Most women over the age of thirty suffer from various gynecological diseases, in which prolapse of the pelvic organs can occur. This happens not only due to diseases, but also as a result of genetic abnormalities, psychological factors and too much physical exertion on the female body. Childbirth, during which various injuries were received, can also affect the condition. All these factors affect the he alth and quality of life of a woman. These diseases progress quite quickly and very often require the intervention of a surgeon. But there is an alternative to this type of treatment - the installation of a gynecological pessary.
What is a pessary?
Even in the time of Hippocrates, it was used as a pessary for pomegranates, which were previously soaked in vinegar. Over time, the choice of various materials became much larger, people began to use wood, cork, and then rubber for its manufacture. Today, the gynecological pessary is made of polypropylene and silicone. Time has changed not only the material, but also the very appearance of this device, which allowschoose exactly what will fit the female problem as best as possible. The device consists of rings of different sizes, interconnected. For each woman, the doctor will select exactly the size that suits her.
Types of pessaries
Currently, there is a whole classification of these gynecological devices.
Sustaining - designed to support the uterus, preventing its descent. These include:
- gynecological pessary with elevator, which is used in the treatment of incontinence;
- thin uterine rings;
- thick rings;
- cup-shaped;
- made in the form of a strip.
Filling - designed to prevent the walls of the uterus from sagging. They prevent the prolapse of the rectum, as well as the bladder. This species includes:
- thick rings;
- mushroom inflatable pessaries;
- cube fixtures.
Installation of a gynecological pessary is recommended for women in the following cases:
- Patient refusal from surgery;
- detection of prolapsed or prolapsed uterus;
- urinary incontinence;
- impossibility of operation;
- need for treatment before surgery;
- diagnosis of latent incontinence in cases where uterine prolapse masks symptoms.
But as with any treatment,The use of a pessary has its contraindications. Doctors do not recommend installing a pessary in the following cases:
- for bleeding;
- in the presence of infectious diseases;
- in case of detection of inflammatory processes in the uterus;
- narrow vaginal opening;
- as a result of the detection of precancerous diseases.
Installing a gynecological pessary for permanent wear is not recommended for those who, due to some circumstances, cannot visit a specialist every six months, as well as for very loving women.
Gynecological pessary during pregnancy
Unfortunately, not all pregnancies go without complications. A large number of pregnant women are faced with the problem when the uterus begins to open very early. In such cases, gynecological pessaries during pregnancy can help. This device is an excellent alternative to stitching, which is carried out only under anesthesia. Therefore, there is a threat to the he alth of the baby. The pessary in this case remains the best option in order to keep the pregnancy even in the short term.
During pregnancy, a pessary is installed in a number of cases:
- for prevention of cervical insufficiency;
- for multiple pregnancy;
- in case of isthmic-cervical insufficiency.
Due to the installation of a pessary, the load on the cervix is reduced. Probability of uterine opening and prolapsefetus is significantly reduced. The woman begins to feel better, as it becomes much easier, and the pain almost disappears.
How is a gynecological pessary inserted and removed during pregnancy?
There is no difficulty in installing the device. It can be carried out not only in the hospital, but also on an outpatient basis. Pregnant women tolerate this procedure very well. In cases where a woman has a very low pain threshold or a high sensitivity of the uterus, doctors recommend taking a No-shpa tablet an hour before the procedure. The whole manipulation does not take much time and is carried out only on an empty bladder. The gynecological pessary itself is treated with gel, and then inserted into the woman's vagina.
Bacteriological examination after installation is carried out every three weeks in order to exclude infection.
The pessary is not installed if the pregnant woman has bleeding in the second or third trimester. Installation is also contraindicated in the presence of various inflammatory processes.
The doctor removes the pessary at 36 weeks, but there are cases when this is done a little earlier.
Gynecological pessary in cases of uterine prolapse
Most often this disease is chronic. It occurs already at a fairly mature age and progresses slowly. If left untreated, the disease can lead to complete prolapse and prolapse of the uterus.
Gynecological pessaries for uterine prolapse solve suchproblems such as: discomfort and deterioration in the quality of life of a woman. It should be noted that the use of a pessary cannot always completely solve this problem and return the internal organs to their place. But this method of treatment may well return the woman to the usual rhythm of life and allow her not to feel discomfort.
When the uterus is prolapsed, the use of a pessary is indicated only if surgical intervention is not possible. But before making any decision, you need to consider that only the surgeon will finally help to solve the problem.
How to choose a pessary?
Before choosing a pessary, you should consult your doctor. The choice also depends on the purpose of the gynecological pessary. To solve the problem of prolapse or prolapse of the uterus, Juno pessaries will be an excellent solution. But during pregnancy, Dr. Arabin's pessary is better.
Pessaries "Juno"
The material from which the Yunona gynecological pessary is made meets all international standards. The ability of the plastic used to soften even at body temperature allows a woman to use it without outside help. It can be removed or installed at any time, allowing the necessary treatment of the vagina.
The Juno pessary will provide the necessary support for the internal organs of the pelvis. Before installation, it is necessary to exclude the presence of inflammatory processes and precancerous diseases, as well asinfections. It has a pessary in the form of a small saucer, in which there is a hole in the center. Pre-lubricated with petroleum jelly, it is inserted into the vagina and turned over with the convex side to the neck.
Pessaries of Dr. Arabin
Gynecological pessary "Arabin" is made according to the most modern technologies. All materials used have hypoallergenic properties, softness and good flexibility. The gynecological pessary "Doctor Arabin" has a low cost, which allows any woman to purchase this product. There are almost no contraindications for use.
But remember: before buying any pessary, you need to consult a doctor to avoid negative consequences.
