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Health

Treatment of uterine prolapse

, medical expert
Last reviewed: 23.04.2024
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What should I do if I drop the uterus? First of all, contact a gynecologist: he will check the progression of the disease and prescribe the appropriate qualified treatment. Treatment of uterine prolapse can be conservative (LFK when uterus is lowered, gynecological massage aimed at strengthening the muscular system of the pelvis) and surgical (surgical).

Before choosing tactics of treatment, the doctor takes into account many important factors:

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

Exercises for ovulation of the uterus

Charging when the uterus descends consists of exercises that strengthen the vaginal musculature, as well as therapeutic gymnastics for the return of muscle tone. A great contribution to the solution of this problem was made by the American specialist Arnold Kegel, who developed a series of exercises to strengthen intimate muscles and restore the correct position of the uterus. Sometimes the use of such exercises allows to avoid the need for surgical treatment. Exercises Kegel at the omission of the uterus:

  • I exercise: while in the toilet, try to hold the started urination process for a couple of seconds, squeezing the urinary sphincter with the internal muscles. Then continue urination, trying to strain the muscles in such a way as to squeeze out of the bladder all without a trace.
  • II exercise: lie on your back, hands at the seams. Lift your legs under the ∟45 ° and simulate a race on a bike.
  • III exercise: sit on a stool, on inspiration with the help of muscles, pull together the buttocks one to the other. So you linger for a couple of seconds and, exhaling, relax. So repeat it several times.
  • IV exercise: squat. Your task is to raise the pelvis upward from this position and fix the position for a few seconds, then return to the starting position.
  • V exercise: kneel, placing them slightly wider than the shoulders. Try to tilt the body anteriorly, touching the forehead with the floor surface. At this time the hands rest on the floor. Lock the position for a few minutes.
  • Exercise VI: perform a series of controlled contractions of the perineal and anal muscles, alternately straining and relaxing the muscles.

Gymnastics during ovulation should be carried out regularly, at least 4-5 times a day. Such exercises are not noticeable for someone else's view, so they can be carried out almost everywhere. The key to successful treatment will be your discipline and regularity of conducting classes. Depending on the degree of pathology, treatment with exercises can last for months and even years, so you will also need a lot of patience, which will undoubtedly lead to recovery.

Charging with the omission of the uterus can be supplemented by a number of generally accepted strengthening sessions:

  • lying on the back, put a pillow under the gluteal region. We lift the straight leg under ∟90 °, lower it. We lift the other leg. Repeat up to 10 times.
  • raise the straight legs at the same time.
  • we carry out the movements of the "scissors" for a minute.
  • we carry out the movement "bicycle".
  • legs under ∟45 ° alternately set aside.
  • we try, sitting on the floor with straight legs, touch with the fingers of the toes.
  • we perform the exercise "birch" for a minute.
  • perform the exercise "swallow", fixing the position as far as possible.

Lesson is better spent 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 manifests itself in 1-10 months.

trusted-source[1], [2], [3], [4]

Gynecological massage with ovulation of the uterus

Massage with the lowering 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.

From practice with the therapy of descent, use of vaginal, vibratory and segmental-reflex types of massage.

Do not recommend a massage with inflammatory diseases of the reproductive organs, with tumors of the uterus and appendages, with tuberculous lesions of the genital area and peritoneum, with purulent processes in the pelvic organs, with erosion of the cervix, urethritis and trichomonas colpitis.

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 enters the index and middle finger of the leading hand to the posterior vault of the patient's vagina. With these same fingers, the specialist lifts the uterus's body and supports it. Another hand is placed on the abdomen: it massages the anterior abdominal wall, with a gradual deepening to the organs of the small pelvis, to the ligamentous apparatus of the uterus and surrounding tissues.

Displacement of the uterus is carried out up to 6 times per procedure every 10-15 seconds. The duration of the first three sessions of massage should not be more than 4 minutes, all subsequent sessions up to seven minutes. Treatment includes 12-15 sessions, every day or every other day.

Surgery for ovulation of the uterus

The most effective radical technique in the treatment of omission is surgical intervention. Indication for it is the lack of effectiveness of conservative treatment and the expressed degree of disruption of the uterine position.

Modern specialists surgeons-gynecologists offer various types of operations that can correct and fix the correct arrangement of the organ:

  • Plastic surgery involves strengthening the muscles and ligaments of the pelvic region. To such operations carry kolpoperineolevatoroplastiku, plastic of anterior vaginal wall. These methods can be used as basic or concomitant types of surgical intervention;
  • operation to shorten and strengthen the retaining ligaments and fix them to the walls of the organ. This operation has not proved itself in surgery due to the high percentage of recurrence;
  • an operation for ligating the ligaments to each other. Such operations do not always make it possible to have children in the future;
  • the operation at which the displaced organs are fixed to the bones and ligaments of the pelvic region;
  • operation with the use of alloplasty to strengthen the ligament system and secure fixation of the uterus. This operation also does not guarantee further recurrence of the disease, as well as rejection of the materials used;
  • laparoscopy for the omission of the uterus - perhaps the most common sparing operation, allowing you to perform an intervention with minimal tissue trauma. In laparoscopy, ligament ligament is used, which is supported by the uterus, and also practice sewing of artificial materials to stabilize the position of the organ. The operation lasts about 2 hours, under general anesthesia. After a week, the doctor removes the stitches and recommends further conservative treatment. Since surgical intervention with laparoscopy is minimally invasive, the patient can be discharged home within a few days;
  • removal of the uterus when omitted (extirpation) is carried out when the woman does not need to maintain reproductive function. Often, a laparoscopic device is also used to perform this operation. This makes the postoperative period more comfortable and short-lived. Extirpation can be performed with preservation of the cervix, which is more welcomed by the women themselves.

With properly conducted surgical treatment and following the recommendations of a doctor during the post-operative period, the uterine lumbar recurrence does not recur. As a rule, after the operation, you should lead a sparing lifestyle for 7-10 days. To sit in this period is not recommended, and walking and simple physical exercises will be only welcomed. After performing an organ-preserving operation, it is recommended to practice the above exercises to strengthen the muscular system of the pelvic region. They activate blood flow, improve tissue trophism and accelerate recovery.

To ensure that the period after surgery is faster and does not cause complications, experts advise adhering to the following recommendations:

  • during the first week after the operation, treat the crotch area with an antiseptic solution;
  • may need to undergo a course of preventive antibiotic therapy;
  • for two weeks it is forbidden to be in the sitting position, so as not to strain the operated muscles;
  • during the week, food should be exclusively liquid or semi-liquid food, to avoid constipation;
  • active sports can be conducted no earlier than a month;
  • Sexual life after surgery is possible only after 5 weeks.

The cost of surgery for ovulation can depend on many factors and ranges from $ 1000 to $ 3000.

Possible consequences after the operation of ovulation of the uterus, which need to be prepared:

  • development of bleeding (damage to vascular bundles);
  • perforated lesions of the pelvic organs;
  • late postoperative period may be complicated by erosion of the vaginal mucosa, the attachment of infection.

The most common complications occur in patients who in the postoperative period began to practice sexual intercourse.

Virtually all complications may require additional operations and a complicated treatment regimen.

Yoga at the lowering of the uterus

The poses presented in yoga help to strengthen the lumbosacral system of the pelvic zone. This can be an excellent prevention and treatment for the omission of the uterus. Adherents of yoga recommend the use of the following postures:

  • position namaste, in an upright position, the feet are attracted to each other and relaxed, the head is slightly tilted forward, the pelvis is also fed the lower part anteriorly. We breathe in full bosom;
  • we set the lower limb aside as far as possible (for women - to the left, for men - to the right), put the feet in parallel, the knees - straight. The upper limbs are bred to the sides at shoulder level (for men - palms down, women - up) and pull them out. Hold your breath on your breath and relax;
  • on full exhalation we bend knees and, slightly squatting, we arrange the lower extremities as much as possible. We keep the back in an upright position, keep the pelvis straight. Hands also bend, palms put on the sides of the thighs below the waist. Fingers of hands we hold together and we direct forward;
  • being in the same position, on the inspiration we translate the elongated limbs on the sides upward, connecting the palms. Hold your breath, stretch your hands up and relax;
  • without changing the posture, straighten the knees and tilt the even back and arms outstretched (palms together) forward parallel to the floor surface. The head can be slightly elevated, we look forward. We relax in this position;
  • in the same position on the exhalation we lean forward and take the palms by the feet. Knees directly, the feet are parallel, the head is free.

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

Bandage during ovulation of the uterus

One of the most comfortable ways of rehabilitation with the omission of the uterus is the use of a bandage. The bandage system will help to keep the uterus in its natural position. This method is certainly effective, and in addition, its use does not require the patient excessive efforts. The only remark: you can not always use a bandage, it's just a temporary event.

The bandage serves as a passive option created for the temporary retention of the normal anatomical position of the uterus.

  • The bandage grasps the hips and crotch area, holding the uterine organ almost from all sides. It is fixed with sticky fasteners, which allows you to quickly remove the structure when performing natural needs.
  • The bandage system is used no more than 10-12 hours a day because of its direct pressure on internal organs. After removing the bandage, it is necessary to lie down to fix the effect of its impact.
  • Modern designs of bandages allow you to safely put on their outerwear, not revealing the presence of the system.

However, do not rush to buy and use the bandage yourself when you drop the uterus. Consult a doctor, only he will be able to determine the effectiveness of such treatment in your particular case.

trusted-source[5], [6], [7]

Underwear when the uterus is lowered

The use of special linen can have an effect in the early stages of the course of the pathology, either in the pre- and postoperative period. Pulling pants should be worn as often as possible to lower the uterus in order to fix the result of gymnastic exercises or yoga.

Special shorts - this is a fairly strong product with a high fit in the waist, made of a thin and elastic synthetic fabric, tested for safety for the human body.

The design features of the laundry do not at all resemble the bandage system: they take into account all the anatomical characteristics of the woman's body. Lingerie is worn directly on the body, it can be noticeable under the clothes no more than ordinary everyday clothes. When wearing such underwear, possible discomfort is minimized: sizes and shape are selected individually.

Supportive panties, like a bandage, are recommended to wear no more than 12 hours a day. As a rule, they can be removed at night.

The goal of this laundry is to keep the required level of intra-abdominal pressure. This, in turn, limits the change in the position of the organ and fixes its localization.

When using laundry, uncomfortable and painful sensations decrease, the effect of exercise therapy and gymnastics increases. For prevention of complications or relapses, it is recommended to wear underwear in the postoperative period.

Mesh for ovulation of the uterus

Installation of a lightweight polypropylene mesh endoprosthesis is used quite actively for the reconstruction of the pelvic region. Grid, according to reviews, perfectly copes with the problems of omission, provided the acceptable quality of the prosthesis itself.

The endoprosthesis when the uterus is lowered is established with laparoscopic and cavitary operative interventions. With its help create new muscular nodes for fixing the uterus to the bone system. Thanks to the endoprosthesis, the uterus is fixed in a natural place: it insures the organ even from a slight change in position.

Among the contraindications to the use of the mesh can be identified infectious inflammatory processes in the abdominal cavity.

After endoprosthetics, weight lifting and active sports are not recommended. The recovery period after the operation is one month.

The grid contains a combination of polypropylene and polyvinylidene fluoride monofilaments, is completed with a special fixing suture material.

Ring when the uterus descends

Pessaries - polyvinyl chloride thermoplastic ring, used for the omission of the uterus. The ring is used both as a therapeutic measure for omission and prolapse, and as prevention of miscarriage in pregnancy.

Rings are produced in various diameters from 5 to 11 cm. When installing the ring in the body, the material from which it is made under the influence of the temperature of the human body acquires plasticity and repeats the contours of the desired organ.

Pessaries with the omission of the uterus is established only by a doctor, or a nurse who has passed the appropriate qualifications. It is impossible to introduce and remove pessaries independently, in order not to provoke the development of ulcerative and inflammatory processes in the mucosa.

The ring can be used many times, but a one-time course of wearing it should be no more than one month, after which a break is made. The exact period of use, as well as the diameter of the pessary, is determined by the doctor.

Simultaneously with the use of the ring, other alternative therapies that contribute to strengthening the muscles of the pelvic region and uterine ligaments must be applied. The use of the pessary is stopped when the omission ceases to be threatening.

Herbs when the uterus descends

The use of prescription methods in alternative medicine when ovulation is usually combined with gymnastic exercises or yoga. Such an integrated approach can effectively increase muscle tone and ease pain.

  • The use of ordinary dope is due to the content of tropane alkaloids in the plant: hyoscyamine, atropine and scopolamine. On 25 g of dry raw material, plants take up to 10 liters of pure water and boil for about ten minutes. The resulting broth should be insisted for 45 minutes and filtered. The medicine is used for sedentary baths, scouring and syringing. The bath can be taken up to 15 minutes at a temperature of up to 38 ° C. The course of baths or syringing - 10 days, then, after a 7-day break, treatment should be repeated.
  • The use of oak bark, known for its astringent, anti-inflammatory and antipyretic properties, is practiced for syringing. Take 35 g of dry bark and cook on low heat in 1 liter of water until 2 hours. Cool and douche daily for a month. The 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, thanks to the enveloping and anti-inflammatory properties of the plant. One part of the crushed quince fruit and ten parts of water are boiled for about 20 minutes, cooled and filtered. Such a decoction is used as a clinic procedure and syringing.
  • The use of lemon balm can remove inflammation and pain. Full 2 tbsp. Spoons of raw materials are covered in a thermos bottle and poured overnight 0.5 liters of boiling water. Infusion is consumed in half a cup on an empty stomach before meals.
  • The use of alcohol tincture of elecampane is mandatory on an empty stomach in the morning, according to art. Spoon. To make the medicine, take the dried root of elecampane in the amount of one st. Spoons on a bottle of vodka. They insist 10 days in the dark.

In treating the omission of the uterus should not be limited to the use of alternative methods. Consult a good specialist and perform a combination treatment of the disease.

Some people believe in the power of all sorts of conspiracies and whisperings. What does alternative medicine say about this?

Conspiracy in the omission of the uterus

It is necessary to make a ten-minute decoction from the roots of the nettle. And before the medicine is cooked, you should read over it conspiracy words:

Where, earth, is your place?
Where the Lord God said!
Uterus, where's your place?
Where the Lord God gave!

After that, a sick woman drinks the medicine received in the evening before sunset (not in the morning or on a rainy day).

Recommended for a month also to drink, like tea, infusion of viburnum or parsley root. And, of course, not to carry heavy bags and objects.

trusted-source[8], [9], [10]

Medication for ovulation of the uterus

One of the main causes of the disease during the menopause is the deficiency of estrogen hormones in the body. In this case, medicamentous treatment of uterine dysfunction is used only at the initial stages of the disease. It provides for the use of estrogen-containing (hormonal) drugs. Also, ointments or creams containing hormonal substances can be prescribed. They are injected into the vagina with tampons or other means.

Suppositories with ovulation can replace the oral administration of estrogen preparations. For example, quite often experts designate the vaginal suppository "Ovestin".

Chinese tampons Byuthful Life have recently gained popularity. Try to apply such tampons can, however, as practice shows, their use is, rather, not curative, but preventive.

Tampons when the uterus descends

Tampons are made in Hong Kong and consist of several dozen natural components from China. They do not include chemical and toxic substances, therefore, as the manufacturer indicates, are devoid of side effects.

Basic properties of tampons Beauty Life:

  • antibacterial, anti-male;
  • 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. A day after his withdrawal, you can enter the next tampon.

Treatment is not carried out for persons prone to allergies, and also for a week before menstruation, during menstruation and for three days after the discharge.

Duration of treatment - at least 1 package (6 pieces). You should not have sex during treatment with tampons.

Simulators for the lowering of the uterus

As you have already seen, many methods of strengthening the muscles of the pelvic region are known. However, there is another rather common method - the use of vaginal simulators. These are special designs for achieving maximum success in the speedy strengthening of the muscular corset of the uterus. Unfortunately, the use of such simulators is limited to the I or II degree of omission. In advanced stages, the use of devices can not only not help, but also aggravate the situation.

Classes with simulators are held up to 3 times per week, the duration of one-time classes is 15 minutes.

The simulators passed all the necessary tests, and their manufacturer is absolutely confident in the safety of their use and in the positive dynamics of treatment. Simulators are available in the form of expands, cargo simulators or myostimulators. They not only strengthen the necessary muscles, but also increase the sensitivity of the genital area, improve the blood supply of tissues, relieve pain.

In connection with the multifaceted impact of simulators, their application should be carried out only after consulting a doctor.

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