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Childbirth and a Prolapsed Uterus: Early Intervention and Treatment

Childbirth and a Prolapsed Uterus: Early Intervention and Treatment

Uterine prolapse, pelvic organ prolapse, or a prolapsed uterus refer to the weakening of the ligaments and muscles in the pelvis, which result in the descent of the uterus or other internal organs into the space of the vagina, explains the Mayo Clinic. In some cases, the uterus may protrude from the vaginal opening and pose serious health complications. Certain factors contribute to the incidence of uterine prolapse; however, women can be proactive by understanding the condition, associated risk factors, and available treatments.

Prolapsed UterusAnatomy and Diagnosis of Uterine Prolapse

Although more common in postmenopausal women, uterine prolapse may occur at any age. In most cases, uterine prolapse occurs in women who have had multiple vaginal deliveries. Furthermore, the condition may be the result of trauma to the pelvic muscles, the additional pull of gravity on muscular and connective tissues, reduced estrogen levels, and additional straining of the pelvic muscles.
When the pelvic tissues become unable to support the weight of pelvic organs, especially the uterus, the uterus will slip through the muscular sling of connective tissue. Unfortunately, the severity of uterine prolapse varies from woman to woman. In mild cases, symptoms may be absent. However, moderate to severe cases, reports MedlinePlus, may result in the following symptoms:

  • Sensation of pulling in the pelvis.
  • Abnormal tissue in the vagina or protruding from the vagina.
  • Problems maintaining urinary retention.
  • Pain in the lower abdomen or back.
  • Pain during urination.
  • Constipation or difficulty having a bowel movement.
  • Urinary urgency without other medical explanation.
  • Pain or discomfort during sexual intercourse.
  • Gradual worsening of discomfort from morning to evening.

These symptoms lack clarity when compared to other potent women’s health problems. As a result, it’s important for women to obtain a thorough, accurate women’s health examination. Since vaginal tissue may obscure the uterine tissues, excessive lateral wall tissue will need to be addressed with a vaginal wall retractor. This allows the obstetrician to gain an unobstructed view of the cervix. Furthermore, an LED vaginal illuminator may be used to ensure fibroids are not present out the visible part of a prolapsed uterus.

Risk Factors For Uterine Prolapse

In addition to multiple, vaginal births, certain women may be at a greater risk for uterine prolapse. Some of these risk factors include the following:

  • Giving birth to a large baby.
  • Increasing age, especially after reaching menopause.
  • Frequent lifting of heavy objects.
  • Chronic coughing.
  • Previous surgery in the pelvic region.
  • Genetic predispositions to uterine prolapse.
  • Hispanic and white women.
  • Morbid obesity.
  • COPD (Chronic Obstructive Pulmonary Disease).

Treatment of Uterine Prolapse

Depending on the severity of uterine prolapse, treatment may vary from no treatment to surgery. Some common treatments include the following:

  • Medications – Estrogen medication treatment may prevent the weakening of muscles in the pelvic floor.
  • Physical therapy – Physical therapy or Kegel Exercises, as defined by the American Urogynecologic Society, to increase the muscle tone of pelvic connective tissue.
  • Pessaries – These silicone devices are non-surgically inserted into the vagina daily to help prevent further descent of the uterus and internal organs.
  • Surgery – Surgical options vary and depend on the overall health and type of uterine prolapse.

A Caveat to Surgical Repairs

After a comprehensive examination with a vaginal wall retractor, women should be thoroughly informed of their surgical options. However, the Food and Drug Administration (FDA) has released extensive warnings on the use of certain surgical materials, such as vaginal mesh, which may pose serious complications. As a result, women must take great care in researching and understanding how treatment for uterine prolapse will affect their bodies.
Preventing uterine prolapse follows a pattern similar to the importance of routine examinations to prevent cervical cancer. By receiving a diagnosis and undergoing treatment for uterine prolapse early, women can attempt to evade progression of severity to the point of surgery.
For more information about ClearSpec Single Use Vaginal Speculum, please call (561) 395-7767 or email us at sales@clearspecmedical.com.

Contact Us

Address: 138 NW 16th Street, 
Boca Raton, FL 33432

Phone: 561.395.7767
Email: sales@clearspecmedical.com

Show Respect For Patients and Staff Through Punctual Appointment Times

Show Respect For Patients and Staff Through Punctual Appointment Times

Its probably not surprising that 97% of patients are frustrated by long medical wait times, but learning that as many as 41% of them are willing to seek another provider in order to reduce the number of minutes waiting may be a motivating factor to show more respect for the time of both patients and staff alike at your gynecological clinic. With modern technology, it has become particularly easy for patients to share information online regarding their overall satisfaction levels at each facility, Disposable Speculums Facilitateincluding average wait times. Some of the changes to help achieve more punctual appointment times can take time to implement, but others, such as the replacement of traditional vaginal speculums with a disposable speculum with sheath designed to support excessive lateral wall tissue and minimize the amount of repositioning required, can immediately improve the efficiency of your practice by reducing exam times with no compromise to your patients.

Delegate Tasks to Administrative Professionals

Waiting for time with the doctor is the most common reason for tardy appointment times. In addition to reducing the time spent on each vaginal exam (while simultaneously improving the quality of care) with a sheathed disposable speculum, delegating more administrative tasks to other trained staff members can significantly reduce patient waiting. History and details regarding prescriptions and medical tests can often be relayed to or through a nurse before each client meets with their doctor, and some medical professionals are discovering that their own notes can be verbally dictated to an assistant during the most critical moments of doctor/patient interaction, further freeing up the doctor’s time.

Use Technology to Your Advantage

Modern technology offers many opportunities to streamline your medical practice. Implementing any or all of the following is likely to improve patient and staff satisfaction:

  • Secure instant messaging reduces time spent playing “telephone tag” and can provide patients an extremely efficient direct line of communication with their medical provider.
  • Online forms can be accessed and filled out by patients before their visit to minimize time spent at the clinic.
  • Using a “Mobile Queue” app updates your patients moment by moment while allowing them to utilize their wait time freely in a nearby coffee shop, retail store, or other location of their choice.
  • Telehealth software facilitates care for minor issues without the need for a visit to the medical office.
  • Free wifi provided in your reception area reduces client frustration during wait times.

Although not all of your clients will be comfortable using technology to assist in their medical care, the majority are likely to utilize one or more of the above opportunities to better manage their own time. As a professional, using a LED vaginal illumination system with an advanced speculum design is one aspect of technology that can be implemented with all clients requiring a vaginal and/or cervical exam.

Upgrade to a Disposable Speculum With Sheath

One of the simplest improvements in efficiency you can make within your practice is to replace traditional vaginal speculums with the use a disposable speculum with sheath for each patient. The sheath is designed to support excessive lateral wall tissue commonly seen in obese or muliparous women, and reduces exam times by minimizing the need for repositioning of the speculum for clear cervical visualization and/or biopsy procedures. Available in three sizes, the ClearSpec disposable speculum with a built in light source is a great tool to facilitate punctual appointment times.
For more information about ClearSpec Single Use Vaginal Speculum, please call (561) 395-7767 or email us as sales@clearspecmedical.com

Contact Us

Address: 138 NW 16th Street, 
Boca Raton, FL 33432

Phone: 561.395.7767
Email: sales@clearspecmedical.com

What Is All This About New Mammography Recommendations?

What Is All This About New Mammography Recommendations?

For more than 10 years, women have felt the pressure of and adhered to recommendations to get an annual mammogram at age 40. Some women may opt to forgo routine mammograms for fear of diagnoses of breast cancer, concerns over exposure to radiation during the screening, or personal reasons. However, the recommendations had not changed until now.
In October 2015, the Journal of the American Medical Association (JAMA) released a new report on a study of breast cancer screenings and correlating risk of developing breast cancer. As part of the report, the American Cancer Society (ACS) has updated guidelines on when and how often women should begin breast cancer screenings, which concluded the study.

Changes Mammography RecommendationsNew Mammography Recommendations

  • Women of ages 40-44 should have the option of receiving an annual mammogram. Women need to discuss their personal cancer risk and medical history with their physicians in making this decision.
  • At age 45, women should be screened annually for breast cancer until age 55. However, women should also have the opportunity to receive annual screenings if they prefer.
  • At age 55, women should switch to screenings every other year, However, this screening process should only be adhered to if they have a life expectance of 10 years and are currently in good overall health.

Rationale For Change in Recommendations

Many different providers, which includes Dr. Sandhya Pruthi of the Mayo Clinic, continue to recommend annual screenings at age 40 and have expressed concern about such a drastic change in guidelines. However, the American Cancer Society is not the first organization to change breast cancer screening recommendations.
In 2009, the US Preventive Services Task Force (USPSTF) changed its breast cancer screening recommendations, asserts the US National Library of Medicine. The USPSTF recommended women with an average-risk of breast cancer to have an initial mammogram at age 50 and received biannual mammograms afterwards.
The JAMA and ACS derived the rationale for waiting on mammography screenings from the potential risks and consequences of false-positive test results. When women undergo comprehensive cancer screenings, an inaccurate indicator of breast cancer is possible. This may lead to additional tests, biopsies, excessive emotional and physical upset, and additional problems for the affected woman and her family.

Impact of New Recommendations

The change in recommendations may seem drastic, but it reflects a minimal deviation from the previous recommendations. While the new guidelines do not advise women to get a mammogram, the guidelines do give women the option to start screenings at age 40. Basically, the change is simply a means of expanding a woman’s opinion of when to start breast cancer screenings.

Recommendations and Gynecological Exams

Regardless of the change in breast cancer screening recommendations, women should continue to follow the recommendations for preventing other forms of cancer, such as cervical cancer. Yet, up to 20 percent of cervical examinations lack full view of the cervix due to insufficient lighting, non-transparent, disposable speculums, and excessive vaginal tissue. As a result, a clear, disposable speculum with a light source should be used to help prevent inaccurate diagnoses. Furthermore, women should start receiving Pap tests and comprehensive gynecological screenings at age 21, and the test should be repeated every three years, explains the ACS.
The release of new recommendations for breast cancer screening ignited a firestorm in October, and many women will likely continue to opt for annual screenings at age 40. However, the ultimate decision for when to start screenings for all type of cancer rests with each woman and her women’s health provider. Before celebrating the choice to wait until age 45 for mammograms, women need to think about their risk for breast cancer and discuss their options with their health care providers.
To find out more about disposable, illuminated vaginal speculums, take a look at the ClearSpec® Single Use Speculum.
For more information about ClearSpec Single Use Vaginal Speculum, please call (561) 395-7767 or email us as sales@clearspecmedical.com

Contact Us

Address: 138 NW 16th Street, 
Boca Raton, FL 33432

Phone: 561.395.7767
Email: sales@clearspecmedical.com

Contact Us

Address: 138 NW 16th Street, 
Boca Raton, FL 33432

Phone: 561.395.7767
Email: sales@clearspecmedical.com