What is Myelomeningocele?
Myelomeningocele is a type of neural tube defect that occurs when the spinal cord and the meninges protrude through a gap in the spine. It is the most severe form of
spina bifida and can lead to significant neurological and physical disabilities.
Impact on Menstrual Cycle
Women with myelomeningocele may experience irregular menstrual cycles due to the underlying neurological impairments. Management of
menstruation can also be challenging due to physical limitations and the need for assistance with
hygiene.
Pregnancy Considerations
Pregnancy in women with myelomeningocele requires careful monitoring. These women are at increased risk for
preterm labor, urinary tract infections, and complications during delivery. Prenatal care should include regular
ultrasound examinations and consultations with a multidisciplinary team.
Sexual Function and Fertility
The neurological damage associated with myelomeningocele can affect sexual function, including reduced sensation and difficulties with sexual arousal. Fertility may also be impacted, but many women with myelomeningocele can conceive and carry pregnancies to term with appropriate medical support.Recommended Medical Care
Women with myelomeningocele should receive care from a team of specialists, including
gynecologists,
urologists, and
neurologists. Regular follow-ups and preventive care are essential to manage complications and ensure overall health.
Conclusion
Myelomeningocele presents unique challenges in the context of gynecology. With comprehensive and coordinated care, women with this condition can lead healthy and fulfilling lives. Awareness and understanding of the specific needs of these women are crucial for healthcare providers.
