Causes, symptoms and treatment of uterine prolapse.
Omission of the uterus is one of the most frequent diagnoses made by gynecologists, and not always pathology is detected in the early stages. What is this disease, what are its causes, symptoms and methods of treatment.
What omission of the uterus has symptoms that a woman can notice. At the initial stage, almost none. In some women, only the lower abdomen can slightly hurt, which, in principle, is often written off for ovulation, the approaching monthly or inflammation of the appendages. But even at this initial stage the doctor can prescribe the diagnosis, only gynecological examination will be required. By the way, every sexually mature woman should visit a gynecologist at least once a year, so that he can identify possible diseases at the earliest possible stage. Then the treatment will be much more effective and will give the result faster. It is very important to visit a doctor 2 months after birth. Indeed, it is on this examination that in many cases this illness is diagnosed. At this stage, omission of the uterus requires only conservative treatment, plus compliance with medical recommendations and some preventive measures.
Of course, that will have to be observed regularly at the doctor. Approximately once every six months to visit a gynecologist and, quite possibly, to do ultrasound of the uterus. And remember that you need to avoid constipation in all ways, as well as wearing weights over 10 kilograms. The first degree of omission of the uterus is not a contraindication for pregnancy. But in the period of bearing a child you will definitely need to wear a bandage.
At the second stage of ovulation of the uterus, there are already obvious symptoms of this pathology. First of all, it is incontinence or on the contrary difficult urination. Secondly – the constant sensation of a foreign body in the vagina and for this reason, difficult, painful sexual intercourse. All this is due to the fact that the cervix descends ever closer to the exit from the vagina, to the perineum. Often at this stage, a woman is suffering from cystitis and pyelonephritis. When the uterus descends to the second stage, the exercises become less effective, since even with them it will not be possible to return the uterus to its place. This requires only an operation. Plus, symptomatic treatment is carried out, that is, the inflammatory process is eliminated, a special pessary can be installed on the cervix, and so on.
The third stage is characterized by complete loss of the uterus in the vagina. The neck appears at the exit from the vagina. Sex becomes impossible, movement is difficult, urgent surgery is needed. In some cases, the uterus is “put” in place, in others it is removed. Removed mainly in cases where the woman’s age exceeds 45 years and / or has already come to menopause.
Now, we think, it became clearer if omission of the uterus what to do – the main thing is to start the treatment in time and always take preventive measures.
The omission of the uterus is the incorrect position of the uterus, the displacement of its bottom, as well as the displacement of the cervix below the level of the normal border due to the weakness of the muscular fibers of the pelvic floor and ligaments. Pathology is accompanied by a number of characteristic symptoms: a feeling of pressure, a sense of discomfort, patients are concerned about the drawing pains in the abdomen and vagina. Patients may have difficulty with urination, discharge from the vagina. The disease is complicated in some cases by partial or complete prolapse of the organ.
Omission of the uterus or its prolapse is the most frequent variant of abnormal arrangement of internal genital organs. Omission of the uterus is accompanied by a shift in the neck of the organ and its bottom below the normal border, however, the cervix is not visible from the genital cleft even with attempts. If the uterus goes beyond the sexual gap, it is regarded by specialists as one of the symptoms of prolapse of the uterus. Displacement of the uterus down serves as the first harbinger of a partial or complete prolapse of the organ.
In many patients, the disease is accompanied by a shift of the border to the lower part of the vagina.
Causes of cervical ovulation.
Omission of the uterus is very common in patients of any age, but if at the age of 30 years, the pathology is determined in 10% of women, then at the age of over thirty and younger than forty, the disease worries 40% of patients. In women older than 50 years, 50% of women suffer from uterine dysfunction. Of all the operations that are performed in gynecology on the genitals, 15% are operations for the omission or prolapse of the uterus.
The reason for the omission of the uterus is most often the weakening of the muscle tone and ligament apparatus of the pelvic floor, which is accompanied by a displacement of the rectum or bladder. Often the disease is accompanied by a disruption of the work of these internal organs.
Omission of the uterus can begin in youth and progress with time. When the organ is omitted, functional disorders become more apparent, which is accompanied by moral and physical torments and is the cause of total disability.
Normally the uterus is located at the same distance from the walls of the small pelvis, between the rectum and the bladder, the body of the uterus is somewhat tilted forward and forms an obtuse angle with the neck. Any change in the architectonics of the ligamentous apparatus of the uterus causes the uterus to fall or fall.
Omission of the uterus can be classified according to the degree of omission and prolapse of the organ. At the initial stage, the body and cervix are lowered, and the second part shows a noticeable partial loss of the uterus. Later, incomplete loss of the uterine fundus is also diagnosed. The last stage of pathology is the complete prolapse of the body and the bottom of the organ.
Among the reasons for the omission of the uterus are anatomical disorders of the pelvic floor, which occur due to damage to the muscular fibers of the pelvic floor.
The disease can be caused by labor, some operations in gynecology, ruptures in the perineal region, impaired conduction of the nerve impulse to the urogenital diaphragm. Omission of the uterus can also cause some congenital malformations, hormonal disorders during the menopause, dysplasia of connective tissue fibers.
Risk factors include frequent labor, excessive physical labor, weight lifting, age of patients, hereditary factors, high pressure inside the peritoneum, obesity. tumors, constipation, severe cough.
Often the disease contributes to a combination of a number of factors that weaken the ligaments and muscles of the pelvic organs.
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Symptoms of omission of the uterus.
Without treatment, symptoms of uterine prolapse progress. In the beginning, the disease manifests itself by drawing pains, a feeling of heaviness in the lower abdomen, in the region of the sacrum, the waist; the sensation of a foreign body appears in the vagina. During sexual intercourse, patients are concerned about pain and spotting. The menstrual function changes, the discharge becomes abundant or scarce. Pathology is accompanied by infertility, but the onset of pregnancy is not ruled out.
Over time, violations of the urinary tract are attached to manifestations of the disease, they are observed in half of patients. With a prolonged course of omission of the uterus provokes stretching of the walls of the ureters and kidneys. Displacement of the uterus down can also be accompanied by enuresis.
In every third case, women have complications from the rectum: constipation, colitis, incontinence of stool and gases.
Progressive omission of the uterus is often detected by the woman on their own, while the main symptom is education that goes beyond the limits of the sexual gap.
The part of the uterus that protrudes is glossy, matte, covered with cracks with a grinding surface. Over time, under the influence of friction during walking, the protruding surface is covered with ulcers, she has bedsores, the surface bleeds, and becomes infected.
Omission of the uterus is accompanied by a violation of blood circulation in the small pelvis, stagnation of blood, cyanosis, edema of surrounding tissues.
With a decrease in the uterus relative to the physiological boundaries, sexual activity is impossible. Pathology can be accompanied by varicose veins, infringement of the fallen out uterus, infringement of sites of an intestine, formation of decubituses on walls of a vagina.
Treatment of uterine prolapse.
When choosing methods of therapy, the following factors are taken into account: the severity of the symptoms and the presence of concomitant diseases. The doctor also considers the possibility and expediency of restoring the menstrual and genital function of the genitals. The treatment takes into account the age of the patient, the pathology of the intestinal sphincters and the bladder.
If the patient needs surgical intervention, then the risk is assessed from an anesthetic and surgical point of view.
The treatment can be conservative and operative.