For Alemama

Body: 

Hey, Ladies,

I remember that Alemama (and on some level Christine too) said multiple times, that prolapse is so common that it is almost normal. (Yeah having something every other parous woman has sounds pretty normal to me), I just wanted to share this abstract I've found revcently, I guess, you have read this, but wanted to share.

OBJECTIVE: This study evaluates the relationship between symptoms of pelvic floor disorders, and measurement of pelvic organ prolapse. STUDY DESIGN: This retrospective cross-sectional study assessed prolapse in 905 women in an academic urogynecologic practice using the Pelvic Organ Prolapse Quantification exam. Symptoms were assessed with a Likert symptom questionnaire and the Urogenital Distress Inventory. Relationships between symptoms and prolapse were analyzed using Spearman's correlation. RESULTS: Symptoms of "bulging" correlated moderately to the greatest extent of prolapse (r=0.4, P<.001 frequency="" of="" bother="" progressively="" increases="" when="" the="" leading="" edge="" descends="" from="" and="" between="" women="" report="" bother.="" symptoms="" typically="" attributed="" to="" anterior="" or="" posterior="" wall="" prolapse="" did="" not="" correlate="" with="" descent="" respective="" compartment.=""> CONCLUSION: "Bulging" is the principle symptom that correlates with prolapse severity. We found no discrete anatomic position that discriminates between prolapse as a disease state and normal anatomic variation.

Cool, huh? :)
Liv

It sounds pretty much commonsense to me, without understanding the numbers too much. I don't listen too much to grades of pop because I have seen several different doctors and they all seem to think differently. I am the only one who really knows what is happening because it happens to me, and is quite variable both during the day, during the month, and according to how good I am at obeying the rules.

Perhaps some of the lack of correlation between what the researchers found and what the women perceived was that they were describing two different sets of situations, ie the researchers only picked up what they picked up, not what they didn't pick up?

L