According to medical statistics, after 60 years, more than fifty percent of women have a history of a disease such as uterine prolapse. Symptoms and treatment, reviews of various methods can be found very different. What to do - agree to the operation or trust folk remedies - we will figure it out.
What happens with prolapse
Prolapse of the uterus (prolapse) is a pathological condition in which in a woman's body the bottom of the cervix is shifted due to the weakening of her muscles and ligamentous apparatus. This is manifested by a feeling of discomfort, pulling pains, pathological vaginal discharge and urination disorder. If the process is started, then prolapse of the uterus is possible, both partial and complete. Thus, despite the fact that this pathology is quite common, cervical prolapse, symptoms and treatment, reviews of different approaches to which may be different, requires careful and serious consideration.
Normally, the uterus is located in the small pelvis at an equal distance from itwalls. At the same time, the rectum is located behind it, and the bladder is in front. Uterine prolapse is most often diagnosed in women over 40 years of age. The leading factor in the development of this disease is a violation of the coordinated actions of the movable abdominal muscles. These include the diaphragm, the muscles of the anterior wall and the pelvic floor. At the same time, their ability to keep the organs located in the small pelvis (uterus, its appendages, intestinal loops) in a physiologically correct position is reduced.
They are shifting. Violations occur due to damage to the pelvic floor. The reason for this can be injuries that a woman received during childbirth, repeated sprains, perineal ruptures, weight lifting, and innervation disorders. All this can cause prolapse of the uterus after childbirth. Symptoms and treatment in this case will be somewhat different from the pathology that manifests itself at a more mature age.
When the pelvic floor muscles weaken, under pressure from the higher organs, the uterus and its appendages gradually move down. At the same time, its physiological position, in which the uterus rests in front on the bladder and pubic bones, changes. In the future, such a displacement leads to the formation of a hernial ring in front or behind the uterus. Since weakened or damaged muscles are not able to hold the uterus in place, the anterior vaginal wall is first displaced, then the entire organ and its appendages. Often these processes go unnoticed and take years. That is why so many older women are well aware of what uterine prolapse is, the symptoms andtreatment. Reviews at the age of 65 about him can be left by almost half of the women of this age. Often the disease continues for more than one year.
Reasons leading to omission
As with all diseases, there are a number of causes that cause cervical prolapse. Doctors' reviews describe symptoms and treatment in some detail. Conducted studies have identified the most serious causes of the disease.
- First of all, these are complicated births. After them, women are most likely to damage the muscles located on the pelvic floor. The reason for this may be perineal tears, a fetus with a large body weight, obstetric manipulations.
- Surgical interventions on the genitals.
- Congenital malformations of the pelvic region.
- Neurological disorders causing damage to the innervation of the diaphragm.
- Hormone deficiency (particularly estrogen) that develops after menopause.
- Connective tissue dysplasia.
Risk factors
In addition to the above reasons, there are several other factors that increase the possibility that a woman will develop prolapse of the uterus over time. Symptoms and treatment, reviews and recommendations of doctors about various methods of therapy must be studied if there is a suspicion of a disease. Risk factors include:
- heavy lifting and hard physical labor;
- numerous births;
- obesity;
- heredity;
- tumors in the abdominalcavity;
- increased pressure in the abdominal cavity due to chronic constipation, paroxysmal cough;
- elderly and senile age.
Stages of disease
In the development of such pathologies as uterine prolapse (symptoms and treatment, we will study reviews of therapy), there are five stages.
- The genital slit gapes, the walls of the vagina are slightly lowered.
- The walls of the vagina are lowered, both the bladder and the rectum are involved in the process.
- The cervix descends to the level of the entrance to the vagina.
- The cervix is below the entrance to the vagina (incomplete prolapse).
- The uterus prolapses completely, everting the walls of the vagina.
Symptoms
As already mentioned, this pathology most often manifests itself in adulthood, which means that prolapse of the uterus (symptoms) and treatment in the elderly becomes a more urgent problem than in women under forty. This is also due to the fact that it is not possible to independently determine the problem in the early stages. As a rule, the only sign that can bother a young woman in the early stages of prolapse (omission) of the uterus is a decrease in the quality of sexual contact and constant aching pain in the lower abdomen. As the disease develops, the pain becomes acute, they are joined by pain in the lower back. In addition to the pain syndrome, a woman is worried about frequent urination and disorders in the work of the intestines. Externally, the disease is manifested by edema andmicrocracks in the perineum, which are formed due to constant friction and irritation.
As the disease progresses, pelvic dysfunctions join the symptoms. These include urinary incontinence, which can be provoked by sneezing, laughing, coughing. The work of the intestine is disturbed. This can be manifested by constipation or the development of colitis (inflammation of the large intestine, which is characterized by constipation, alternating with diarrhea, abdominal pain, weakness). The most unpleasant consequences associated with uterine prolapse relate to stool incontinence or gas.
In the last stages of the disease, there is a feeling of prolapse of the uterus into the perineum. There is ulceration, inflammation and atrophy of the mucous membrane of the organs that are located in the small pelvis. Varicose veins develop not only in the uterus, but also in the bladder and intestines. However, despite such pronounced external manifestations, pain, as a rule, is not too intense. Rather, the woman suffers from an emotional breakdown, feeling "disabled". There are cases when women were embarrassed to seek help for years, thereby aggravating the disease and what could be corrected conservatively had to be treated with surgery.
Diagnosis
As a rule, the diagnosis of uterine prolapse is not difficult. A gynecologist can determine it visually when examining a woman. To do this, she is simply offered to push. The difficulty lies in the fact that if the disease is in the early stages, it is difficult to determine “by eye” exactly where the defects are localized - onback or front wall. In this case, an ultrasound of the small pelvis, cystoscopy is performed. In addition, in order to exclude infection, swabs are taken for flora, bacteriological culture, material for cytology.
Conservative treatment
As well as diagnosis, they are individual for such pathology as uterine prolapse, symptoms and treatment. Reviews after childbirth can also be different. In some cases, the defects are minor and when straining, the organs do not appear outside the entrance to the vagina, and there are no complaints. In this case, treatment is not carried out at all or a set of special exercises is prescribed.
In case of a more advanced pathology and if there are contraindications for surgical intervention, uterine rings (pessaries) are used. They can be made of silicone and placed in the vagina for a long time. Another type of uterine ring is made from rubber. When using such products, in order to avoid bedsores on the vaginal wall, a woman should remove them at night and reinstall them in the morning. Pessaries can be cup-shaped or ring-shaped. Their choice depends on the degree of prolapse.
In order for the ring not to cause discomfort, women with menopause are recommended to use a cream containing the hormone estrogen along with it. After the right size and optimal shape has been selected, the doctor teaches the woman to install and remove the ring on her own. The schedule of control visits to the gynecologist is developed individually. Usually the first inspection isevery week, then - in the absence of complaints - once every six months.
The use of the uterine ring helps prevent organ prolapse in pathologies such as uterine prolapse. Symptoms and treatment, reviews of which you can find a wide variety, we have studied. But it should be remembered that only surgery will help to radically solve the problem.
Surgical treatment
To date, many techniques have been developed to eliminate the defect in the supporting structures of the uterus, and when choosing them, not only the stage of the disease, but also the age of the patient is taken into account. Most often, young women who plan to have more children perform fixation of the uterus to the ligaments or fascia located in the small pelvis. Another method (colporrhaphy) helps prevent prolapse of the vaginal walls by excising "extra" tissues and suturing the legs of the perineal muscles. Elderly women in case of complete prolapse of the organ are recommended to have the uterus extirpated. This method allows you to completely solve the problems that arise in the last stages of such a pathology as uterine prolapse. Symptoms and treatment, reviews at the age of 65 differ from the characteristics of the course of the disease at a younger age, often the treatment consists in the complete removal of the organ through the vagina. In addition, during this operation, the doctor has the opportunity to perform a posterior or anterior vaginal plastic surgery or to correct an intestinal hernia.
Prolapse of the uterus - symptoms and treatment. Gymnastics
Back in the forties of the last century, gynecologist A. Kegel developed gymnastics to strengthen the muscles of the perineum. These exercises help to regulate sexual functions, recover from various disorders of the genitourinary system and contribute to the treatment of rectal pathologies. In addition, the complex perfectly helps to correct violations that occur in the early stages of such a pathology as uterine prolapse (symptoms). And the treatment, exercise reviews are called quite effective, with the regular implementation of the complex, it begins to quickly bear fruit. Also, these exercises serve as an excellent prevention of blood stasis in the pelvis and inflammation of the organs of the reproductive system. To carry out such gymnastics, you need to sequentially perform several actions.
- Tighten your muscles as if you want to interrupt the act of urination. Slowly count to three in this position and relax. Repeat 10 times.
- Squeeze and relax the same muscles 10 times as quickly as possible.
- You need to push (as in childbirth or stool), while not only the perineal muscles will tense up, but also some abdominal and anus muscles. Also repeat 10 times.
The complex must be performed at least five times a day. Gradually, adding 5 repetitions per exercise weekly, bring the number of repetitions of each exercise up to 30 times. This is not so difficult, because you can do them anywhere - sitting at your desk, at home on the couch or at the kitchen stove. The position of the body (sitting, standing or lying down) also does not affect their effectiveness. However, it must be remembered that the result will be noticeable only after a certain time,especially with a disease such as cervical prolapse (symptoms). And treatment with exercise is important to carry out at least five times a day constantly, without taking breaks. Otherwise, the effect of exercise will be greatly reduced.
Prolapse of the uterus, symptoms, treatment with folk remedies
In the case of conservative treatment of prolapse, you need to be prepared for the fact that this process will take quite a long time. In addition, to achieve maximum results, do not neglect traditional medicine. Of course, you should not rely only on herbal decoctions and infusions, but against the background of the therapy and exercises prescribed by the gynecologist, their use will help to overcome the disease faster.
- To prepare a decoction, you need to prepare 50 g of lime blossom and leaves of lemon balm or mint, 70 g of white smoky and 30 g of alder root. Pour a tablespoon (with a slide) of the resulting mixture with one glass of boiling water. After the broth has cooled down, it is taken in 0.5 cups three times. The duration of admission is 21 days, then take a break for 14 days. The number of such courses is unlimited.
- One part of astragalus root is poured with nine parts of vodka and infused for 10 days. After that, the tincture is taken in a teaspoon after meals in the morning and evening. You can do this either by dissolving it in a small amount of water, or just drinking it. The course is 30 days, then a fourteen-day break is taken, after which the course is repeated. Attention to motorists - although the dose of alcohol in the tincture is minimal,do not drive for at least 40 minutes after taking it.
- You can combine the reception of two decoctions. Please note that they are prepared separately, but for the effectiveness of the treatment, they must be taken one after another with an interval of no more than 10 minutes. To prepare the first decoction, 30 g of plantain is poured into 500 ml of water and brought to a boil, then boiled over low heat for 20 minutes. After that, add 3-4 tbsp. tablespoons of honey and boil for another 10 minutes. Add a tablespoon of celery seeds to the chilled and strained broth and mix well. Take one stack three times a day. You need to drink it with half a glass of a decoction of the following herbs: burnet, calendula, St. John's wort, agrimony, bedstraw in equal parts. They are poured at the rate of a tablespoon of herbal mixture, a liter of water, brought to a boil, cooled, filtered.
Thus, today it is quite possible to defeat such a disease as uterine prolapse. Symptoms and treatment, reviews, photos, we tried to consider as much as possible. One conclusion can be drawn: recovery is a rather long process, but the exact implementation of the doctor's recommendations and patience will help restore the usual quality of life.
