Hi, Marge I’m Doctor Douglas. So marge it looks like you have come into see us today, because you have some personal female concerns related to your health. It says hear that you started your period at age 14, is that correct? And you have recently had some issues with painful intercourse along with irregular, and a decrease in blood flow during your periods is that correct? I would like to take a look at you and do a Pap smear or your annual cervical screening. With this procedure will test for cancer or precancerous changes in your cervix. Just to make sure that that’s not what’s going on with you. Would that be okay? Okay all give you a minute to get ready. Okay, Marge I’m going start by just feeling around your pelvic area. Now I would
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And the irregular and low flow periods are due to menopause, which means that your periods will stop all together soon. However, as for the pain during sexual intercourse this may more related to the prolapsed uterus rather than vaginal dryness caused by decreases in the hormones estrogen and progesterone as these hormones decrease as an effect of menopause. There are treatment options that may help the dryness such as hormone replacement therapy. By replacing the estrogen that is being naturally reduced by the body it may help to maintain that fluid keeps the lining of the vagina healthy and moist. There are also vaginal lubricants or a lubricant that can be used to reduce friction during intercourse. Now Margie I would like to talk about the diagnosis of your prolapse uterus. Prolapse can also be caused by a decrease in estrogen that plays an important role in maintaining the strength of the connective tissues that support the pelvic organs such as uterus or bladder. Prolapse occurs when connective tissue stretches allowing organs to drop and press agents the wall of your vagina. There is option for a Pessaries or a uterine supportive devise, such as the placement of a rubber or plastic round-shaped device, into the vagina, to hold the uterus in place. Pessary along with estrogen replacement therapy may help some by limiting further weakness to the muscles and ligaments. Unfortunately, Marge with the severity of your prolapsed uterus as seen in the ultrasound, and the recent start of menopause, I am recommending that you have a vaginal hysterectomy. This would be a surgical procedure to remove your uterus through a small incision in the vagina. I know this is a lot of information so let me get you some information on uterine support devises, and estrogen replacement therapy. And we can schedule an appointment in a few days once you have
And the irregular and low flow periods are due to menopause, which means that your periods will stop all together soon. However, as for the pain during sexual intercourse this may more related to the prolapsed uterus rather than vaginal dryness caused by decreases in the hormones estrogen and progesterone as these hormones decrease as an effect of menopause. There are treatment options that may help the dryness such as hormone replacement therapy. By replacing the estrogen that is being naturally reduced by the body it may help to maintain that fluid keeps the lining of the vagina healthy and moist. There are also vaginal lubricants or a lubricant that can be used to reduce friction during intercourse. Now Margie I would like to talk about the diagnosis of your prolapse uterus. Prolapse can also be caused by a decrease in estrogen that plays an important role in maintaining the strength of the connective tissues that support the pelvic organs such as uterus or bladder. Prolapse occurs when connective tissue stretches allowing organs to drop and press agents the wall of your vagina. There is option for a Pessaries or a uterine supportive devise, such as the placement of a rubber or plastic round-shaped device, into the vagina, to hold the uterus in place. Pessary along with estrogen replacement therapy may help some by limiting further weakness to the muscles and ligaments. Unfortunately, Marge with the severity of your prolapsed uterus as seen in the ultrasound, and the recent start of menopause, I am recommending that you have a vaginal hysterectomy. This would be a surgical procedure to remove your uterus through a small incision in the vagina. I know this is a lot of information so let me get you some information on uterine support devises, and estrogen replacement therapy. And we can schedule an appointment in a few days once you have