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rectocele surgery

I am needing a rectocele repair, badly, if I can find someone who will take my traditional medicaid. What I want to know is how long before the surgery should we use the estrogen (I have both vagifem and estrace cream)? I had a hysterectomy, total and done vaginally, in Oct 2009, then bladder fell 2 months after, had the cystocele repaired and then around 6 weeks later the rectum and top of vaginal vault fell. I have had a pessary in for around a year to hold it but it is getting so hard to have a BM.  I want this rectocele repair to be the last surgery! I need to do what I can to make that be it!
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A related discussion, Rectocele was started.
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Thank you so much for your respected opinion, I hope it will work by using it with the pessary in? I use the vagifem, seems easier with the pessary. I used the estrace cream and I was having hot flashes again and I am 58 yrs.old! I went through menopause at 51 yrs old so I do not think I want to go through those again, of course I was probably using a little to much.
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1344197 tn?1392819171
MEDICAL PROFESSIONAL
In general most doctors will use intravaginally estrogen, pill or cream, nightly for 2 weeks and then twice weekly thereafter for maintenance.  Using estrogen for 4 to 6 weeks is generally enough time to show improvement in the vagina for surgery.
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