Incontinence & Prolapse

Incontinence and prolapse are conditions which are commonly thought of as only affecting older women and those who have had children. This isn’t the case, and in fact the incidence of prolapse and incontinence is greater than we realise. However, many women delay presenting to their doctor with these concerns due to feeling self conscious or embarrassed.

Book an Appointment

 Your Evoca GP will work with you to create a tailored plan to treat your diagnosis, considering your future pregnancy plans, lifestyle, symptoms and treatment choices

Urinary Incontinence

Urinary incontinence affects one in three women of all ages1 . It causes significant distress and can impact your quality of life. More than 40% of women 2 will also experience sexual dysfunction because of these symptoms however 70% 3  of women won’t seek help. Whether you’re experiencing a slight leak when you cough, jump or run or you’re really struggling to hold on when you need to go, we offer treatment options for all. Recurrent urinary tract infections and problems passing urine are also common problems which can be linked to sexual and general gynaecological health, and can be assessed and treated by your Evoca GP.4 Common conditions which may apply and can be addressed include:

  1. Stress incontinence – leaking urine when coughing, sneezing, running, jumping or laughing
  2. Urge incontinence – leaking with the urge to pass urine, not being able to hold on, and often triggered by seeing or listening to running water, or even putting your key in the front door
  3. Mixed urinary incontinence – a combination of stress and urge urinary incontinence
  4. Detrusor instability – a condition of overactivity of the bladder whereby the urge to pass urine occurs before the bladder reaches what should be full capacity, resulting in urgent and frequent bathroom trips to pass urine more than 8 times daily and waking in the night as well
  5. Post coital UTIs – urinary tract infections related to intercourse
  6. Interstitial cystitis and painful bladder syndrome – chronic pain in the bladder area and on passing urine but in the absence of bacterial urine infections often underdiagnosed and over treated with antibiotics

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Vaginal Prolapse

Vaginal prolapse is a common condition not restricted to post-menopausal life. It can occur during and after pregnancy, and when left untreated can have significant impacts on your health and wellbeing, including:

  • Problems with bladder and bowel function
  • Sexual dysfunction
  • Lower pelvic/vaginal dragging pains
  • Lower back pain

In your consultation with your GP, your pelvic floor and vagina will be assessed for strength and tone, and your prolapse will be diagnosed, graded and a treatment plan created. This plan will be tailored to you, considering your future pregnancy plans, lifestyle, symptoms and treatment choices.

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References

1 https://www.continence.org.au/incontinence/understanding-incontinence

2 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8437582/#:~:text=More%20than%2040%25%20of%20women,during%20penetration%20and%20during%20orgasm.

3 https://www.continence.org.au/about-us/our-work/key-statistics-incontinence#:~:text=statistics%20on%20Urinary%20incontinence&text=65%25%20of%20women%20and%2030,from%20a%20health%20professional3.

4 https://www.continence.org.au/types-incontinence/urinary-incontinence

 

How to prepare for your visit

Be able to give us an idea of your daily fluid intake, how much and what kind of fluids

If you have incontinence think about the circumstances in which this occurs

Think about your bowel function as well as your bladder function

Sexual function can be affected by prolapse, so consider if sex feels different and if so how

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Dr Alicia Altson

General Practitioner

Highett, VIC 3190
Beginning her studies at Melbourne Universi...
Dr Alison Clarke

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Dr Amatun Rashid

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Dr Arthikka Kirupal

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Dr Aseel Marioud

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Dr Beverly Brookes

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Dr Brenda Nathanson

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Dr Cecilia Akinloye

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Dr Cecilia Akinloye completed her Bachelor ...
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Dr Danise Theron

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A wealth of knowledge and expertise, Dr Dan...
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Dr Donna Nobleta

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Dr Elahe Arbabiaval

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Dr Garry McInerney

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Dr Gayathri Kosaka

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After completing her medical degree and int...
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Dr Grace Abdukeyum

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Dr James Brown

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Dr Jenny He

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Dr Jessica Murphy

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Dr Jolly Dutta

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Dr Loba Haque

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Dr Mahua Sharmin Huq

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Graduating in Bangladesh in 2006, Dr Mahua ...
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Dr Mar Mar Thet

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Dr Mark Green

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Dr Myra Kamene Mpungu

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Dr Nadira Jahan

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Dr Olivia Waturuocha

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Dr Rachael Norman

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Dr Rahul Verma

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Dr Rashida Perveen

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Dr Rina Kennedy

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Dr Rita Almohty

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Dr Rosaleen Jacob

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Dr Samantha Taylor

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Dr Sanda Bonchis

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Dr Shoma Chowdhury

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Dr Sophie Vavladelis

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Dr Sudhish Sudhan

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Dr Sue-Ann Steer

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Dr Susan Pan

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Dr Sushma Chaparala

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Dr Sushma Chaparala

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Dr Swati Sharma

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Dr Tania Altaf

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Dr Zulaiha Ghazaly

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Dr. Jin Gao

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Dr. Jin Gao

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Dr Jody Waters acquired her Bachelor of Med...
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Dr. Liyana Jayaweera has a rich background ...
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Dr Palmyra has been a doctor for more than ...
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An experienced General Practitioner,...
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Dr. Sneha Wadhwani

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Dr. Vidya Prabhu

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Enas Al Shahabi

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Phillip, ACT 2606
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Hannah Topp

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Women’s health

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Hannah Topp

Physiotherapist

Women’s health

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Originally growing up in Queensland, Hannah...
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Khush Kaur

Physiotherapist

Modbury, SA 5092
An APA Titled Sports & Exercise Physiothera...
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Dr Tania Altaf

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Dr Tania Altaf is a part-time GP who enjoys...
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Enas Al Shahabi

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Phillip, ACT 2606
A competent and compassionate GP, Dr Enas i...
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Dr Arthikka Kirupal

General Practitioner

Blacktown NSW 2148
Graduating from the University of Jaffna, S...
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Dr Aseel Marioud

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A Fellow of The Royal Australian College of...
Dr Beverly Brookes

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Dr Brenda Nathanson

General Practitioner

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Dr Farisha Begum

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After completing her MBBS and internship in...
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Dr Grace Abdukeyum

General Practitioner

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Having worked closely with gynaecologists a...
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Dr James Brown

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Dr Jessica Murphy

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Dr Jolly Dutta

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Having been a doctor for over 16 years, Dr ...
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Dr Mark Green

General Practitioner

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An experienced GP who qualified from Liverp...
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Dr Nadira Jahan

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Merrylands NSW 2160
Dr Nadira Jahan completed her medical degre...
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Dr Rita Almohty

General Practitioner

Campsie, NSW 2194
Graduating from medicine in 1997 from the U...
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Dr Rosaleen Jacob

General Practitioner

Rouse Hill, NSW 2155
Having completed her medical degree and gai...
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Dr Salina Ahmed

General Practitioner

Charlestown, NSW 2290
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Dr Sophie Vavladelis

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After completing her studies at University ...
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Dr Susan Pan

General Practitioner

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Graduating from Sun Yat-Sen University in 1...
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Dr Syeda Bushra

General Practitioner

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With a regional medicine background after t...
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Dr Vecerka Skovrlj

General Practitioner

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Originally graduating from the University o...
Dr. Farhat Jehan

General Practitioner

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Completing her medical degree in Pakistan a...
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Dr. Frances Pengelly

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Dr. Frances Pengelly studied medicine at UN...
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Dr. Sneha Wadhwani

General Practitioner

National Clinical Director – Evoca women’s health

Bondi Junction, NSW 2022
Qualifying in medicine in 2002 from the Uni...
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Hannah Topp

Physiotherapist

Women’s health

Rouse Hill, NSW 2155
Originally growing up in Queensland, Hannah...
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Hannah Topp

Physiotherapist

Women’s health

Bondi Junction, NSW 2022
Originally growing up in Queensland, Hannah...
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Dr Gayathri Kosaka

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After completing her medical degree and int...
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Dr Olivia Waturuocha

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With initial post graduate training in psyc...
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Dr Rachael Norman

General Practitioner

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Dr Rachael Norman obtained her medical degr...
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Dr Rashida Perveen

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Dr Rina Kennedy

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Dr Samantha Taylor

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Dr Sanda Bonchis

General Practitioner

Springfield, QLD 4300
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Dr Swati Sharma

General Practitioner

Springfield, QLD 4300
After obtaining her medical degree from Mah...
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Dr. Audris Wong

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Dr Audris Wong is an experienced specialist...
Dr. Caroline van der Vlugt

General Practitioner

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Graduating from the University of Cape Town...
Dr. Fatima Elnaggar

General Practitioner

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Dr Fatima has been working in Australia for...
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General Practitioner

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In 2005, Dr Jennifer finished her obstetric...
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General Practitioner

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Dr Jody Waters acquired her Bachelor of Med...
Dr. Shilpi Wahi

General Practitioner

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An experienced General Practitioner,...
Dr Alison Clarke

General Practitioner

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Dr Alison Clarke has worked in various Gene...
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Khush Kaur

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Dr Alicia Altson

General Practitioner

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Dr Amatun Rashid

General Practitioner

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Having been a doctor for more than sixteen ...
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Dr Cecilia Akinloye

General Practitioner

Forest Hill VIC 3131
Dr Cecilia Akinloye completed her Bachelor ...
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Dr Donna Nobleta

General Practitioner

Moonee Ponds VIC 3039
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Dr Elahe Arbabiaval

General Practitioner

Werribee, VIC 3030
Dr Elahe has been a Doctor for 10+ years. S...
Dr Faiza Mehfooz

General Practitioner

Ballarat, VIC 3350
Graduating from Sindh Medical University in...
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Dr Garry McInerney

General Practitioner

Highett, VIC 3190
Having been a doctor for over 40 years, Dr ...
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Dr Loba Haque

General Practitioner

Ballarat, VIC 3350
Having now been a GP in Australia for 7 yea...
Dr Mahua Sharmin Huq

General Practitioner

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Graduating in Bangladesh in 2006, Dr Mahua ...
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Dr Mar Mar Thet

General Practitioner

Highett, VIC 3190
Originally graduating from Myanmar, Dr Mar ...
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Dr Myra Kamene Mpungu

General Practitioner

Werribee, VIC 3030
A worldly woman, Dy Myra grew up in Mombasa...
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Dr Rahul Verma

General Practitioner

Werribee, VIC 3030
Dr. Rahul finished his medical studies in I...
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Dr Shoma Chowdhury

General Practitioner

Narre Warren, VIC 3805
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Dr Sidra Imtiaz

General Practitioner

Ballarat, VIC 3350
Graduating from the University of Health Sc...
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Dr Sudhish Sudhan

General Practitioner

Craigieburn, VIC 3064
During his internship in Kerala State in In...
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Dr Sue-Ann Steer

General Practitioner

Highett, VIC 3190
Initially completing her MBBS medical degre...
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Dr Sushma Chaparala

General Practitioner

Melton VIC 3337
Having previously worked in India and the U...
ForHealth-Dr-Sushma-400x400
Dr Sushma Chaparala

General Practitioner

Moonee Ponds VIC 3039
Having previously worked in India and the U...
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Dr Thandar san

General Practitioner

Frankston VIC 3199
Dr. Thandar San graduated from Myanmar in 2...
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Dr Thomas Shashian

General Practitioner

Narre Warren, VIC 3805
Graduating from Flinders University in 2002...
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Dr Zulaiha Ghazaly

General Practitioner

Werribee, VIC 3030
Dr. Zulaiha hails from Sri Lanka and pursue...
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Dr. Jin Gao

General Practitioner

Epping Plaza, VIC 3076
Dr. Jin Gao is a compassionate and dedicate...
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Dr. Jin Gao

General Practitioner

Preston, VIC 3072
Dr. Jin Gao is a compassionate and dedicate...
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Clinical Director - VIC

General Practitioner

Preston, VIC 3072
Dr Palmyra has been a doctor for more than ...
Dr. Vidya Prabhu

General Practitioner

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With more than 12 years’ experience as a ...
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Dr Danise Theron

General Practitioner

Rockingham, WA 6168
A wealth of knowledge and expertise, Dr Dan...
Dr Sid Viswanath

General Practitioner

Rockingham, WA 6168
Dr. Sid has been working in Australian gene...
Dr. Gagandeep Kundal

General Practitioner

Rockingham, WA 6168
Completing his medical degree in India (Amrtistar) in 2002, Dr Gagandeep br...

FAQ’s

  • Do nothing – if the prolapse is not causing significant problems then treatment may not be required
  • Vaginal pessary – supportive removable devices inserted in the vagina which hold up the prolapse. These can be fitted by your Evoca doctor, and should be changes 6 monthly. Pessaries are usually used as a temporary measure but may be used as a more permanent option.
  • Pelvic floor physiotherapy – can help with mild or moderate prolapse to reduce severity and improve symptoms
  • Surgery – a variety of surgical options are available depending on the type and severity of prolapse.
  • Vaginal delivery
  • Family history of prolapse
  • Menopause 
  • Chronic cough (for example, asthma)
  • Obesity
  • Family history of vaginal prolapse
  • Neurological diseases
  • Forceps delivery

1 Reference: https://www.nhs.uk/conditions/pelvic-organ-prolapse/#:~:text=Pelvic%20organ%20prolapse%20is%20when,can%20cause%20pain%20and%20discomfort.

  • A lump or bulge felt in the vagina
  • Pressure feeling in the vagina
  • Dragging sensation in the vagina
  • Sense of something falling out
  • Urinary incontinence
  • Difficulty passing urine
  • Difficulty opening bowels
  • Faecal incontinence
  • Low back pain
  • Discomfort or lack of sensation during intercourse

1 Reference: https://www.nhs.uk/conditions/pelvic-organ-prolapse/#:~:text=Pelvic%20organ%20prolapse%20is%20when,can%20cause%20pain%20and%20discomfort.

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