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Probably muscle strength is decreased in women with episiotomy, thus making possible the development of the phenomenon of pelvic relaxation in this group.
Situation: A pessary is successfully inserted in a woman with significant pelvic relaxation, the prolapse is corrected, but when the patient comes for a follow-up the pessary is totally "stuck.
Finally, when supracervical hysterectomies were done more often, about half the surgeries to later remove the cervix were due to prolapse and pelvic relaxation problems.