Recognizing Pelvic Support Problems
Symptoms may include pelvic pressure or heaviness, a bulge at the vaginal opening, difficulty emptying the bladder or bowel, urinary leakage, or discomfort that affects activity or intimacy.
Pelvic Floor & Reconstructive Surgery
Restore support, comfort and confidence.
Pelvic floor problems can be deeply personal, but they are common and treatable. Dr. Alexander is recognized for her expertise in pelvic reconstructive surgery and provides experienced evaluation and surgical care for pelvic organ prolapse and related support problems, with treatment selected around each patient’s symptoms and goals.
A Full Range of Treatment
Not every patient needs surgery. Depending on the diagnosis and goals, care may include observation, pelvic-floor therapy, a pessary, changes that reduce strain, or reconstructive surgery.
Advanced Surgical Experience
Dr. Alexander is recognized for her expertise in pelvic reconstructive surgery, with careful attention to anatomy, function and recovery. Her broader advanced training includes a Harvard Medical School fellowship in menopause care, adding a whole-woman perspective to midlife and pelvic health.
Reconstruction With Your Goals in Mind
Surgical planning considers the location and degree of support loss, prior procedures, bladder and bowel symptoms, sexual function, overall health, and whether preserving the uterus is important to the patient.
Personalized Care
A plan built around you
Symptoms, priorities, health history and future plans are different for every patient. Dr. Alexander begins with careful listening, explains appropriate options in plain language, and works with each patient on a practical next step. Information on this page is educational and does not replace an individual medical evaluation.
A Signature Area of Expertise
Reconstruction After Complex Childbirth Injury
Childbirth can occasionally cause extensive injury to the perineum, vagina, anal sphincter, pelvic floor, or the tissues that support the pelvic organs. While many obstetric tears heal with standard repair, some injuries are more complex or leave lasting changes in anatomy and function.
Dr. Allison Alexander is recognized for her expertise in pelvic reconstructive surgery, including complex reconstruction after childbirth-related injury. Her approach focuses not simply on repairing tissue, but on restoring anatomy and supporting bowel, bladder, sexual, and pelvic-floor function whenever possible.
Patients may seek evaluation for persistent pain, pelvic pressure or bulging, bowel or bladder symptoms, difficulty with intimacy, poor healing, or concerns about a prior childbirth repair. An injury does not have to be recent: patients with longstanding symptoms may still have meaningful treatment options.
Common Questions
What patients often ask
What is pelvic organ prolapse?
It occurs when weakened support allows the uterus, bladder, rectum, vaginal walls or vaginal apex to descend and create pressure or a bulge.
Does prolapse always require surgery?
No. Treatment depends on how much the symptoms interfere with life, not simply the appearance on an examination.
What happens at a consultation?
Dr. Alexander reviews symptoms, medical and surgical history, performs an appropriate examination, and explains conservative and surgical choices, expected recovery and individual risks.