Gina, a 44-year-old mother of eight children, visited her physician complaining of a “bearing down” sensation...

Gina, a 44-year-old mother of eight children, visited her physician complaining of a “bearing down” sensation in her pelvis, low backache, and urinary incontinence. A vaginal examination showed that the external os of her cervix was just inside the vaginal orifice and her perineum exhibited large keloids(masses of scar tissue). Her history revealed that she was a member of a commune located in the nearby mountains that shunned hospital births (if at all possible).What do you think Gina’s problem is and what caused it? (try to be anatomically specific)

Expert Solution

The patient chief complaints including bearing down feeling of the pelvis, low backache and urinary incontinence.
Patient also gives history of multiple child births which were all delivered through vagina.
Uterus is a female reproductive organ situated in the pelvis region. It consists of fundus, body, cervix and cervical canal. The uterus is held at its anatomical position through its ligaments. During child birth stretching of the uterine ligaments causes them to weaken. The ligaments can no longer support the uterus and causes uterus to descent from pelvis into the vagina. It is common in women with multiple child births through vaginal delivey. Symptoms include bearing down feeling in pelvis, urinary incontinence, pelvic and back pain.
So on basis of signs and symptoms of the patient and owing to multiple child births delivered through vagina, we can conclude that Gina has conditiom known as prolapsed uterus.

Sydney Mullin answered 2 years ago

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Gina, a 44-year-old mother of eight children, visited her physician complaining of a “bearing down” sensation...

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