Ehlers Danlos Syndrome
Info for OBGYN

WHAT IS IT?

 

An inherited connective tissue disorder where a gene mutation creates weakened collagen throughout the body. Collagen is a building block of several different systems throughout the body: musculoskeletal, neurological, gastrointestinal, and cardiovascular. This can cause a number of different symptoms with a wide variety of presentation between people

Possible Symptoms

 

Musculoskeletal: pain, dislocations, muscle tightness, poor posture, headaches, chronic fatigue

Cardiovascular: lightheadedness, dizziness, poor

endurance, fainting, referred heart pain

Gastrointestinal: constipation, IBS, issues with eating GERD, bloating

Neurological: poor balance, poor coordination, increased pain perception

Other: easy bruising, skin hyperextensibility, poor immune system, anxiety, depression, issues sleeping

​Considerations for OBGYN

  • Pelvis hypermobility frequently causes miss alignment of sacroiliac joint

  • High likelihood of pelvic dysfunction

  • Pelvic floor tightness most likely due to muscle compensation for hip weakness

  • Changes in hormones can exacerbate EDS symptoms

Modifications for Patients
 
  • Use a small pillow at low back to decrease irritation during pelvic exam

  • Take breaks during exam to decrease hip and lumbar spine irritation

  • Do not plan a lot of other activities for the day