condition is also called "stress urinary incontinence" meaning the stress of physical activity, not emotional stress is causing her to "leak" urine.
The problems associated with female urinary incontinence are corrected in the the "floor" of the woman's pelvis by several methods or types of surgeries - one of which is called Colposuspension.
A woman's pelvic floor is a sheet of special muscles and ligaments that stretch across the inside of the female pelvis. Women can feel it "tighten" when they try to hold back the flow of urine - or when they strain, cough, laugh or run. The uterus and bladder are located above the pelvic floor. The vagina and the opening of the bladder (the urethra) pass through the pelvic floor. If the pelvic floor weakens, the uterus and bladder "drop" down. The control of the urine is thereby weakened.
Colposuspension surgery strengthens the pelvic floor to lift, or "suspend" the uterus and bladder back up to their correct position within the woman's pelvis
Colposuspension comes from the Greek word for vagina - "colpos."
What is "Urethropexy"?
Urethropexy is a surgical procedure
where the support of a woman's urethra is re-supported through sutures that
surround the urethra's pelvic floor and vaginal tissues to her pubic bone.
What is the Vaginal Vault and Where is the Vaginal Vault Located?
As previously stated, Vaginal Vault Prolapse occurs in about 15% of women who have had a hysterectomy for uterine prolapse, and in about 1% of women who have had a hysterectomy for other reasons. Vaginal Vault Suspension is the surgical procedure that corrects and repairs Vaginal Vault Prolapse.
What
is a Vaginal Vault Prolapse?
The vaginal vault is the area at the top of the vagina, next to and
adjacent to the cervix. It can only fall or descend downwards toward the
introitus, or the entrance of the vagina, after a woman's womb has been removed
(hysterectomy).
Vaginal Vault Prolapse occurs in about 15% of women who have had a hysterectomy for uterine prolapse, and in about 1% of women who have had a hysterectomy for other reasons.
Vaginal Vault Suspension is a surgical procedure that may be selected to correct/repair Vaginal Vault Prolapse.
What is Vaginal
Vault Suspension?
Vaginal
Vault Suspension is the surgical procedure that repairs Vaginal Vault Prolapse
and also provides support for the
apex or "vaginal vault" of the vagina to pelvic structures.
What
is a Trachelectomy?
A trachelectomy, also referred to as
a cervicectomy, is the surgical removal of the cervix.
In this surgery, the uterus itself is saved or preserved, and therefore this type of surgery
preserves a woman's chance of becoming pregnant and having children. The trachelectomy
surgical alternative - as opposed to the more radical hysterectomy which removes
the uterus in addition to the cervix - is typically elected by younger women with early
stage cervical cancer.
What
Everyone Needs to Know About Reconstructive
Pelvic Surgery.
Reconstructive pelvic surgery is an area of surgery dealing with a woman's pelvis, and includes gynecology and uro-gynecology. Pelvic reconstructive surgery is many times very complex surgery that may require not just the removal of certain organs or tissues in a woman's pelvis, but may also include the resection of areas and putting her organs and tissues back together in a way that makes her more functional, with less/no pain and feels better.
What
is Pelvic Inflammatory
Disease?
Pelvic inflammatory disease, or "PID" is an infection of a woman's pelvic organs which include the uterus, fallopian tubes, and ovaries.
Bacteria
causes pelvic inflammatory
disease. Bacteria can move upward, from a woman's vagina or cervix - which
is the opening to the uterus, or womb - into her fallopian tubes, ovaries and
uterus, which then cause an infection. Many types of bacteria can cause pelvic
inflammatory disease.
But bacteria found in two common sexually transmitted diseases - chlamydia and
gonorrhea - are the most frequent causes of pelvic inflammatory
disease.
After a woman becomes infected, it can take from a few days to a few months to
develop pelvic inflammatory disease.
The major symptoms of pelvic inflammatory disease are lower abdominal pain and abnormal vaginal discharge.
Other symptoms of pelvic inflammatory disease may include one or more of the following; fever, pain in the right upper abdomen, pain during vaginal intercourse, and irregular menstrual bleeding.
Pelvic inflammatory disease, particularly when caused by chlamydia, may produce only minor symptoms or no symptoms at all, even though it can seriously damage the reproductive organs.
Untreated,
pelvic inflammatory
disease causes scarring and can lead to infertility, tubal
pregnancy, chronic pelvic pain, and other serious problems.
Pelvic inflammatory
disease is more common and more aggressive in HIV+ women
than in uninfected women. Pelvic inflammatory
disease may become a chronic and
relapsing condition as a woman's immune system deteriorates.
Women can play an active role in protecting themselves from pelvic inflammatory
disease disease by following these steps and precautions:
* Call your doctor if you have discharge with odor or bleeding between
cycles.
* Use either male or female condoms during sex.
What is Pelvic
Floor Dysfunction?
Pelvic floor dysfunction,
which is also referred to as outlet obstruction or outlet delay, refers to a
condition in which the pelvic floor muscles of a woman's lower pelvis - that
surround the rectum, do not function normally. It is not known why these muscles
fail to work properly in some women, but they can make the passage of stools
difficult even when everything else seemingly is normal.
What Causes Pelvic
Floor Dysfunction?
Women with pelvic floor
dysfunction find that muscle pain occurs when muscles are tense, strained,
traumatized and/or otherwise inflamed. Their pelvic muscles are no exception.
Causes of pelvic floor dysfunction can include:
* Chronic faulty posture with weak core musculature
* Trauma (fall on tailbone, old tailbone fracture, auto accident)
* Inflammation or infection
* Pelvic organ disease (endometriosis, irritable bowel syndrome,
interstitial cystitis)
* Repetitive motion injuries such as those from gymnastics, volleyball,
soccer, ballet or ice
skating
* Abdominal muscle wall weakness or hernias
* Chronic constipation
* Pregnancy or complicated vaginal delivery
* Abdominal or pelvic surgery such as a hysterectomy
Do I have Pelvic
Floor Dysfunction?
Women with pelvic floor
dysfunction often have changes in their spine and/or pelvis. Symptoms
or conditional might include; scoliosis, short leg, swayback or a "torsioned"
sacrum. The most common symptoms of pelvic
floor dysfunction
include one or more of the following:
* Vaginal pain
* Pain with urination
* Urinary urgency and frequency
* Rectal pain
* Pain during vaginal intercourse
* Pain with sitting, standing, walking
* Pain and/or difficulty getting up from a seated or lying down position
* Hip pain often with loss of range of motion in hips
* Deep pain in lower back radiating to legs, thighs, groin, hips
* Abdominal and lower abdominal/intestinal pain
* Pelvic pressure or a feeling like your vagina or uterus are
"falling out."
* Involuntary loss of urine or stool
What are Pelvic Adhesions?
Pelvic
adhesions are the cause of many gynecological problems including significant
pain, infertility and conception. Pelvic
adhesions are irritations of a woman's pelvic organs as a result of a
"pelvic inflammatory event" or from trauma to the area such as in the
case of pelvic or gynecological surgery.
Examples of a pelvic inflammatory event include; fallopian tube infections that
might occur from endometriosis, removal of an ovarian cyst, sexually transmitted
diseases such as gonorrhea, post surgery infections, and even appendicitis and
appendectomies.
As a woman's body's pelvic area recovers from an inflammation, trauma or surgery, it begins the healing process and starts to repair itself. The woman's body and its' healing process may cause some tissues and structures in the pelvis to become unintentionally "stuck" to another tissue or structure. In a normal woman's healthy pelvis, this space is lined with a tissue called the peritoneum, which also covers the outside of organs located in the abdomen and pelvis. In the pelvis of a non-injured/non-irritated woman, the peritoneum can be very "slippery" with the the organs and structures lying immediately next to each other that "slip" off each other and do not become bonded together. With a woman who has had a pelvic inflammation, trauma or injury, her body's healing process starts a sequence of events that may result in some of the pelvic tissues becoming "stuck" to or "adhering" to tissues or organs next to the inflamed, or injured tissue, and when this occurs, the outcome may be pelvic adhesions.
What
is Menorrhagia?
Menorrhagia is the medical term for women (and young girls first starting their menstrual cycles) that excessive menstrual bleeding. Excessive menstrual bleeding is defined as having a period that lasts 7 or more days each menstrual cycle (period) or is so heavy that you saturate your menstrual pad and/or tampon and need to change your feminine hygiene product(s) every one to two hours. It is very important to inform your doctor if you have excessive menstrual bleeding!
Women
that are suffering from Menorrhagia
may experience; anemia, fatigue, embarrassing
menstrual accidents, and feel that you have to restrict your life and social
activities to such an extent that you "miss out on life." Many
women prefer to stay close to home so as to avoid embarrassment due to their
need to go to the restroom so often so that they can change their feminine hygiene
products before they become too saturated and cause even more embarrassment.
How many
women have Menorrhagia?
Approximately 1 in 5 women have Menorrhagia.
Are
there any treatments or therapies for Menorrhagia?
Yes, there's hope and help for women with Menorrhagia!
Here are a few of the options and therapies you will want to discuss with your doctor.
Hormone therapy - also known as "both control pills," and/or other medications may be prescribed to treat hormone imbalance. Hormone therapy is effective about 50% of the time, and may be required for a long period of time.
Uterine
Balloon Therapy - Also known as Thermal Balloon
Ablation) (see below for more
information)
Dilation and curettage - also
referred to as a "D & C" - is a surgical procedure whereby the
doctor scrape the inside of the woman's uterus to remove the lining. For most women with
Menorrhagia, a D&C is temporary and reduces excessive bleeding for only a
few periods.
Endometrial Ablation is another possible therapy but only if you and your
husband don't plan to have children in the future. Typical
Endometrial Ablation removes the lining of the uterus with an electrosurgical tool or laser.
Like any surgical procedure, there are risks, which include perforation of the uterus, bleeding, infection, or even heart failure due to fluids used to open up or distend the uterus.
Hysterectomy is the surgical removal of the
uterus. As a hysterectomy involves the removal of the woman's uterus, Menorrhagia
will no longer be a problem. Hysterectomy is also a surgical procedure and also
involves risks. The recovery period after hysterectomy is 3 to 6 weeks.
Uterine
Balloon Therapy
www.UterineBalloonTherapy.com
"Uterine Balloon
Therapy" - also known as "Thermal
Balloon Ablation" - is a minor surgical procedure that destroys
the lining of the uterus using a balloon that is inserted through the
vagina, which is then filled with a fluid and then heated. The
heat - which isn't that hot, and never felt by the patient undergoing
the therapy - then destroys the lining of the uterus.
Uterine Balloon Therapy
requires light general anaesthesia, or local anaesthesia.
Uterine Balloon Therapy involves inserting a balloon catheter through the vagina, then through the cervix and into the uterus. The balloon is then filled with sterile liquid so that it expands and fills the contours of the patient's uterus. The liquid inside the balloon is then heated and maintained at 87°C for 8 minutes which scalds the endometrial lining.
After 8 minutes, the liquid in the balloon is then withdrawn and the balloon catheter is deflated and removed back out of the uterus and vagina.
The lining of the uterus (endometrium) will gradually shed away (through the vagina - like a period) over a 2 to 3 week period. The woman will experience a vaginal, bloodstained discharge over this 2-3 week period.
Almost all patients are discharged the same day after the Uterine Balloon Therapy procedure and may experience uterine cramps - very similar to menstrual cramps, for a few hours to 1-2 days at most.
Uterine
Balloon Therapy?
Women who have been suffering from Patients suffering from Menorrhagia,
or excessive menstrual bleeding due to benign causes, are excellent
candidates for Uterine
Balloon Therapy.
The overall success rate for women that undergo Uterine Balloon Therapy is around 80% and significantly reduces menstrual bleeding for these women.
However, Uterine Balloon Therapy is not a suitable therapy for patients with submucous fibroids or patients with large and irregular uterine cavities.
In
addition, this procedure is NOT for patients who have
not completed their family planning and intend to have children as
becoming pregnant after Uterine
Balloon Therapy can be life-threatening.
Benefits of Uterine
Balloon Therapy
Uterine Balloon Therapy
has the distinct advantage of being handled on an outpatient basis and
with a very low risk for complications.
Additionally, there is no effect on a woman's hormonal functioning and she will not require hormone replacement therapy unlike in the case of a hysterectomy with removal of ovaries.
Finally, most women find that Uterine Balloon Therapy is their preferred treatment for menorrhagia as they get to keep their uterus, as opposed to a hysterectomy, which removes the uterus and may lead to other complications in the future, including Pelvic Organ Prolapse.
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What is Vaginal Dryness?
Vaginal dryness is one of the most distressing, and painful problems a woman faces. Vaginal dryness occurs when the natural vagina secretions decreases within the vagina. The amount of vaginal moisture varies throughout a woman's monthly menstrual cycle. Vaginal dryness is particularly problematical as a woman enters and becomes menopausal.
Vaginal moisturizers, provided by numerous companies, and a variety of brand names, are products designed to relieve the pain and discomfort of vaginal dryness. These products are applied or inserted, into the vagina, one or more times per day, depending on the amount of vaginal dryness she may be experiencing.
A vaginal moisturizer may or may not be a vaginal lubricant. Vaginal lubricants are normally used as an aid for intercourse and used on a short-term basis to help a woman that is not able to produce enough vaginal moisture to permit her to comfortably (and painlessly) engage in intercourse.
A menstruating woman's vaginal moisture changes from day to day, and varies depending upon her hormones that control the production of vaginal moisture. A woman can experience vaginal dryness even during times of menstrual bleeding, especially when using tampons, as tampons can remove the natural moisture her vagina produces which can cause irritation and pain.
What
is Female Sexual Arousal
Disorder?
Female Sexual Arousal Disorder or simply "FSAD" occurs when a woman is unable to attain and maintain a full and complete erection of her clitoris along with sufficient vaginal lubrication during intercourse to be able to reach an orgasm.
Female Sexual Arousal Disorder may also be diagnosed when the woman has no desire for sexual intercourse.
Female Sexual Arousal Disorder affects up to 43 percent of all women, or an estimated 90 million women. Most women (more than 1/2) with FSAD are postmenopausal. Some women with Female Sexual Arousal Disorder describe the condition as being "unable to get turned on," or being continually disinterested in sex. Female Sexual Arousal Disorder has also been called "frigidity." Other symptoms of Female Sexual Arousal Disorder may include dyspareunia and vaginismus, both of which involve pain during intercourse.
The woman and her husband/partner should both be seen as this is a "couple's problem" that is typically best resolved with both partners in treatment. Their doctor will also insure that this is not the result of another psychological disorder which could be a primary problem.
If the husband/ partner of a patient with suspected Female Sexual Arousal Disorder feels that this is a problem within the relationship, that concern should be sufficient for the individual to seek psychological consultation.
What is Female
Erectile Dysfunction?
Female Erectile Dysfunction occurs when a woman is unable to attain, and maintain a complete erection of her clitoris through orgasm.
If the husband/partner of a patient with suspected Female Erectile Dysfunction feels that this is a problem within the relationship, his concern should be sufficient for the individual the couple to seek medical and/or psychological consultation to determine the cause of her Female Erectile Dysfunction.
What Are Female
Sexual Problems?
Female Sexual Problems are also referred to as "Female Sexual Dysfunction." A woman may have one or more Female Sexual Problems that we are just now learning that may be related to a number of factors.
Typically, Female Sexual Problems are labeled generically as "Female Sexual Dysfunction" until such time as her doctor or therapist may be able to make a proper diagnosis.
Female Sexual Problems may be a cause of significant distress to both her and her husband.
If the husband/partner of a patient with suspected Female Sexual Problems feels that this is a problem within the relationship, his concern should be sufficient for the individual to seek psychological consultation.
What is Female
Orgasmic Disorder?
Female Orgasmic Disorder is
defined as a sexual dysfunction that is characterized by a persistent or
recurrent delay or absence of orgasm following the excitement phase of the
female sexual response cycle, causing significant distress or interpersonal
problems, and not being attributable to a drug or a general medical condition.
Female Orgasmic Disorder is directly related with the woman's inability to attain and maintain a fully-erect clitoris.
Without a full erection of the clitoris, a woman cannot reach an orgasm.
What
is Hypoactive Sexual
Desire Disorder?
Hypoactive Sexual Desire Disorder or "HSDD" has been defined as a deficiency or absence of sexual fantasies and desire for sexual activity. Hypoactive Sexual Desire Disorder is considered a disorder if it causes distress for the woman or husband. The woman and her husband should both be seen as this is a "couple's problem" that is typically best resolved with both partners in treatment. Their doctor will also insure that this is not the result of another psychological disorder which could be a primary problem.
If the husband/partner of a patient with suspected Hypoactive Sexual Desire Disorder feels that this is a problem within the relationship, his concern should be sufficient for the individual to seek psychological consultation.
What
is Female Sexual Medicine?
While a gynecologist or family physician may be knowledgeable and able to diagnose disease and disorders of a woman's vulva and care for her reproductive and vulvovaginal health, he/she may lack the requisite education as it relates to "female sexual dysfunction," which is a growing area of medicine known as "Female Sexual Medicine" which treats women and the various ailments and disorders which interfere with female sexual satisfaction, including;
Female Erectile Dysfunction - see: www.FemaleErectileDysfunction.com
Female ED - see: www.FemaleED.com
Female Sexual Arousal - see: www.FemaleSexualArousal.com
Female Sexual Arousal Disorder - see: www.FemaleSexualArousalDisorder.com
Female Sexual Dysfunction - see: www.FemaleSexualDysfunction.net
Female Sexual Function - see: www.FemaleSexualFunction.com
Hypoactive Sexual Desire Disorder - see: www.HypoactiveSexualDesireDisorder.com
Pelvic Organ Prolapse - see: www.PelvicOrganProlapse.com
Sexual Pain Disorder - see: www.SexualPainDisorder.com
Vaginal Relaxation - see: www.VaginalRelaxation.com
Vaginal Vault Prolapse - see: www.VaginalVaultProlapse.com
Vulvar Vestibulitis - see: www.VulvarVestibulitis.com
Vulvovaginal Health - see: www.Vulvovaginal.com
It is important to note that 43% of American women -- about 40 million -- have physical and/or emotional distress relating to enjoying sex. This is manifested in loss of interest in sex, no longer finding sex enjoyable, or providing the enjoyment sex used to bring, or the inability to complete a sexual encounter to orgasm. or it just is not as enjoyable as it used be. Many women also report diminished sexual sensations in their vulva, vagina or clitoris while other women have pain during intercourse.
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Female Sexual Function
www.FemaleSexualFunction.com
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