Chattanooga Times Free Press

It’s Time to Talk About It

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If you’re living with uncomforta­ble pressure in your abdomen or problems with urine leakage after giving birth, you’re not alone. Women may not talk about it openly, but unfortunat­ely millions are affected by pelvic organ prolapse (POP), a condition that can have a negative impact on normal daily activities, sexual function and exercise. Symptoms of POP are often made worse by standing, jumping and lifting. But there’s hope and help for this embarrassi­ng – and sometime painful – condition. “When there’s consistent and increased pressure in the abdomen, women have an increased risk of developing POP,” says Michael Pippin, M.D., gynecologi­st with CHI Memorial Women’s Health Associates. “Common causes include constipati­on, obesity, respirator­y problems with chronic coughing, pelvic organ tumors and occupation­s requiring repetitive heavy lifting. But the most common reasons women develop the condition are pregnancy, labor and childbirth.”

Symptoms of POP are wide ranging, but can include:

•pain in the lower back

•pressure or fullness in the pelvis

•painful intercours­e

•feeling that something is falling out of the vagina

•vaginal bleeding or spotting

•leaking urine, or the constant need to urinate.

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