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User:Mr. Ibrahem/Pelvic floor disorders

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Pelvic floor disorders
Other namesPelvic floor dysfunction
Location of pelvis muscles in a female
Medical specialtyGynecology, urology
SymptomsPelvic pain or pressure, pain during sex, incontinence of urine or stool, constipation, pelvic organ prolapse[1]
Usual onsetOlder age[2]
CausesUnclear[1]
Risk factorsOverweight, prior hysterectomy, smoking, having children[2]
TreatmentLifestyle changes, medication, medical devices, surgery[2]
FrequencyCommon (25% of women)[2]

Pelvic floor disorders, also known as pelvic floor dysfunction, is group of conditions believed to occur when pelvic floor muscles are not functioning properly.[1][3] Symptoms may include pelvic pain or pressure, pain during sex, incontinence of urine or stool, constipation, or pelvic organ prolapse.[1]

The cause is generally unclear.[1] Potential factors may include injury to the pelvic floor, sexual abuse, poorly learned evacuation techniques, lower back pain, endometriosis, and certain medications such as calcium channel blockers or antihistamines.[1] Risk factors include being overweight, prior hysterectomy, smoking, and having children.[2] The underlying mechanism may involve increase, decreased, or poorly coordinated muscle activity.[1]

Treatment may include lifestyle changes, medication, medical devices, or surgery.[2] Lifestyle changes may include, exercising and a healthy diet.[2] Medical devices may include pessaries.[2] In women, pelvic floor physical therapy, is often useful.[3]

Pelvic floor disorders are common, affected about 25% of women at some point in time.[2] They affects females more often than males.[1][4] The disorders become more common with age.[2] Pelvic organ prolapse occurs in half of women who have given birth.[5][1] Stigmatization occurs in some cultures and therefore women may not seek care.[2] It is thus recommended that direct screening for urinary problems occur yearly.[2]

References

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  1. 1.0 1.1 1.2 1.3 1.4 1.5 1.6 1.7 1.8 Grimes, WR; Stratton, M (January 2020). "Pelvic Floor Dysfunction". StatPearls. PMID 32644672.
  2. 2.00 2.01 2.02 2.03 2.04 2.05 2.06 2.07 2.08 2.09 2.10 2.11 Good, MM; Solomon, ER (September 2019). "Pelvic Floor Disorders". Obstetrics and gynecology clinics of North America. 46 (3): 527–540. doi:10.1016/j.ogc.2019.04.010. PMID 31378293.
  3. 3.0 3.1 Wallace, SL; Miller, LD; Mishra, K (December 2019). "Pelvic floor physical therapy in the treatment of pelvic floor dysfunction in women". Current opinion in obstetrics & gynecology. 31 (6): 485–493. doi:10.1097/GCO.0000000000000584. PMID 31609735.
  4. Lakhoo, J; Khatri, G; Elsayed, RF; Chernyak, V; Olpin, J; Steiner, A; Tammisetti, VS; Sundaram, KM; Arora, SS (November 2019). "MRI of the Male Pelvic Floor". Radiographics : a review publication of the Radiological Society of North America, Inc. 39 (7): 2003–2022. doi:10.1148/rg.2019190064. PMID 31697623.
  5. Hagen S, Stark D (2011). "Conservative prevention and management of pelvic organ prolapse in women". Cochrane Database Syst Rev. 12 (12): CD003882. doi:10.1002/14651858.CD003882.pub4. PMID 22161382.