Uterine prolapse pathology, the displacement of the organ down into the vagina until its complete loss to the outside, while the cervix remains in place. This state is one of the manifestations of the disease, called worldwide “pelvic organ prolapse”. Uterine prolapse may be discovered in women of any age, but more than 50% of cases, the abnormality is diagnosed in women older than 50 years.
The uterus is fixed in the cavity of the pelvis in the normal position of the ligamentous apparatus and muscles and fascia of the pelvic floor also plays a significant role in this in your own tone on. As a result of damage structures that hold the uterus, its prolapse.
Causes of uterine prolapse
- damage to the pelvic floor muscles;
- genital injuries received during labor, when use of the obstetric forceps, vacuum extractor, removing the fetus buttocks;
- surgical operations on the genitals;
- deep perineal tears;
- neurological diseases that result in disturbed innervation of the urogenital diaphragm;
- congenital defects in development of organs of small pelvis.
There are also factors that increase the risk of developing prolapse of uterus:
- old age women; persistent heavy lifting;
- multiple births;
- increased intra-abdominal pressure in obesity, chronic constipation, diseases, accompanied by constant cough, the presence of tumors in the abdominal cavity.
Symptoms of uterine prolapse
There are several degrees of uterine prolapse:
- 1 degree prolapse of uterus – prolapse of the uterus or its cervix (the cervix is lowered to the level of the vagina, but not out of the genital slit when straining);
- 2 degree uterine prolapse – partial loss of the uterus (the cervix during straining may seem to be of the gender gap);
- 3 degree uterine prolapse – incomplete uterine prolapse (of the gender gap supports the neck and part of the body of the uterus;
- 4 degree uterine prolapse – complete uterine prolapse (of the gender gap goes the whole body of the uterus).
Symptoms of a dropped uterus quite a lot, and not notice them impossible. A woman concerned about nagging pain, a feeling of pressure in the abdomen, radiating to the sacrum and lower back, constipation, frequent urination. In addition, when uterine prolapse there is a sensation of a foreign body in the vagina, the woman drew attention to the increase in the number of mucous and sometimes bloody discharges. It is a violation of the menstrual cycle, menstruation is very painful, and the blood loss can be so abundant that it can lead to the development of anemia. Sexual intercourse becomes painful, and with a substantial degree of prolapse of the uterus is impossible.
With the progression of the disease is worsening of symptoms. Dysuric disorders intensify, women may experience difficulty urinating or incontinence. Because of the violation of the outflow of urine significantly increases the risk of infectious diseases of the genitourinary system (pyelonephritis, cystitis, urethritis, etc.). When the prolapse of the uterus 2-4 degree woman alone can determine the education, which is of the gender gap.
The examination about the omission of the uterus is often found prolapse of the rectum and bladder.
Treatment of uterine prolapse
Many patients are concerned about the issue: “Possible treatment of prolapse of the uterus without surgery?” With the progression of the pathology to return the authority to place without surgical intervention will not succeed. Gymnastics and massage to strengthen the muscles of the pelvic floor and abdominals, are a method of prevention of this condition, but not cure, if the offset of the body relative the anatomical and physiological boundaries has already occurred.
Today there are several options for surgical treatment of prolapse of the uterus, allowing each patient’s doctor may recommend the best option. It should be understood that any one the efficient operation doesn’t exist, any form of surgical intervention there is the likelihood of recurrence.
To return the uterus to its normal position is shortening and strengthening the round ligaments that support the uterus, followed by fixing them to the wall of the body or stitching of the ligaments between them. Possible fixation of displaced uterus to the walls of the pelvic floor (pelvic ligaments, the pubic or sacral bones). A high probability of recurrence after such operations due to elongation of the ligaments, which are used for fixing the body.
In recent years, worldwide more and more demanded and popular are surgery using alloplastic materials, which are synthetic “mesh”. The risk of relapse after the woman of such an operation is several times lower compared to traditional surgeries without the use of the implant.
Usually all the operations to strengthen the ligamentous-muscular apparatus of the pelvic floor are held together with a plastic vagina. Operations possible vaginal access or through the abdominal wall.
Removal of the uterus (hysterectomy) is only performed if the presence of other diseases that required the removal of the organ. After hysterectomy often occurs prolapse of other pelvic organs, so if possible, and the desire of women the uterus should be retained.
In the postoperative period women should avoid heavy lifting, physical exertion, to prevent constipation, to perform gymnastics. The implementation of the recommendations of the doctor significantly reduces the risk of recurrence of prolapse of the uterus.
Prevention of uterine prolapse
To start the prevention of prolapse of the uterus is necessary for all girls in childhood. Useful regular physical exercise to strengthen the abdominal muscles, you also need the treatment and prevention of diseases, leading to chronic constipation.
In the legislation there are special instructions in the field of protection of women’s work. Women should not do hard physical work, invalid lifting and carrying loads weighing over 10 kg.
In the development of prolapse of the uterus plays a significant role in births, as well as the proper management of pregnancy and birth, so during pregnancy you should regularly and timely visit doctors of female consultation. Often prolapse is a consequence of the lack or incorrect provision of obstetric AIDS in childbirth. Unfortunately, in recent years, a growing number of women refuses of childbirth in qualified medical institutions, resulting in a significantly increased number of cases of birth trauma.
After birth, women need to regularly perform exercises to strengthen the muscles of the pelvic floor and abdominals, you should limit heavy physical exertion. Before you start training, you should consult with your doctor, who will make recommendations about the timing of the start of classes and intensity of the loads.
In postmenopause women should also pay attention to prevention of prolapse of the uterus. In addition to preventive and curative gymnastics, a doctor may recommend hormone replacement therapy, due to which improves blood flow and tone of the uterus and its ligaments.
Video: Uterine prolapse
Exercises when prolapse of the uterus and to prevent it
Exercises that strengthen the vaginal muscles
- Slow compression of the muscles of the perineum. Perineal muscles should be kept tense 3-4 seconds, then you need to relax. Then the muscles tense up again for 5-20 seconds, then you need to slowly unwind.
- an Exercise in which you need to gradually stretch and relax the muscle of the perineum, called a “lift”. To begin the exercise you need, gradually straining the muscles of the perineum, leaving them in good shape for 3-5 seconds (so-called first floor) then you will increase muscle tension and to keep muscles toned for a few seconds (the”second floor”), etc. Should continue to raise the voltage as long as possible, then smoothly you should weaken the muscles of the vagina.
- Reduction. Should consistently stretch and relax the muscles of the perineum, gradually increasing the tempo of the exercise.
Exercises to strengthen pelvic floor muscles and abdominals
To start classes to be a repetition of exercise 5-7 times, gradually increasing to 15-20 repetitions. Many of the exercises are familiar to us from the lessons of rhythmics, and physical education at school and do not require special physical training:
- in the supine running exercise “Bicycle” bent at the knees legs, and exercise “scissors” straight feet;
- in the supine position should raise a straightened leg to the 45 degree angle from the floor, holding them in raised position for 3-5 seconds first, then gradually increasing this time to 10-15 seconds;
- in the supine position you need to bend your knees, then, leaning on his elbows, to raise the hips, and then draw the muscles of the perineum; after a few seconds, relax and return to starting position;
- in a prone position on the stomach to simultaneously raise outstretched arms and legs, making a “boat”;
- walking the stairs is also one exercise that improves the muscle tone of the pelvic floor.
Exercises that help to strengthen the muscles of the pelvis, perineum and abdomen, a lot. The above are the simplest ones that can be performed at home. Paying just 30-50 minutes per day such therapeutic and preventive gymnastics, you can greatly reduce the risk of omission not only of the uterus and other pelvic organs.