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Answer to your Health Question

Question (03/15/2011):

I am 34 yrs old and had the monarch sling procedure done 5 years ago.

Since then I have had another child and my doctor told me that my bladder fell again.

Ever since then I have not been able to "get wet" during intercourse or masturbation.

Could that be related to the bladder falling again?

If so how can I fix this embarrassing problem..and please don't tell me lubrication!



Dear Michelle,

A cystocele 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.

A cystocele can lead to pain during sex.

Chances 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

If the 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.

Sexual 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.

Coital 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 as well.

Often, 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

They're easy to perform but must be continuously done.

Kegel exercises strengthen the pelvic floor muscles, which support the uterus, bladder and bowel.

You can do Kegel exercises discreetly just about anytime, whether you're driving in your car, sitting at your desk or relaxing on the couch.

If you're 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.

In some cases, biofeedback training may help.

During 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.

When 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.

You'll also be able to see how long you hold the contraction.

If necessary, 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.

The 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.

If you 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.

For others, Kegel exercises simply keep problems from getting any worse. For continued benefits, make Kegel exercises a permanent part of your daily routine.

Correcting 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.

Resolving CI leads to greater self-confidence and greater sexual interest. Bladder lift leads to less vaginal bulge sensation and less pain with sex.

Do you have any other questions? Enter your health question

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