Obliterative surgery has not been suggested to me at my age of 46, but I learned of it in an informational pamphlet on surgical options for POP and I am actually really curious about it since it is less invasive than reconstructive surgery and has a higher success rate.

Personally, I think sex is about a lot more than vaginal penetration, so I'm surprised that they factor coital ability so strongly into treatment recommendations...It offends me, to be honest.

I have only had an initial consult to confirm POP and next step is an MRI to find out if I am eligible for a hysterectomy (I have adenomyosis, endometriosis of the uterus) as that will inform the rest of my treatment plan. However, the doctor thought I would likely need posterior and anterior vaginal repair, as well as a mid-urethral sling, so we're looking at multiple surgeries.

Don't reconstructive surgeries have higher chance of prolapse recurrence? And wouldn't that be even more so the case with younger patients?

At this point, I don't even know if my doctor would consider this surgery for me, but I hope I can have a thoughtful conversation and consideration of the pros and cons of each treatment option. It certainly raises some big existential questions around what it means to be a woman, which are probably similar to what those having to decide about reconstructive surgery after mastectomy face.

I will post some links I found helpful in my initial research in a few days (they won't let me since I just opened my account!).