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Female Sexual Dysfunction
Pelvic Organ Prolapse Sexual Impact
Pelvic organ prolapse occurs when pelvic floor muscles weaken, allowing the bladder, uterus, or rectum to descend into the vaginal canal, causing bulging, discomfort, and significant sexual function impairment.
80%
Success Rate
Chronic; treatment outcomes durable with maintenance
Duration
Multiple
Treatment Options
3+ Groups
May Affect
What is Pelvic Organ Prolapse Sexual Impact?
Pelvic organ prolapse occurs when pelvic floor muscles weaken, allowing the bladder, uterus, or rectum to descend into the vaginal canal, causing bulging, discomfort, and significant sexual function impairment.
Prevalence: Affects 30-50% of women over 50
Symptoms and Signs
- •Vaginal bulging or pressure
- •Pain during intercourse
- •Feeling of something falling out
- •Urinary incontinence or retention
- •Reduced vaginal sensation
- •Avoidance of sexual activity
Causes and Risk Factors
Common Causes
- →Childbirth trauma
- →Chronic heavy lifting
- →Chronic coughing or constipation
- →Connective tissue weakness
- →Hysterectomy
Risk Factors
- ⚠️Vaginal childbirth
- ⚠️Obesity
- ⚠️Advanced age
- ⚠️Heavy lifting occupation
- ⚠️Hysterectomy history
Treatment Options
Expected Outcomes: 80-90% improvement with surgery; 60-70% with conservative management
Available Treatments:
- ✓Pelvic floor physical therapy
- ✓Pessary fitting and use
- ✓Topical estrogen therapy
- ✓Vaginal reconstructive surgery
- ✓Colpocleisis (for elderly)
- ✓Sex therapy and positioning guidance
Prevention Tips
- →Pelvic floor exercises
- →Healthy weight
- →Avoid heavy lifting
- →Treat constipation
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