There are many methods of classifying
pelvic organ prolapse. No one system is universally
agreed upon. But the system approved by the International Continence Society,
called the Pelvic Organ Prolapse Quantification system (POPQ), is considered
one standard.1 This system uses a fixed point at the
entrance to the vagina (the hymen) and measures the distance between the
farthest tip of the prolapsed organ and this fixed point. The system also uses
defined points inside the vagina to determine what kind of prolapse has
Your doctor may use one of the many classification
systems to determine the level of an organ's prolapse. Identifying the exact
level of prolapse helps guide decisions about which treatments are most likely
to offer long-term success. The classification-"grade" or "stage"-of a prolapse
is determined many different ways. Ask your doctor to explain how he or she
classifies pelvic organ prolapse.
By Keith Ablow, M.D.It’s high time to figure out what’s making you perpetually behind. Here,
strategies to help you get out of the lateness rut.
Some years ago when I was chief resident in psychiatry at the New England
Medical Center, I decided it was finally time to enter therapy myself. I was
dating the woman who would later become my wife and I wanted to explore why I
hadn’t yet committed to her.
So I booked an appointment with a noted psychiatrist, about 10 miles from my
home, and left...