The Pelvic Floor: A Doctor and Her Patient Hold it Together

APR 30, 202554 MIN

The Pelvic Floor: A Doctor and Her Patient Hold it Together

APR 30, 202554 MIN

Description

<div class="OutlineElement Ltr SCXW256370535 BCX0"> A small leak during a big laugh might hint towards a bigger story. In this episode exploring the pelvic floor, Dr. Olga Ramm and patient Nicole Curutchet answer the age-old question- what's really going on down there? Nicole Curutchet starts off by sharing her experience of developing pelvic floor prolapse, which felt like a “tampon that's halfway coming out.” She tackles the issue of finding the right provider, and shares about her surgery and recovery. On speaking out despite stigma, she says, “this is our bodies and it's the truth, and we don't want people to suffer, so why not talk about it?”   </div> <div class="OutlineElement Ltr SCXW256370535 BCX0"> For many people with vaginas, pelvic floor leakage, pain, and other symptoms, are often dismissed as just a fact of life. Dr. Ramm and Nicole argue that it doesn’t have to be that way. A variety of treatments exist for managing pelvic disorders, including physical therapy, insertable devices, and surgery.   </div> <div class="OutlineElement Ltr SCXW256370535 BCX0"> As Dr. Ramm reveals “birth remains the most common inciting injury to the pelvic floor...It's something that affects a whole lot of us.” Dr. Ramm also discusses research that shows that trauma of all kinds impacts the pelvic floor, “almost like a linear relationship between the number of adverse events that you report and the prevalence of chronic pelvic pain.”  </div> <div class="OutlineElement Ltr SCXW256370535 BCX0"> In a topic often characterized by silence, Dr. Ramm encourages providers to proactively ask about the pelvic floor. She emphasizes the value of informing patients about all the types of care available to them and respecting patient autonomy: “You don't have to follow a specific algorithm. Let the patient make the choice based on their individual values, their goals for themselves and their own personal case scenarios that they want to avoid.”   <div class="OutlineElement Ltr SCXW99363908 BCX0"> <ul> <li class="Paragraph SCXW99363908 BCX0" lang="EN-US" xml:lang= "EN-US">Dr. Olga Ramm’s Website: <a href= "https://www.ucsfhealth.org/providers/dr-olga-ramm">https://www.ucsfhealth.org/providers/dr-olga-ramm</a>  </li> <li class="Paragraph SCXW99363908 BCX0" lang="EN-US" xml:lang= "EN-US"> UCSF Center for Urogynecology and Women's Pelvic Health: <span class="TextRun Underlined MacChromeBold SCXW99363908 BCX0" lang="DE-DE" style= "font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, Cantarell, 'Open Sans', 'Helvetica Neue', sans-serif;" xml:lang="DE-DE" data-contrast="none"><a href= "https://www.ucsfhealth.org/clinics/center-for-urogynecology-and-womens-pelvic-health"> https://www.ucsfhealth.org/clinics/center-for-urogynecology-and-womens-pelvic-health</a></li> <li class="Paragraph SCXW99363908 BCX0" lang="EN-US" xml:lang= "EN-US">Study That Links Duration of Pushing Phase to Degree of Obstetric Anal Sphincter, Led By Dr. <span class="TextRun MacChromeBold SCXW99363908 BCX0" lang="DE-DE" style= "font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, Cantarell, 'Open Sans', 'Helvetica Neue', sans-serif;" xml:lang="DE-DE" data-contrast="none">Olga Ramm <span class= "TextRun MacChromeBold SCXW99363908 BCX0" lang="EN-US" style= "font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, Cantarell, 'Open Sans', 'Helvetica Neue', sans-serif;" xml:lang="EN-US" data-contrast="none">Injuries: <span class="TextRun Underlined MacChromeBold SCXW99363908 BCX0" lang="EN-US" style= "font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, Cantarell, 'Open Sans', 'Helvetica Neue', sans-serif;" xml:lang="EN-US" data-contrast="none"><a href= "https://pubmed.ncbi.nlm.nih.gov/29324610/">https://pubmed.ncbi.nlm.nih.gov/29324610/</a></li> <li class="Paragraph SCXW99363908 BCX0" lang="EN-US" xml:lang= "EN-US"> Chronic Pelvic Pain Society of North America: <span class="TextRun Underlined SCXW99363908 BCX0" lang="EN-US" style= "font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, Cantarell, 'Open Sans', 'Helvetica Neue', sans-serif;" xml:lang="EN-US" data-contrast="none"><a href= "https://www.pelvicpain.org/public">https://www.pelvicpain.org/public</a></li> <li class="Paragraph SCXW99363908 BCX0" lang="EN-US" xml:lang= "EN-US">The Body Keeps the Score: <a class="Hyperlink SCXW99363908 BCX0" style= "font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, Cantarell, 'Open Sans', 'Helvetica Neue', sans-serif;" href= "https://www.besselvanderkolk.com/resources/the-body-keeps-the-score" target="_blank" rel="noreferrer noopener">https://www.besselvanderkolk.com/resources/the-body-keeps-the-score</a> <span class="EOP SCXW99363908 BCX0" style= "font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, Cantarell, 'Open Sans', 'Helvetica Neue', sans-serif;" data-ccp-props="{"335559685":0}"> </li> </ul> </div> <div class="OutlineElement Ltr SCXW99363908 BCX0"> Past episodes of <span cl