Uterine prolapse; As a result of weakening of the pelvic floor muscles and ligaments, it is the case that the uterus cannot provide adequate support to the uterus, and the uterus slides down and sometimes protrudes out of the vagina. It is a problem.
To have had a large number of births, to have a large baby and to have a difficult birth are important risk factors. However, it can also occur due to genetic reasons or living habits.
Mild uterine prolapse usually does not require treatment, but if uterine prolapse bothers you and interferes with your normal life, you can be treated. Advanced stage uterine prolapse requires treatment.
Uterine Prolapse Symptoms
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Feeling pressure in the groin area or swelling inside the vagina,
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Feeling as if the uterus is being pulled down,
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Feeling as if something is coming out of the vagina,
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Inside the vagina palpation of protruding tissues,
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Bleeding of the vagina or increased discharge,
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Difficulty in urination,
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Frequent recurrence of urinary tract infections,
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Urinary incontinence with coughing and sneezing,
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Difficulty in emptying the intestines,
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Low back pain,
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Discomfort or pain during sexual intercourse.
How to Identify Uterine Prolapse?
The diagnosis of uterine prolapse can be made during a routine gynecological examination. Mostly, the person is aware of the uterine prolapse. When the person pushes, he checks whether there is pressure on the vaginal area. Some women hesitate to tell the doctor about the symptoms of this problem. Sometimes, this problem can be detected by chance during the examination. In addition, uterine prolapse may be accompanied by the problem of urinary bladder and bowel prolapse.
Uterine Prolapse Treatment
The treatment of uterine prolapse is determined individually. The stage of uterine prolapse, whether the woman has children, additional disease Presence of urinary incontinence and additional problems such as urinary incontinence are decisive in determining the treatment method.
Treatment is possible with or without surgery.
Treatment with Vaginal Ring (Peser)
If there is a uterine prolapse that requires advanced treatment and surgical intervention cannot be performed for any reason (for example, if the patient refuses to undergo surgery or there is a very high risk due to advanced age and comorbidities), a pessary that is placed in the vagina and supports the sagging organ. and materials that provide relief are used.
The pessary, which has a wide variety of models, is selected according to the patient. Periodic replacement or maintenance is required.
Uterine Prolapse Surgery
The problem is solved by supporting the muscles that cause sagging with your own tissues or synthetic materials. Removal of the uterus can also be performed by evaluating the patient specifically, and the vaginal vault suspension procedure can be applied.
The operation can be performed vaginally, laparoscopically or robotically.
Uterine Prolapse Prevention
Some Precautions can reduce the incidence of uterine prolapse:
Kegel exercises: These exercises can strengthen your pelvic floor muscles, which are especially affected after childbirth.
Follow the following steps to perform Kegel exercises:
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Tighten (tighten) your pelvic floor muscles (the muscles you use to stop urination).
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Continue the tightening for 5 seconds, then relax for 5 seconds.
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Do this exercise 10 times a day, 3 sets each time.
Pilates: This exercise method helps strengthen your related muscles.
Preventing and treating Chronic Constipation: Drink lots of fluids. Eat high-fiber foods like fruits, vegetables, beans, and whole-grain cereals.
Avoid heavy lifting and use the right method for heavy lifting: When lifting something heavy, use your legs instead of your waist and back.
Controlling chronic cough: Don't smoke and get treatment for chronic obstructive pulmonary disease (COACH) or bronchitis
Avoiding weight gain: Maintain your ideal weight and if you need it. If you have a problem, determine your weight loss strategy.
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