Hi guys, it's Dr. Casperson coming to you from Washington State. I hope you guys enjoy this

master class on pelvic organ prolapse. I actually made it for a Facebook live group and put it on my

YouTube at You Are Not Broken. So I pulled the audio and made it a podcast. Enjoy.

This is Dr. Casperson. I am a board certified gerologist in Washington State, and it is the time of COVID right now.

So I have a lot of downtime that I'm super excited to be able to do this video for.

So I've had a lot of requests to talk about prolapse.

I'm going to answer a lot of questions that people have, and people are asking me, and feel free to write some questions in, and and we can get to them too but this is going to be basically like your

masterclass on prolapse so we're going to go through hopefully everything on

prolapse of like why does it happen to treatment to risks of surgery this is going to be like Proapse 101 masterclass.

So when people talk about prolapse,

they talk about pelvic organ prolapse

or a descent of basically the vaginal walls

through the vagina.

I think a lot of misperceptions that people have

is that your bladder's actually gonna fall out, but your bladder's not actually going to fall out.

It's the vaginal walls that get weak. The muscles get weak. The connective tissue gets weak. Low estrogen as people age or just decrease muscle mass as people age.

Also pushing babies through the vaginal canal

causes a huge stretch and laxity that might not always rebound. Usually doesn't rebound, completely.

So I've been doing pelvic exams for 15 years, and I'd say anybody who's had a vaginal delivery

at least has a grade one

prolapse not always but there's always some laxity after a big head of a baby has

gone through the pelvis so they've actually done these studies looking at

...