Uterine Prolapse overview

Can you tell me a little more about the cause and treatment of uterine prolapse? Anna Martin asked me, and I have created this post to answer that. This is an important post that not only she but every woman should know. Let’s find out today’s topic.

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The uterus is an organ that supports itself with the help of membranes alone. It does not have any separate bone support. Therefore, whenever the uterus gets the opportunity to face a heavy workload, it will descend due to the weakening of its membranes. This is commonly called prolapse uterus in colloquial terms.

If you want to explain uterine prolapse more clearly,

Uterine prolapse occurs when the pelvic floor muscles and ligaments become stretched and weakened to the point where they no longer provide adequate support for the uterus. As a result, the uterus slips down or out of the vagina.

Uterine prolapse most often affects women who have gone through menopause after one or more vaginal births.

Mild uterine prolapse usually does not require treatment. However, uterine prolapse that causes discomfort or disrupts daily life may benefit from treatment.

Reasons for uterus prolapse problem

Let us now see what are the main causes of uterine prolapse;

• Vaginal delivery
• Age at first delivery (older women have a higher incidence of pelvic floor injuries compared to younger women)
• Difficult labor and delivery or trauma during childbirth
• Delivery of a large baby
• Being overweight
• Estrogen levels drop after menopause.
• Chronic constipation or straining with bowel movements
• Chronic cough or bronchitis

Apart from this, uterine prolapse can occur due to many other important reasons. Let me explain them clearly. Please Continue reading…

• REPEATED PREGNANCIES, also known as multiple births, means that when babies are carried in the uterus without a break, there is a chance that its membranes will weaken and fall down.
• To put it clearly, after having a child, you should wait a few years before trying for the next child. If you keep having more many children, you risk having problems like this.

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• Giving birth using a method of delivery called FORCEPS DELIVERY, which involves removing the baby with a weapon, can weaken the lining of the uterus.
• PROLONGED LABOR: Prolonged labor, which causes the baby to remain in the cervix for a long time, can cause uterine prolapse.
• Women who work in heavy lifting, construction, and agricultural work also have problems with uterine prolapse.

What are the complications caused by uterine prolapse?

Factors that can increase the risk of uterine prolapse include:

• Being older when you have your first baby. This means that problems that can affect older people will appear in your teenage.
• Giving birth to a large baby
• Aging
• Obesity
• Prior pelvic surgery
• Family history of weak connective tissue
• Chronic coughing, such as from smoking

Apart from this, this uterine prolapse causes many problems for us.I have written about it in detail below for you. Read it.

Uterine prolapse often occurs with prolapse of other pelvic organs. This type of prolapse can also occur:

Anterior prolapse. Anterior prolapse occurs due to weak connective tissue between the bladder and the roof of the vagina. This can cause the bladder to bulge into the vagina. This is called a cystocele or prolapsed bladder.

Posterior vaginal prolapse. Weak connective tissue between the rectum and the floor of the vagina can cause the rectum to bulge into the vagina. This can cause difficulty with bowel movements. Posterior vaginal prolapse is also called a rectocele.

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• The uterus descends from the vagina, like a ball, and comes out between the legs.
• There will be difficulty in defecating. Every time you defecate, the uterus will come out like a ball.
• Since it blocks both organs, the bladder in front and the rectum in back, it is difficult for both waste products to pass out, leading to urinary tract infections and anal itching.
• Urine leakage occurs. Urine leakage occurs due to coughing and sneezing.
• Long-term uterine prolapse can cause a sore called a decubitus ulcer. This can cause problems like pain, irritation, and bleeding.
• It is difficult for women whose uterus has descended from the inside out to have intercourse.

Solutions for uterine prolapse

• The treatment for this is to first do exercises that strengthen the pelvic muscles.
• Prevent constipation. Drink plenty of fluids and eat fiber-rich foods such as fruits, vegetables, beans, and whole grains.This means that you should eat more foods like papaya, which are high in fiber.
• Foods that are very salty and sour should be avoided. In case of diarrhea, stool due to constipation can increase the risk of infection in the cervix.
• Avoid lifting too much weight. If you have to lift something heavy, do it correctly. Proper lifting involves using your legs instead of your hips or back.
• Control your cough. Get treatment for chronic cough or bronchitis. Don’t smoke.
• Avoid weight gain. Talk to your doctor about your ideal weight and get advice on how to lose weight if you need it.

If training and dieting don’t work for us…

• If exercise and diet are not effective, your gynecologist may perform some minor surgical procedures.
• The gynecologist will push the external uterine cavity back into the uterus with the help of spinal anesthesia. But this is mostly a good solution for middle-aged women. In addition, the uterus will be stitched together with its membranes in a colpoclesis procedure to prevent it from falling back down.

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• They will also correct the laxity of the cervix through a procedure called COLPORRAPHY.
• For women who do not require surgery, a mesh-like structure called a pessary is placed in the cervix.

There are many types of pessary, including doughnut pessary, ring pessary, and gelhorn pessary. Depending on the individual’s needs, the pessary is placed in the cervix in the right way so that it does not fall down. This method can cause a lot of vaginal discharge and vaginal ulcers in women with diabetes. Pessary is helpful in the absence of diabetes and cervical infection.

All major medical college hospitals will have a COLPOSCOPY UNIT with specialist doctors for cervical problems. There you can get specialized treatment for cervical erosion.

There is still not enough awareness among our women about this. If they get good treatment, the problem will be solved. I wish them a speedy recovery.

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