Uterine prolapse - causes, symptoms and treatment methods in Turkey

Uterine prolapse - causes, symptoms and treatment methods

Uterine prolapse and uterine prolapse in women are severe pathological conditions that affect women when the uterus descends toward the vagina. Symptoms of uterine prolapse, its causes and treatment in Turkey and ways to prevent uterine prolapse.

Uterine prolapse is a common condition that can occur as a woman ages. Over time, and with multiple vaginal deliveries, during childbirth the muscles and support ligaments around the uterus and vagina can weaken. When this supportive muscle structure begins to fail, the uterus can hang out of position through the vagina. This is called uterine prolapse.

What is uterine prolapse?

uterine prolapse uterine prolapse It is a condition in which the structures that stabilize and support the uterus become weak over time. The uterus is one of the organs that are part of the female reproductive system. The uterus is located in the pelvis and is roughly pear-shaped. The uterus carries the developing baby (the fetus) and the uterus is a muscular structure that expands to fit the baby and then shrinks in size again.

Prolapse can vary depending on how weak the uterine supports are. In incomplete prolapse, the uterus descends enough to be part of the vagina. Women feel a lump or swelling. In more severe cases, the uterus can slide enough that it can be felt outside the vagina. This is called a complete landing.

In the case of uterine prolapse, the cervix can be seen in the vagina
picture of a prolapsed uterus

Who gets uterine prolapse?

Uterine prolapse is more likely to occur in women who:

  • They have had one or more vaginal births.
  • In the post-menopausal age (menopause).
  • Have family members who have had uterine prolapse.

Menopause occurs when the ovaries stop producing the hormones that regulate the menstrual cycle. When you haven't had a period for 12 months in a row, you're considered menopausal. Estrogen is one of the hormones that stop being secreted during menopause. This hormone helps maintain the strength of the pelvic muscles, and without it, the uterus is more likely to experience prolapse.

How common is uterine prolapse?

Uterine prolapse is a common condition that affects many women. Your risk of developing this condition increases with age and if you have multiple vaginal births.

What are the causes of uterine prolapse?

The uterus is held in place inside the pelvis by a group of muscles and ligaments. They are called pelvic floor muscles. In the case of poor support for these structures, they are unable to stabilize the uterus, and as a result of this, a prolapse occurs in the uterus as it descends and droops through the vagina. There are several causes of pelvic muscle weakness, including:

  • Loss of muscle strength as a result of aging.
  • Trauma during natural childbirth, especially in the case of multiple vaginal births, especially children with a large weight (more than 9 pounds).
  • obesity;
  • Chronic cough or strain.
  • Chronic constipation.

What are the symptoms of uterine prolapse?

If you have a mild case of uterine prolapse, you may not have any obvious symptoms. However, when the uterus slips out of position, it can put pressure on other pelvic organs — such as the bladder or intestines — and cause symptoms such as:

  • The woman feels pressure or heaviness in the pelvis and vagina.
  • The woman feels pain in the pelvis, abdomen, or back pain.
  • Pain during intercourse.
  • The prolapse of uterine tissue through the opening of the vagina in advanced stages.
  • Recurrent bladder infections.
  • Unusual or excessive vaginal discharge.
  • constipation;
  • Trouble urinating, including incontinenceA need to urinate frequently (urinating frequently) or a sudden urge to urinate (urinary urgency).

Symptoms worsen when standing or walking for long periods of time. In these positions, there is additional pressure on the pelvic muscle structures due to gravity.

Uterine prolapse symptoms are caused by the uterus being placed below its normal position
Sagittal section of a female genital tract with uterine prolapse

How is uterine prolapse diagnosed in Turkey?

Procedures for diagnosing uterine prolapse include several tests. The doctor will examine the pelvis to determine if the uterus has fallen from its normal position. During a pelvic exam, a doctor inserts a colposcope (an instrument that allows the doctor to see inside the vagina) to examine the vagina and uterus. The doctor will feel for any swelling from the uterus descending into the vagina at that time.

How is uterine prolapse treated in Turkey?

There are both surgical and non-surgical options for the treatment of uterine prolapse. Your doctor will choose your course of treatment based on the severity and symptoms of prolapse, your general health, your age, and whether or not you want to have children in the future. Treatment options for affected women may include:

Non-surgical options

  • Exercise: Special exercises, called Kegel exercises, can help strengthen the muscular structures in the pelvic floor. This may be the only treatment needed in mild cases of uterine prolapse. To do Kegel exercises, tighten your pelvic muscles as if you were trying to stop pee. Tighten your pelvic floor for a few seconds and then relax. Repeat this 10 times. You can do these exercises anywhere, anytime (up to four times a day).
  • Vaginal pessary (vagina bun): A pessary is a rubber or plastic, round cake-shaped device that is placed around or under the lower part of the uterus (cervix). This device helps support and hold the uterus in place. Your doctor will insert and insert a pessary, which must be cleaned frequently and removed before sex.

Surgical options

  • Hysterectomy and prolapse repair: Uterine prolapse in women can be treated by removing the uterus. This can be done through an incision (incision) in the vagina (vaginal hysterectomy) or through the abdomen. Removing the uterus is considered major surgery, because once the uterus is removed, pregnancy is no longer possible.
  • Hysterectomy repair without hysterectomy: This procedure involves returning the uterus to its normal position. Uterine suspension can be done by reattaching the pelvic ligaments to the lower part of the uterus to hold them in place. The surgery can be performed through the vagina or through the abdomen depending on the technique used.

What are the complications of uterine prolapse?

If untreated, uterine prolapse may affect other organs in the pelvic region of the body. The uterus hanging through the vagina can put pressure on the intestines and bladder. It can also negatively affect sexual life, as it can cause pain.

Can uterine prolapse be prevented?

You may not be able to prevent all cases of uterine prolapse, but there are ways to reduce your risk of uterine prolapse. Some lifestyle tips that can reduce your risk of developing prolapse include:

  • Maintain a healthy weight.
  • Exercise regularly. In addition to exercises to strengthen the pelvic floor muscles. And make sure to stick to the exercises appropriate to the health status of each person.
  • Follow a healthy diet. Talk to your doctor or a dietitian (a special type of health care provider who helps you create a meal plan) about the best diet for you.
  • stop smoking. This reduces the risk of developing a chronic cough, which can put extra pressure on the pelvic muscles.
  • Use proper techniques to carry heavy objects.

What are the appropriate techniques for carrying heavy objects to prevent uterine prolapse?

There are several ways to lift heavy objects that can help you avoid uterine prolapse. Lifting techniques include:

  • Don't try to lift things that are too heavy for you to lift on your own. Also, avoid lifting heavy objects above waist level.
  • Before you lift something, make sure your foot is stable.
  • To pick up something below your waist, keep your back straight and bend at your knees and thighs. Don't bend forward at the waist with your knees straight.
  • Stand close to the object you're trying to pick up, keeping your feet flat on the ground. Tighten your abdominal muscles and lift your body up using your leg muscles. Then straighten your knees in a steady motion.
  • Stand completely upright without twisting. Always move your feet forward when lifting something.
  • If you are lifting something off a table, move it to the edge of the table so that you can hold it close to your body. Bend your knees so that you are close to the object. Then use your legs to raise the body and stand.
  • Hold the objects close to your body with your arms bent. And keep your abdominal muscles tight. Then take small steps and go slowly.

Does uterine prolapse recur?

Most of the time, treatment for uterine prolapse is effective. However, sometimes the prolapse can return. This is more common if you have severe uterine prolapse, are obese or are young (under 60 years of age).

Treatment for uterine prolapse usually has very positive results and lifestyle changes (maintaining a good weight, exercising) can help prevent recurrence of prolapse. Talk to your doctor about any concerns you may have about uterine prolapse. Your doctor can help you develop a treatment plan and build good lifestyle habits to prevent any recurrences of uterine prolapse in the future.

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Common Questions

So far, it has not been proven that there is a relationship between uterine prolapse and the menstrual cycle, and the possibility of uterine prolapse increases in women in menopause.

Symptoms of uterine prolapse include a feeling of pressure and heaviness in the vagina, protrusion of uterine tissues from the vagina, infections and urinary problems, pressure on the colon and rectum causing constipation, lower back pain.

Like any other surgical procedure, it is not without complications, such as the formation of a fistula (an abnormal connection) between the vagina, bladder, intestine and rectum, incontinence Relapse of uterine prolapse.

Uterine prolapse reduces the chances of pregnancy, although pregnancy can occur primarily from uterine prolapse.

Uterine prolapse does not prevent women from menstruating.

Uterine prolapse may be asymptomatic, in advanced stages causing pain during sexual intercourse in women and urinary incontinence during sexual intercourse.

According to the last Studies Surgical treatment of uterine prolapse has been very successful in 80-95 % women and the prolapse rate is only 3%.

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