Pelvic Floor ageing and repair

The pelvic floor is the forgotten part of the women body, that result in problems that a significant number of women and sometimes men suffer from. These symptoms are best referred to as pelvic floor dysfunction. Pelvic floor dysfunction includes:
1- Pain
2- Bowel problem
3- Urine Problem
4- Sexual dissatisfaction

The extreme form of pelvic dysfunction will present itself with Prolapse this can be womb prolapse, Vaginal walls prolapse or rectal prolapse. Our aim is to interfere at early stages to stop the prolapse stages from happening.

Pelvic floor dysfunction can be present in women and men. Women are more sensitive to pelvic floor dysfunction for the following reasons:
– The presence of the birth canal (vagina)
– Pregnancy increase pressure on pelvic
– Delivery will result in stretching the pelvic floor muscles and sometimes tears (visible or not)

is the most common symptoms in both women and men. 11% of men and 12 % of women suffer from one form or another of pelvic pain. Almost 10% of Gynaecology consultation is to do with pelvic pain. Pain can manifest in the following form
– Backache
– Pelvic Pain
– Pain during opening bowel
– Pain during passing water
– Pain during intercourse
– Genital area pain
– Tail bone pain
Bowel Problem
This could include the followings
– The feeling of incomplete emptiness
– Difficulty opening bowel
– The need to open bowel frequently
– Constipation
Urine Problem
This could impact significantly in the quality of life; the current approach is to hide it rather than deal with the problem “opss moments happens” when the reality it is a very treatable condition. The urinary problem can present itself in the following manner:
– Urine frequency
– Waking up to go to the toilets at night
– Stress incontinence
– Overflow incontinence
Sexual dissatisfaction
This is usually happening as a combination of the effect of hormone depletion on vagina external genitalia in addition to pelvic floor dysfunction.
Atrophy of the external genitalia and vagina with lack of muscle power in the pelvic floor will result in:
– Dryness
– Painful intercourse
– A possible episode of non-intentional incontinence
– All the above will result in stress and anxiety around sex and inevitably lack of libido

Why does the pelvic floor dysfunction happen?

It is a combination of physical trauma during pregnancy and childbirth adding to it the natural ageing process.
The ageing process will result in gradual atrophy, significantly reduced thickness of external genitalia and vagina with a significant reduction of function glands in the vaginal wall. Another factor to bear in mind the reduction of muscle mass in the pelvic floor which will compound all these factors.

How the pelvic floor can be rejuvenated?
Pelvic floor dysfunction is a very treatable condition, usually through

the use of biofeedback and physical therapy. Seeing your physician if you have any symptoms of pelvic floor dysfunction can provide treatment for this often-debilitating condition and improve your quality of life.

1- Biofeedback this is a non-painful non-surgical technique that can treat almost 75% of all pelvic floor dysfunction

2- Medications: prescribed muscle relaxant or some time topical hormones to improve the health of the vagina

3- Laser rejuvenation of Vaginal utilizing state of the art CO2 resurfacing to regenerate the lining the vaginal wall

4- Relaxation therapy: could in simple relaxation session, yoga, neurolinguistics practice

5- Surgery: once the stage of prolapsed one of the option will be surgical, but as I mentioned earlier an early intervention better than later intervention. Surgical approaches have their downsides.

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