Practitioners of gynecology quite often diagnose "genital prolapse."The prolapse of the uterus, the descent of the uterus, the loss of the vagina - all this is the name of one disease. Beginning with small, yet invisible changes, it is progressing and can lead to severe, sometimes irreversible consequences.
Silent illness
According to statistics, every second woman in menopause and about 30% of those giving birth to young people suffer from such a disease as uterine prolapse. What to do in these cases, can tell any gynecologist. Faced with unusual sensations in the pelvic region, repeated repeatedly, or immediately with the loss of the crotch of the uterus or vagina, do not postpone visiting a gynecologist for later. You can not miss even one day!
Unfortunately, the problem of the disease is complicated by the modern mentality, unwillingness to admit to relatives and first of all to themselves that everything is not all right. For some reason, many believe that they will manage themselves when the uterus has just begun to fall out. They do not know what to do, but they do not want to go to the doctor.
How does the disease develop?
risk groups Initially, the healthy uterus is located in the center of the small pelvis and is held by the ligaments securing it to the sacrum and pelvic bones, and from the bottom it is supported by the muscular apparatus of the perineum.
During pregnancy there is an inevitable increase in the uterus, and if the labor activity proceeds normally, through time( individual process) all organs return to their place.
- With rapid delivery, with incorrect( rough) stimulation, with significant ruptures of the genital tract, ligaments may overgrow or break. This almost always ensures the loss of the uterus. What should the young woman do in this case? Do not have sex and give up wearing a baby?
- In the case of uncontrolled heavy physical exertion( lifting weights in the first place), the muscles supporting the internal organs may overstrain.
- Women with bronchial asthma or other severe lung diseases are also at risk: severe cuffing strains the pelvic muscles.
- With significant obesity or presence of tumors( myomas), it is necessary to assume that genital prolapse can progress in patients.
- When the level of estrogens changes( before menopause and during), the elasticity of tissues is lost, and, of course, ligaments can stretch.
- When a woman is constantly tormented by constipation, and already has hemorrhoids( when instead of taking laxatives during a bowel movement squeezed out under high pressure internal organs), female diseases can not be avoided.
Representatives of all groups should urgently begin treatment of omission of the uterus. The omission of the walls of the vagina as a concomitant disease with the progression of prolapse also requires an urgent decision.
Stages of genital prolapse
Depending on the symptomatology, a different treatment is prescribed: either conservative( gymnastics, massage), or surgical( surgical intervention and even removal of the uterus).
• The first stage is characterized by a changed position of the uterus, when the cervix is already in the vagina, but has not yet reached the genital slit and beyond.
• In the second stage, part of the uterus is located outside the genital gaps.
• The third stage is the heaviest. Prolapse of the genitals progresses until the uterus falls completely out of the genital gaps.
Symptoms of prolapse of genitalia
. While there are no visible manifestations of prolapse, a woman should be concerned about the following negative aspects:
- discharge during pain and irritation in the vagina;
- nojushchaja the pain, irradiirujushchaja in an inguen, in the field of a loin;
- feeling of constant heaviness in the vagina;
- unpleasant sensations in the perineum when getting up or sitting for a long time, turning into pain;
- feeling of pain during intercourse;
- episodic appearance of the cervix from the perineum;
- urinary incontinence with emotional( laughter) and physical( cough) stress;
- delay with urination, difficulty and weak head.
Depending on the indications, the first stage of the disease offers conservative treatment: Kegel gymnastics, massage, estrogen therapy and in addition to phytotherapy.
In the second and third stages, the woman herself can diagnose "prolapse of the uterus".What to do? Treatment, operation, removal? Can anything be suggested by modern medicine in these cases?
The complex of physical exercises with genital prolapse
The gynecologist at the reference and after inspection gives out recommendations about what to do if the uterus descent starts. Genital prolapse even in the initial stages does not cure completely, without treatment it can only progress. Conservative receptions can stop it, and at the second stage it is easier to intervene.
If a woman has already noticed symptoms such as a change in the pressure of urine, especially her incontinence, or she began to attend episodic pains in the lower back, before going to the gynecologist, you can do special exercises. Some of them can be done even at work or in transport.
1. It is necessary to squeeze the knees so much to feel the tension of the muscles. Sometimes it is advised to insert a fist between the knees. Make it up to ten times.
2. Sitting, stretch the muscles of the pelvis so as to raise the crotch up. Do up to ten times.
3. Turn your legs, lying on your back, up to five minutes, imitating riding a bike. The fineness of this exercise is not to strain the press, but to load the muscles of the hips more.
4. Lying on one side, put the right foot back behind the left, which is to be raised as high as possible, without bending it. Exercise do twenty to thirty times on each leg.
Do exercises( especially the first two) you need as often as possible. The usual practice is up to ten times a day.
Gymnastic exercises give a positive result, which manifests itself from the first twenty days, sometimes it takes more than two months( then it will become a habit) for up to a year. Loss of cervix. What to do, how to do without an operation? Conservative treatment of
• Electrostimulation for perineal and pelvic floor muscles has been recognized as one of the modern promising methods.
• Some patients are offered to work with vaginal exercise machines( weights of different weights), they must be kept for a long time in the vagina.
• The most gentle method is phytotherapy. A group of medicinal plants that help alleviate pain and regulate the menstrual cycle is quite large: melissa, datura, gentian, pine nuts( pine needles), echinacea, evening primrose, dandelion, lily root. The vegetable complex for oral ingestion is prepared on the basis of alcoholic tinctures and aqueous decoctions. Useful and warm herbal baths.
• The attending physician can offer orthopedic treatment by wearing special pessaries. The technique of putting on, the time of removal, the period of wearing - everything is determined only by the observing gynecologist.
• In some cases, a band is prescribed that supports the organs in the desired position.
• Gynecological massage with the use of estrogen-based creams can be a part of hormone replacement therapy, as well as an independent procedure.
What to do if the uterus falls: surgery
A natural fear of the operation makes any person delay the moment of coming to the doctor. When conservative methods have not yielded results, and cervical prolapse is already progressing, what should patients do in such a situation? Operative intervention, chosen by the attending physician, is unavoidable.
To date, gynecologists have developed many types of surgical treatment to eliminate anatomical abnormalities of the uterus with correction of adjacent organs such as the bladder and intestines.
As a result of the operation, the structure of the pelvic floor is reconstructed, all organs are correctly located, sufficient elasticity of the vagina is achieved at the required length.
Each operation includes a basic( fixation of the walls of the vagina - vaginopexy) and is supplemented by correction of existing disorders( urethropexia with urinary incontinence, sphincteroplasty with weakness of the pelvic muscles).
To date, more than fifty kinds of operations are known with the diagnosis of uterine prolapse. What to do in each specific case( operation and method) - the surgeon chooses.
How dangerous is the loss of the uterus?
Most women, especially in the menopausal period, do not understand the danger of the diagnosis, the increasing signs of the disease do not bother them at all. Having brought the situation to a critical level, they resort in fear to the gynecologist with the question: "How to pick up the fallen uterus?"
The genital prolapse is characterized by the lowering of the organs, the organs themselves and the important neurovascular bundles are compressed - all this is extremely dangerous. In the resulting hernia, the bladder, intestine, and anterior part of the rectum descend.
With the progression of prolapse, it becomes much more difficult to restore normal organ anatomy, and the second and third stages require urgent surgical intervention. Otherwise, changes in the functioning of the urinary organs and intestines can cause a threat not only to health, but also to life.