is a condition where a part of the bladder bulges out or protrudes
into the vagina. It is commonly caused by weak muscles and ligaments
(bands of tissue) that hold and support the bladder. This may be due
to aging, previous surgery, too much straining, pregnancy, or vaginal
trauma during childbirth.
can lead to pain during sex.
of a prolapse occurring can be reduced by doing regular pelvic floor
exercises, treating and preventing constipation, avoiding too much
weight gain, and avoid heavy lifting
cream is too messy, ask your doctor for a prescription for an Estring
- (Estradiol Vaginal Ring),small silicone ring that you wear in your
vagina all the time that secretes a small amount of estrogen.
complaints are very common in women with pelvic floor weakness. Besides
urine leakage with sex, a dropped bladder (cystocele) also impacts
sexuality. Women with urine leakage, in general or during sex, have
less libido, have vaginal dryness and irritation, lack of sexual excitement
and lack of orgasm.
incontinence (urine leakage with sex), is noted to be a big cause
of sexual inactivity. Intuitively, a dropped bladder or uterus can
cause pelvic pressure and pain with sex and lead to avoiding intimacy
pelvic floor muscle retraining, or Kegel exercises (they consists
of contracting and relaxing the muscles that form part of the pelvic
floor), can tone up a weak sphincter, help retrain an OAB, or tighten
up the vagina just enough to make sex more pleasurable
easy to perform but must be continuously done.
exercises strengthen the pelvic floor muscles, which support the uterus,
bladder and bowel.
do Kegel exercises discreetly just about anytime, whether you're driving
in your car, sitting at your desk or relaxing on the couch.
having trouble doing Kegel exercises, don't be embarrassed to ask
for help. Your doctor or other health care provider can give you important
feedback so that you learn to isolate and exercise the correct muscles.
cases, biofeedback training may help.
a biofeedback session, your doctor or other health care provider inserts
a small monitoring probe into your vagina or places adhesive electrodes
on the skin outside your vagina or anus.
you contract your pelvic floor muscles, you'll see a measurement on
a monitor that lets you know whether you've successfully contracted
the right muscles.
also be able to see how long you hold the contraction.
electrical stimulation is sometimes an option. During this procedure,
your doctor or other health care provider applies a small electrical
current to your pelvic floor muscles.
current makes the muscles contract, which produces a buzzing feeling.
Once you get used to the sensation, you'll probably be able to duplicate
the exercise on your own.
do your Kegel exercises faithfully, you can expect to see results
- such as less frequent urine leakage - within about eight to 12 weeks.
For some women, the improvement is dramatic.
Kegel exercises simply keep problems from getting any worse. For continued
benefits, make Kegel exercises a permanent part of your daily routine.
urinary incontinence has been shown to greatly reduce CI or Coital
Incontinence, and as a result, women report improvement in all sexual
domains: desire, arousal, lubrication, orgasm, satisfaction and pain.
CI leads to greater self-confidence and greater sexual interest. Bladder
lift leads to less vaginal bulge sensation and less pain with sex.