According to medical statistics, after 60 years, more than fifty percent of women have a history of a disease such as prolapse of the uterus. Symptoms and treatment, reviews of various methods can be found very different. What to do - to agree to an operation or to trust folk remedies - we will understand.
What happens with prolapse?
Uterine prolapse (prolapse) is a pathological condition in which the bottom of the cervix in the woman’s body shifts due to weakening of her muscles and ligaments. This is manifested by a feeling of discomfort, pulling pains, abnormal vaginal discharge and urination disorder. If the process is started, then uterine prolapse 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, require careful and serious attitude.
Normally, the uterus is located in the pelvis at an equal distance from its walls. At the same time , the rectum is located behind it , and the bladder in front. Uterine prolapse is most often diagnosed in women whose age exceeds 40 years. A leading factor in the development of this disease is a violation of the coordinated actions of the moving abdominal muscles. These include the diaphragm, muscles of the anterior wall and pelvic floor. Moreover, their ability to hold organs located in the pelvis (uterus, its appendages, intestinal loops) in the physiologically correct position is reduced.
They are shifting. Violations occur due to damage to the pelvic floor. The cause of this may be the injuries that a woman received during childbirth, repeated sprains, crotch tears, weight lifting, and innervation disorders. All this can cause prolapse of the uterus after childbirth. Symptoms and treatment in this case will be slightly different from the pathology that manifests itself in a more mature age.
When the muscles of the pelvic floor weaken, under the pressure coming from the organs located above, 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 the pubic bones, changes. In the future, this displacement leads to the formation of hernial gates in front or behind the uterus. Since weakened or damaged muscles are not able to hold the uterus in place, there is a shift first of the anterior vaginal wall, then of the entire organ and its appendages. Often these processes proceed unnoticed and take years. That is why so many older women are well aware of the omission of the uterus, symptoms and treatment. Reviews at 65 years old about him can leave almost half the women of this age. Often the disease lasts more than one year.
Reasons for omission
As with all diseases, there are a number of causes that cause cervical prolapse. Symptoms and treatment reviews of doctors describe in sufficient detail. Studies have revealed the most serious of the causes of the disease.
- First of all, it is a complicated birth. After them, women are most likely to damage the muscles located on the pelvic floor. The cause of this may be perineal tears, a fetus with a large body weight, obstetric manipulations.
- Genital surgery
- Congenital malformations of the pelvic area.
- Neurological disorders causing a violation of the innervation of the diaphragm.
- A hormone deficiency (in particular, estrogen) that develops after menopause.
- Connective tissue dysplasia.
Risk factors
In addition to the above reasons, there are several more factors that increase the likelihood that a woman will eventually have a prolapse of the uterus. Symptoms and treatment, reviews and recommendations of doctors about various methods of therapy should be studied if there is a suspicion of a disease. Risk factors include:
- weight lifting and hard physical work;
- numerous births;
- obesity;
- heredity;
- tumors in the abdominal cavity;
- increased pressure in the abdominal cavity, resulting from chronic constipation, paroxysmal cough;
- old and senile age.
Stages of the disease
In the development of such pathologists as uterine prolapse (symptoms and treatment, reviews of therapy we will study), there are five stages.
- The genital gap is gaping, 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 entry into the vagina.
- The cervix is below the entrance to the vagina (incomplete prolapse).
- The uterus falls out completely, turning the walls of the vagina.
Symptoms
As already mentioned, this pathology most often manifests itself in adulthood, which means that omission of the uterus (symptoms) and treatment in the elderly becomes a more urgent problem than in women under the age of 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 disturb a young woman in the early stages of uterine prolapse (prolapse) is a decrease in the quality of sexual contact and constant aching pain in the lower abdomen. As the disease develops, the pains become acute, back pain joins them. In addition to pain, a woman is worried about rapid urination and intestinal disorders. Outwardly, the disease is manifested by edema and microcracks in the perineum, which are formed due to constant friction and irritation.
As the disease develops, pelvic dysfunctions join the symptoms. These include urinary incontinence, which can be triggered by sneezing, laughing, coughing. Disrupted bowel function. 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 prolapse of the uterus are incontinence of stool 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, which are located in the pelvis. Varicose veins develop not only the uterus, but also the bladder, intestines. However, despite such pronounced external manifestations, the pain, as a rule, is not too intense. Rather, a woman suffers from an emotional disorder, feeling "disabled." There are cases when women have been shy for years to seek help, thereby exacerbating the disease and what could be fixed conservatively had to be treated with surgical intervention.
Diagnostics
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’s difficult to “see” exactly where the defects are localized - on the back or on the front wall. In this case, pelvic ultrasound, cystoscopy. In addition, to exclude infection, take smears on the flora, bacteriological culture, material on cytology.
Conservative treatment
Like diagnostics, they are individual in pathology such as prolapse of the uterus, symptoms and treatment. Postpartum reviews may also vary. In some cases, the defects are minor and when strained, the organs do not appear outside the vaginal opening, and there are no complaints. In this case, treatment is not carried out at all or a set of special exercises is prescribed.
In the 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 installed in the vagina for a long time. Another type of fallopian rings is made of rubber. When using such products, in order to avoid pressure sores on the vaginal wall, a woman should remove them at night, and install them again in the morning. Pessaries can be cup-shaped or ring-shaped. Their choice depends on the degree of prolapse.
In order for the ring to not cause discomfort, women with advanced menopause are recommended to use a cream containing estrogen hormone with it. After the right size and optimal shape has been selected, the doctor teaches the woman to independently install and remove the ring. The schedule of follow-up visits to the gynecologist is developed individually. Usually, an examination is prescribed first every week, then - in the absence of complaints - once every six months.
The use of the uterine ring helps prevent organ prolapse in a pathology such as prolapse of the uterus. Symptoms and treatment, reviews of which you can find the most diverse, we studied. But it should be remembered that only surgical intervention will help to radically solve the problem.
Surgery
To date, many methods 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 still plan to have children have uterus fixation to ligaments or fascia located in the small pelvis. Another method (colporaphia) allows you to prevent the loss of the walls of the vagina due to excision of "excess" tissues and stitching of the legs of the muscles of the perineum. In case of complete prolapse of the body, elderly women are recommended to extract the uterus. 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 65 years old differ from the features 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 make the back or front plastic of the vagina or to correct the intestinal hernia.
Uterine prolapse - symptoms and treatment. Gymnastics
Back in the forties of the last century, gynecologist A. Kegel developed gymnastics, which helps strengthen the muscles of the perineum. These exercises help regulate sexual functions, recover from various disorders of the genitourinary system and contribute to the treatment of pathologies of the rectum. 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, reviews of the exercise are called quite effective, with the regular implementation of the complex it begins to bear fruit quickly. Also, these exercises serve as an excellent prevention of stagnation of blood in the pelvis and inflammation of the organs of the reproductive system. To conduct such gymnastics, several steps must be performed sequentially.
- Tighten your muscles as if you want to interrupt the urination. Slowly count in this position to three and relax. Repeat 10 times.
- Tense and relax the same muscles as quickly as possible 10 times.
- It is necessary to push (as during childbirth or stool), not only the perineal muscles, but also some abdominal muscles, as well as the anus muscles, will be tensed. Also repeat 10 times.
The complex must be performed at least five times a day. Gradually, adding 5 repetitions in the exercises weekly, bring the number of repetitions of each exercise to 30 times. This is not so difficult, because you can do them anywhere - sitting at your desk, at home on the couch or behind a stove. The position of the body (sitting, standing or lying) 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 significantly reduced.
Uterine prolapse, 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 the broth, you need to cook 50 g of linden blossom and lemon balm or mint leaves, 70 g of a shot of white and 30 g of alder root. A tablespoon (with a slide) of the resulting mixture pour one glass of boiling water. After the broth has cooled, 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 the astragalus root is poured with nine parts of vodka and insisted for 10 days. After that, tincture is taken on a teaspoon after eating in the morning and evening. This can be done both by dissolving it in a small volume of water, or simply washing down. The course is 30 days, then a fourteen-day break is made, 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 treatment should be taken one after another with an interval of no more than 10 minutes. To prepare the first broth, 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 this, add 3-4 tbsp. tablespoons of honey and boil another 10 minutes. In a chilled and strained broth add a tablespoon of celery seeds and mix well. Take one stack three times a day. You need to drink it with half a glass of broth from the following herbs: hemophilus, calendula, St. John's wort, repeshka, bedstraw in equal parts. They are poured per 1 tablespoon of the herbal mixture a liter of water, brought to a boil, cooled, filtered.
Thus, today it is quite possible to defeat a disease such as prolapse of the uterus. Symptoms and treatment, reviews, photos, we tried to consider as much as possible. One conclusion can be made: recovery is a rather lengthy process, but the exact implementation of the doctor's recommendations and patience will help restore the usual quality of life.