Uterine prolapse: what to do? Treatment of ptosis and prolapse of the uterus

Practitioners of gynecology quite often diagnose "genital prolapse." The prolapse of the uterus, the descent of the uterus, the loss of the vagina - all these are the names of one disease. Starting 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 the climacteric period and about 30% of those giving birth to young people suffer from such a disease as a prolapse of the uterus. 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 perineal part 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 that fasten 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, after a time (individual process) all the organs return to their place.

• At fast sorts, at incorrect (rough) their stimulation, at appreciable ruptures of sexual ways the ligaments can be overgrown or torn. 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 straining with coughing strains the pelvic muscles.
• If there is significant obesity or presence of tumors (myomas), it is necessary to assume that genital prolapse can progress in patients.
• When the level of estrogen changes (before the menopause and at the time), the elasticity of the tissues is lost, and, naturally, the 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 vaginal walls as a concomitant disease in the course of prolapse progression also requires an urgent solution.

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, the part of the uterus is outside the sex slit.

• The third stage is the heaviest. The prolapse of the genitals progresses until the uterus falls completely out of the genital cleft.

Symptoms of prolapse of the genitals

While there are no visible manifestations of fallout, a woman should be concerned about the following negative points:

• Discharge during pain and irritation in the vagina;
• Aching pain radiating in the groin, into the lumbar region;
• 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;
• Incontinence with emotional (laughter) and physical (cough) loads;
• Delay with urination, difficulty and weak head.

Depending on the indications, at the first stage of the disease conservative treatment is offered: Kegel gymnastics, massage, estrogen treatment and in addition 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?

Complex of physical exercises with prolapse of genitals

The gynecologist at the reference and after inspection gives out recommendations about what to do if the uterine omission has begun. Genital prolapse even in the initial stages does not cure completely, without treatment it can only progress. Conservative techniques can suspend it, and at the second stage it can facilitate surgical intervention.

If a woman has already noticed such symptoms 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 strongly enough 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 bicycle. The fineness of this exercise is not to strain the press, but to load the muscles of the hips more.

4. Lying on your side, put your right foot back behind your left, which you should raise 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 the cervix. What to do, how to do without an operation? Conservative treatment

• Electrostimulation for the muscles of the perineum and pelvic floor has been recognized as one of the modern promising methods.

• Some patients are offered to work with vaginal exercise machines (weights of various 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 relieve 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 intake is prepared on the basis of alcoholic tinctures and aqueous decoctions. Useful and warm herbal baths.

• The attending physician can offer orthopedic treatment - this is the wearing of special support rings - 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 out: surgery

The 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, there are more than fifty types of operations with a diagnosis such as prolapse of the uterus. What to do in each specific case (operation and method) - the surgeon chooses.

What is dangerous for the loss of the uterus?

Most women, especially in the climacteric period, do not understand the danger of the diagnosis, the increasing signs of the disease do not bother them at all. Bringing the situation to the critical, in a fear resorted to a gynecologist with the question: "How to pick up the fallen uterus?"

The prolapse of the genitals is characterized by the lowering of the organs, the organs themselves and the important neurovascular bundles are squeezed - all this is extremely dangerous. In the resulting hernia, the bladder, and intestine, and the front part of the rectum descend.

With the progression of prolapse it becomes much more difficult to restore the normal anatomy of the organs, 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 life.