No mesh erosions were associated with SH within the first 3 months. In TH, the graft material used may be a modifiable factor needing further investigation. Unexpected abnormal uterine pathologic diagnosis remains a possibility with SH. Longer-term follow-up and a randomized trial are warranted to answer these questions.

Levator myalgia is a prevalent condition in urogynecology practice, and is associated with approximately 50% greater bother in urinary, defecatory, and prolapse symptoms.

In women with symptomatic prolapse, fibromyalgia is associated with an increased risk of levator myalgia and 50% more symptom bother from pelvic floor disorders.

At 6 months postpartum, active duty women have decreased muscular and cardiovascular fitness, and have not yet regained prepregnancy weight. These changes put women at high risk for failing the PFA. These changes resolve by the second postpartum PFA. Women above the age of 30 and those who develop gestational diabetes or anemia during pregnancy are at risk for poor postpartum fitness. The Navy should consider extending the time allowed for women to meet PFA standards postpartum and develop a program to monitor women's progress toward PFA standards and provide assistance as needed.

: Bladder pain syndrome (BPS), including the specific variant interstitial cystitis, is a chronic condition characterized by bladder, urethral, and pelvic pain; urinary urgency; and urinary frequency. Bladder pain syndrome poses many clinical challenges: (1) The diagnosis is one of exclusion and is often inappropriately assigned; (2) a wide-range spectrum of symptoms can be noted in the population from minimally affected to debilitated; and (3) the etiology for the disease is unknown, which has made the development of directed therapies problematic. The objective of this article was to review the current theories of etiology of BPS and the diagnosis of BPS and understand treatment options including surgical, complementary, and pharmaceutical.