Listening to "felt needs": investigating genital prolapse in western Nepal

Reproductive Health Matters
Tiphaine Ravenel BonettiLaxmi Raj Pathak

Abstract

The global prevalence of genital prolapse is estimated to be 2-20% in women under age 45. In Nepal, genital prolapse appears to be widespread, but little published evidence exists to buttress this claim. This paper presents findings of two studies, one ethnographic and one clinic-based, in western Nepal. The ethnographic study involved 16 focus group discussions with 120 community members and key informants, and covered community perceptions and women's experience of prolapse and its perceived causes and consequences. The clinic-based study was conducted among 2,072 women who presented with gynaecological complaints and received a diagnosis. One in four of them had genital prolapse, of whom 95% had self-reported the prolapse. The most commonly perceived causes of prolapse were lifting heavy loads, including in the post-partum period. The adverse effects reported included difficulty urinating, abdominal pain, backache, painful intercourse, burning upon urination, white watery discharge, foul-smelling discharge, itching, and difficulty lifting, sitting, walking and standing. The results confirm prolapse as a significant public health problem in western Nepal. We strongly recommend developing systematic, rotational gynaecological ...Continue Reading

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Citations

Mar 3, 2007·International Urogynecology Journal and Pelvic Floor Dysfunction·Barbara Bodner-AdlerKlaus Bodner
Jul 10, 2010·International Urogynecology Journal·Godfrey J A Walker, Prasanna Gunasekera
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May 11, 2011·Reproductive Health Matters·Sandesh Pantha
May 29, 2007·Lancet·Prasanna GunasekeraGodfrey Walker
Aug 29, 2012·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Ying-Shuang LienSoo-Cheen Ng
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