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Pelvic Floor Disorders

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Stress Urinary Incontinence (SUI)

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Symptoms include urine leakage due to pressure on bladder from coughing or exercising. Treatment options involve pelvic floor muscle exercises (Kegels), pessaries, or surgery.

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Chronic Pelvic Pain

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Manifests as persistent pain in the pelvic region lasting more than six months. Treatment often requires a multidisciplinary approach, including medication, physical therapy, and counseling.

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Pelvic Organ Prolapse (POP)

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Symptoms are a feeling of pressure or fullness in the pelvic area, discomfort during sex, or urinary issues. Treatments range from pelvic floor exercises to pessary use, and surgery in severe cases.

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Genito-Pelvic Pain/Penetration Disorder (GPPPD)

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Includes difficulty with penetration, pelvic pain, fear or anxiety about pain, and tensing of the pelvic floor muscles. Treatment involves therapy, education, and sometimes medications or Botox.

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Vaginismus

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Characterized by involuntary vaginal muscle contractions causing discomfort, pain, penetration difficulties. Treatment includes education, counseling, physical therapy, and sometimes Botox injections.

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Fecal Incontinence

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Causes uncontrolled bowel movements, gas, and stool leakage. Treatments include dietary changes, pelvic floor therapy, medication, and sometimes surgery.

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Overactive Bladder (OAB)

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Symptoms include a frequent need to urinate, urgency, and possible incontinence. Treatment includes bladder training, medication, and sometimes nerve stimulation.

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Interstitial Cystitis/Painful Bladder Syndrome

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Presents with pelvic pain, pressure, and discomfort that can be severe, along with urination frequency and urgency. Management includes lifestyle modifications, oral medications, and bladder instillations.

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Dyspareunia

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Symptoms are pain during or after sexual intercourse. Treatments can include lubricants, estrogen therapy, pelvic floor physical therapy, and psychotherapy if necessary.

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Urinary Retention

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Characterized by the inability to completely empty the bladder. Treatments include catheterization, medication, or surgery, depending on the underlying cause.

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