Treatment of uterine prolapse

What to do with uterine prolapse? First of all, consult a gynecologist: he will check the degree of progression of the disease and prescribe appropriate qualified treatment. Treatment of uterine prolapse can be conservative (physical therapy for uterine prolapse, use of gynecological massage aimed at strengthening the pelvic muscular system) and surgical.

Before choosing a treatment strategy, the doctor takes into account many important factors:

• degree of process;
• current and previous gynecological pathologies;
• the importance and criteria for maintaining the menstrual cycle and reproductive function;
• age period;
• the degree of combined disorders of the urinary system and intestines;
• the possibility of performing surgical treatment and anesthesia without negative consequences for the body.

Exercises for uterine prolapse

Exercises for prolapse of the uterus include exercises that strengthen the vaginal muscles, as well as therapeutic gymnastics to restore muscle tone. American specialist Arnold Kegel made a great contribution to solving this problem, developing a series of exercises to strengthen the intimate muscles and restore the correct position of the uterus. Sometimes, the use of such exercises allows you to avoid the need for surgical treatment. Kegel exercises for prolapse of the uterus:

• Exercise I: when you are in the toilet, try to hold back the urination process that has begun for a couple of seconds, squeezing the urinary sphincter with your internal muscles. Then continue urinating, trying to tense the muscles in such a way as to squeeze everything out of the bladder without leaving a trace.
• Exercise II: Lie on your back, arms at your sides. Raise your legs at ∟45° and imitate a bicycle race.
• Exercise III: sit on a stool, inhale and use your muscles to bring your buttocks closer to each other. Hold for a couple of seconds and, exhaling, relax. Repeat several times.
• Exercise IV: squat down. Your task is to lift your pelvis up from this position and hold the position for a few seconds, then return to the starting position.
• Exercise V: kneel down, placing your knees slightly wider than shoulder width apart. Try to bend your body forward, touching the floor with your forehead. Your hands rest on the floor at this time. Hold the position for a few minutes.
• Exercise VI: perform a series of controlled contractions of the muscles of the perineum and anus, alternately tensing and relaxing the muscles.

Gymnastics for prolapse of the uterus should be performed regularly, at least 4-5 times a day. Such exercises are barely noticeable to others, so they can be done almost anywhere. The key to successful treatment will be your discipline and regularity of exercises. Depending on the degree of pathology, treatment with exercises can last months and even years, so you will also need a lot of patience, which will undoubtedly lead to recovery.

Exercises for prolapsed uterus can be supplemented with a number of generally accepted strengthening exercises:

• lying on your back, place a pillow under your gluteal region. Raise your straight leg at ∟90°, lower. Raise the other leg. Repeat up to 10 times.
• We raise our straight legs at the same time.
• We perform “scissor” movements for a minute.
• we perform "bicycle" movements.
• We alternately move our legs to the sides at an angle of ∟45°.
• We try, sitting on the floor with straight legs, to touch our toes with our fingers.
• We perform the “birch” exercise for a minute.
• We perform the “swallow” exercise, fixing the position as much as possible.

It is better to do exercises on an empty stomach. It is better to start with a small number of movements, gradually increasing the load. The effectiveness of such exercises usually appears after 1-10 months.

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Gynecological massage for prolapse of the uterus

Massage for prolapse of the uterus is aimed at eliminating painful sensations, improving blood circulation in the pelvic organs, increasing muscle tone and eliminating the pathological position of the uterus.

In practice, vaginal, vibration and segmental-reflex massage types are used in the treatment of prolapse.

It is not recommended to perform massage in case of inflammatory diseases of the reproductive organs, tumors of the uterus and appendages, tuberculous lesions of the genital area and peritoneum, purulent processes in the pelvic organs, erosion of the cervix, urethritis and trichomonas colpitis.

The massage should be performed by an experienced specialist or a specially trained nurse using sterile rubber gloves. The procedure is performed in a gynecological chair or on a high couch.

The masseur inserts the index and middle fingers of the leading hand to the posterior fornix of the patient's vagina. With the same fingers, the specialist lifts the body of the uterus and supports it. The other hand is placed on the stomach: it massages the anterior abdominal wall, gradually deepening to the pelvic organs, to the ligamentous apparatus of the uterus and the tissues surrounding it.

The uterus is displaced up to 6 times per procedure every 10-15 seconds. The duration of the first three massage sessions should be no more than 4 minutes, all subsequent sessions up to seven minutes. The treatment includes 12-15 sessions, every day or every other day.

Surgery for uterine prolapse

The most effective radical method in the treatment of prolapse is considered to be surgical intervention. The indication for it is the lack of effectiveness of conservative treatment and the pronounced degree of disturbance of the uterine position.

Modern gynecological surgeons offer various types of operations that can correct and secure the correct position of the organ:

• plastic surgery involves strengthening the muscles and ligaments of the pelvic area. Such operations include colpoperineolevatoroplasty, anterior vaginal wall plastic surgery. These methods can be used as the main or concomitant types of surgical intervention;
• an operation to shorten and strengthen the retaining ligaments and fix them to the walls of the organ. This operation has not proven itself in surgery due to the high percentage of recurrence;
• an operation to stitch ligaments together. Such operations do not always make it possible to have children in the future;
• an operation in which displaced organs are fixed to the bones and ligaments of the pelvic area;
• an operation using alloplasty to strengthen the ligament system and securely fix the uterus. Such an operation also does not guarantee further recurrence of the disease, as well as rejection of the materials used;
• laparoscopy for uterine prolapse is perhaps the most common gentle surgery, allowing for intervention with minimal tissue trauma. Laparoscopy involves suturing the ligaments that support the uterus, and also involves sewing in artificial materials to stabilize the organ's position. The surgery lasts about 2 hours, under general anesthesia. After a week, the doctor removes the stitches and recommends further conservative treatment. Since laparoscopy is a minimally invasive surgical intervention, the patient can be discharged home after a few days;
• Removal of the uterus due to prolapse (extirpation) is performed when a woman does not need to preserve her reproductive function. Often, a laparoscopic device is also used to perform such an operation. This makes the postoperative period more comfortable and shorter. Extirpation can be performed with preservation of the cervix, which is more welcomed by women themselves.

If the surgical treatment is performed correctly and the doctor's recommendations are followed in the postoperative period, uterine prolapse will not recur. As a rule, after the operation, you should lead a gentle lifestyle for 7-10 days. Sitting during this period is not recommended, and walking and simple physical exercises will only be welcomed. After the organ-preserving surgery, it is recommended to practice the above exercises to strengthen the muscular system of the pelvic area. They will activate blood flow, improve tissue trophism and speed up recovery.

To ensure that the period after surgery passes more quickly and does not cause complications, experts advise following the following recommendations:

• During the first week after surgery, treat the perineal area with an antiseptic solution;
• you may need to take a course of prophylactic antibiotic therapy;
• For two weeks, it is forbidden to sit in a sitting position so as not to put strain on the operated muscles;
• During the week, the diet should consist exclusively of liquid or semi-liquid foods to avoid constipation;
• active sports activities can be carried out no earlier than after a month;
• Sexual activity after surgery is possible only after 5 weeks.

The cost of surgery for uterine prolapse can depend on many factors and ranges from $1,000 to $3,000.

Possible consequences after uterine prolapse surgery that you need to be prepared for:

• development of bleeding (damage to vascular bundles);
• perforative injuries of the pelvic organs;
• The late postoperative period may be complicated by erosion of the vaginal mucosa and the addition of infection.

Most often, complications occur in patients who began to practice sexual intercourse in the postoperative period.

Almost all complications may require additional surgeries and a complex treatment regimen.

Yoga for prolapse of the uterus

The poses presented in yoga help to strengthen the ligamentous-muscular system of the pelvic area. This can be an excellent prevention and treatment method for uterine prolapse. Yoga adherents recommend the use of the following poses:

• namaste position, in a vertical position, feet pulled together and relaxed, head slightly tilted forward, pelvis also moved forward with the lower part. Breathe deeply;
• we move the lower limb as far to the side as possible (for women - to the left, for men - to the right), we place the feet parallel, knees - straight. We spread the upper limbs to the sides at shoulder level (for men - palms down, for women - up) and stretch them out. We hold our breath on inhalation and relax;
• on a full exhalation, bend your knees and, squatting slightly, spread your lower limbs as wide as possible. Keep your back upright and your pelvis straight. Bend your arms as well, place your palms on the sides of your hips below your waist. Keep your fingers together and point forward;
• staying in the same position, while inhaling, move the extended limbs to the sides upward, joining the palms. Hold your breath, stretch your arms upward and relax;
• without changing the position, straighten the knees and bend the straight back and arms extended upwards (palms together) forward parallel to the floor surface. The head can be slightly raised, look forward. Relax in this position;
• in the same position, while exhaling, bend forward and take your feet with your palms. Knees straight, feet parallel, head free.

It is recommended to practice yoga under the supervision of a specialist, especially for beginners. To achieve a therapeutic effect, the exercises must be performed correctly, and it is difficult to achieve this on your own. Moreover, a yoga specialist will not only point out your mistakes, but also demonstrate a number of additional effective positions.

Bandage for uterine prolapse

One of the most comfortable methods of rehabilitation in case of uterine prolapse is the use of a bandage. The bandage system will help to hold the uterus in its natural position. This method is certainly effective, and besides, its use will not require excessive efforts from the patient. The only remark: the bandage cannot be used constantly, it is only a temporary measure.

The bandage serves as a passive option, designed to temporarily maintain the normal anatomical position of the uterus.

• The bandage covers the hips and perineum, holding the uterine organ from almost all sides. It is attached with adhesive fasteners, which allows you to quickly remove the structure when performing natural needs.
• The bandage system is used for no more than 10-12 hours a day due to its direct pressure on the internal organs. After removing the bandage, it is necessary to lie down to consolidate the effect of its impact.
• Modern designs of bandages allow you to easily put on outerwear over them without revealing the presence of the system.

However, do not rush to buy and use a bandage for prolapse of the uterus on your own. Consult a doctor, only he can determine the effectiveness of such treatment in your particular case.

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Underwear for prolapse of the uterus

The use of special underwear can have an effect in the early stages of the pathology, or in the pre- and postoperative period. Compression panties for prolapse of the uterus should be worn as often as possible in order to consolidate the results of gymnastic exercises or yoga classes.

Special panties are a fairly durable product with a high waist, made of thin and elastic synthetic fabric, tested for safety for the human body.

The design features of the underwear do not resemble a bandage system at all: they take into account all the anatomical characteristics of the woman's body. The underwear is put on directly on the body, it can be visible under clothing no more than ordinary everyday underwear. When wearing such underwear, possible discomfort is reduced to a minimum: the size and shape are selected individually.

Support panties, like the bandage, are recommended to be worn for no more than 12 hours a day. As a rule, they can be removed at night.

The purpose of such underwear is to maintain the required level of intra-abdominal pressure. This, in turn, limits changes in the organ's position and fixes its localization.

When using underwear, discomfort and pain are reduced, and the effect of exercise therapy and gymnastics is enhanced. To prevent complications or relapses, underwear is recommended to be worn in the postoperative period.

Mesh for uterine prolapse

The installation of a lightweight polypropylene mesh endoprosthesis is used quite actively for pelvic reconstruction. The mesh, according to reviews, copes perfectly with prolapse problems, provided that the quality of the prosthesis itself is acceptable.

An endoprosthesis for uterine prolapse is installed during laparoscopic and abdominal surgeries. With its help, new muscle nodes are created to secure the uterus to the skeletal system. Thanks to the endoprosthesis, the uterus is fixed in its natural place: this insures the organ against even a slight change in position.

Contraindications to the use of the mesh include infectious inflammatory processes in the abdominal cavity.

After endoprosthetics, it is not recommended to carry heavy objects or engage in active sports. The recovery period after surgery is one month.

The mesh contains a combination of polypropylene and polyvinylidene fluoride monofilaments and is equipped with a special fixing suture material.

Ring for prolapse of the uterus

Pessaries are a polyvinyl chloride thermoplastic ring used for prolapse of the uterus. The ring is used both as a therapeutic measure for prolapse and loss, and as a preventive measure for miscarriage during pregnancy.

The rings are produced in various diameters from 5 to 11 cm. When the ring is inserted into the body, the material from which it is made, under the influence of the temperature of the human body, becomes plastic and follows the contours of the necessary organ.

Pessaries for uterine prolapse are installed only by a doctor or a nurse who has passed the appropriate qualifications. Pessaries cannot be inserted and removed independently, so as not to provoke the development of ulcerative and inflammatory processes in the mucous membrane.

The ring can be used multiple times, but a single course of wearing it should not exceed one month, after which a break is taken. The exact period of use, as well as the diameter of the pessary, is determined by the doctor.

Along with the use of the ring, other treatment options that help strengthen the pelvic muscles and uterine ligaments must be used. The use of the pessary is stopped when prolapse ceases to be threatening.

Herbs for uterine prolapse

The use of prescription methods in folk medicine for uterine prolapse is usually combined with gymnastic exercises or yoga. Such a comprehensive approach can effectively increase muscle tone and relieve pain.

• The use of common datura is due to the content of tropane alkaloids in the plant: hyoscyamine, atropine and scopolamine. For 25 g of dry raw material of the plant, take up to 10 liters of clean water and boil for about ten minutes. The resulting decoction must be infused for 45 minutes and filtered. The medicine is used for sitz baths, washing and douching. The bath can be taken for up to 15 minutes at a temperature of up to 38 ° C. The course of baths or douching is 10 days, then, after a 7-day break, the treatment should be repeated.
• The use of oak bark, known for its astringent, anti-inflammatory and anti-putrefactive properties, is practiced for douching. Take 35 g of dry bark and boil on low heat in 1 liter of water for up to 2 hours. Cool and douche daily for a month. A full course of therapy includes the use of one and a half kilograms of bark.
• The use of quince in the diagnosis of uterine prolapse is possible due to the enveloping and anti-inflammatory properties of the plant. One part of crushed quince fruits and ten parts of water are boiled for about 20 minutes, cooled and filtered. This decoction is used as an enema procedure and douching.
• Melissa can relieve inflammation and pain. Pour 2 tablespoons of the raw material into a thermos and add 0.5 liters of boiling water overnight. Drink half a cup of the infusion on an empty stomach before meals.
• The use of tincture of elecampane must be done on an empty stomach in the morning, one tablespoon. To prepare the medicine, take the dried root of elecampane in the amount of one tablespoon per bottle of vodka. Infuse for 10 days in the dark.

When treating uterine prolapse, you should not limit yourself to using folk methods. Consult a good specialist and conduct combined treatment of the disease.

Some people believe in the power of all sorts of spells and whispers. What does folk medicine say about this?

Conspiracy for prolapse of the uterus

It is necessary to prepare a ten-minute decoction from nettle roots. And before the medicine is boiled, the following words of incantation should be read over it:

Where, earth, is your place?
Where the Lord God said!
Mother, where is your place?
Where the Lord God gave!

After this, the sick woman drinks the resulting medicine in the evening before sunset (never in the morning, and not on a rainy day).

It is also recommended to drink viburnum or parsley root infusion as tea for a month. And, of course, do not carry heavy bags and objects.

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Drug treatment of uterine prolapse

One of the main causes of the disease during menopause is considered to be a deficiency of estrogen hormones in the body. At the same time, drug treatment of uterine prolapse is used only in the initial stages of the disease. It involves the use of estrogen-containing (hormonal) drugs. Ointments or creams containing hormonal substances can also be prescribed. They are inserted into the vagina using tampons or other methods.

Suppositories for uterine prolapse can replace oral use of estrogen drugs. For example, specialists often prescribe vaginal suppositories "Ovestin".

Recently, Chinese tampons Beautiful Life have become popular. You can try using such tampons, however, as practice shows, their use is more of a preventive rather than a therapeutic nature.

Tampons for uterine prolapse

The tampons are made in Hong Kong and consist of several dozen natural components from China. They do not contain chemicals or toxic substances, therefore, as the manufacturer indicates, they are free of side effects.

Main properties of Beautiful Life tampons:

• antibacterial, antimalaginizing;
• hemostatic, analgesic;
• strengthening, anti-inflammatory;
• antipyretic, cleansing;
• sedative, activating microcirculation;
• antipruritic.

The manufacturer promises a visible effect after using only 3 tampons. Each tampon is inserted into the vagina for three days, after which it is removed. The next tampon can be inserted a day after its removal.

Treatment is not carried out on people prone to allergies, as well as a week before menstruation, during menstruation and for three days after the end of discharge.

Duration of treatment – minimum 1 pack (6 pieces). You should not have sex during the period of treatment with tampons.

Exercise machines for prolapsed uterus

As you have already seen, there are many methods for strengthening the pelvic muscles. However, there is another fairly common method - the use of vaginal trainers. These are special designs for achieving maximum success in quickly strengthening the muscular corset of the uterus. Unfortunately, the use of such trainers is limited to I or II degree of prolapse. In advanced stages, the use of devices may not only fail to help, but also worsen the situation.

Exercise classes are held up to 3 times a week, the duration of a single class is 15 minutes.

The exercise machines have passed all the necessary tests, and their manufacturer is absolutely confident in the safety of their use and the positive dynamics of treatment. The exercise machines are produced in the form of expanders, weight exercise machines or myostimulators. They not only strengthen the necessary muscles, but also increase the sensitivity of the genital area, improve blood supply to tissues, and relieve pain.

Due to the multifaceted impact of exercise machines, their use should only be carried out after consultation with a doctor.