Most women over the age of thirty suffer from various gynecological diseases in which pelvic prolapse may occur. This happens not only because of diseases, but also as a result of genetic abnormalities, psychological factors and too much physical exertion on the female body. Childbirth can also affect the condition, during which various injuries were received. All these factors affect the health and quality of life of a woman. These diseases progress quickly enough 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?
Back in the days of Hippocrates, pomegranates were used as a pessary, which were previously soaked in vinegar. Over time, the choice of various materials became much more, people began to use wood, cork, and then rubber to make it. 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 allows you to choose exactly what will correspond to the female problem as best as possible. The device is a ring of different sizes, interconnected. For each woman, the doctor will choose exactly the size that suits her.
Types of Pessaries
Currently, there is a whole classification of these gynecological devices.
Supporting - created to support the uterus, preventing its prolapse. 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 so that the walls of the uterus do not sag. They prevent the prolapse of the rectum, as well as the bladder. This type includes:
- thick rings;
- mushroom-shaped inflatable pessaries;
- cubic fixtures.
The installation of a gynecological pessary is recommended for women in the following cases:
- patient refusal from surgery;
- detection of prolapse or prolapse of the uterus;
- urinary incontinence ;
- the impossibility of the operation;
- the need for treatment before surgery;
- diagnosis of latent incontinence in cases where prolapse of the uterus masks symptoms.
But, as with any treatment method, the use of the pessary has its contraindications. Doctors do not recommend installing a pessary in the following cases:
- with bleeding;
- in the presence of infectious diseases;
- in case of detection of inflammatory processes in the uterus;
- narrow passage of the vagina;
- as a result, the detection of precancerous diseases.
Establishing a gynecological pessary for continuous use is not recommended for those who, due to some circumstances, cannot visit a specialist once every six months, as well as very loving women.
Gynecological pessary during pregnancy
Unfortunately, not everyone has a pregnancy without complications. A large number of pregnant women encounter a 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 suturing, which is carried out only under general anesthesia. Therefore, there is a threat to the health of the baby. The pessary in this case remains the best option in order to maintain pregnancy even for short periods.
During pregnancy, the pessary is established in a number of cases:
- for the prevention of cervical insufficiency;
- with multiple pregnancy;
- with the detection of isthmic-cervical insufficiency.
Thanks to the installation of the pessary, the load on the cervix is reduced. The likelihood of opening the uterus and prolapse is significantly reduced. A woman begins to feel better, as it becomes much easier, and pain almost disappears.
How is a gynecological pessary established and removed during pregnancy?
There is no difficulty in installing the device. It can be carried out not only in a 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 high sensitivity of the uterus, then doctors recommend taking the No-shpa tablet an hour before the procedure. All 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 injected into the woman's vagina.
A bacteriological examination after installation is performed every three weeks in order to prevent infection.
A pessary is not established if a pregnant woman has a blood discharge in the second or third trimester. Installation in the presence of various inflammatory processes is also contraindicated.
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 in a fairly mature age and progresses slowly. If the disease is not treated, this can lead to complete prolapse and prolapse of the uterus.
Gynecological pessaries with prolapse of the uterus solve such problems as: discomfort and a deterioration in the quality of life of a woman. It is worth noting that the use of the pessary can not always completely solve this problem and return the internal organs to their place. But this method of treatment will be able to return a woman to the usual rhythm of life and allow her not to feel discomfort.
With the prolapse of the uterus, 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 need to consult a doctor. The choice also depends on the purpose of the gynecological pessary. To solve the problem with prolapse or prolapse of the uterus, the Juno pessaries will be an excellent solution. But during pregnancy, the pessary of Dr. Arabin is better.
Pessaries "Juno"
The material from which the Juno 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 assistance. It can be removed or installed at any time, which allows 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 as infections. It has a pessary in the shape 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 turns over with the convex side to the neck.
Dr. Arabin's pessaries
Gynecological pessary "Arabin" is made according to the most modern technologies. All materials used have hypoallergenic properties, softness and good flexibility. Gynecological pessary "Doctor Arabin" has a low cost, which allows any woman to purchase this product. There are almost no contraindications.
But you should remember: before buying any pessary, you need to consult a doctor in order to avoid negative consequences.