In this episode, gynecologist Dr. Paula Espino and I discuss:

• The SOGC guidelines for prolapse management 
• What is a pessary?
• Different types of pessary
• Ways pessaries can be used and managed
• Symptoms of prolapse
• Typical course through the health care system for someone who has symptoms of prolapse
• Wait times for seeing a gynecologist in Canada
• What an assessment by a gynecologist entails
• The role of pelvic health physiotherapy 
• The role of vaginal hormones
• When surgery may be indicated

Dr. Paula Espino is an OBGYN practicing in Kelowna, BC, Canada.

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