Is it possible to get pregnant with the prolapse of the uterus: features and danger of the condition. If the cervix of the uterus is lowered in a woman, is it possible to become pregnant, endure and give birth naturally with prolapse. Can there be prolapse of the uterus during pregnancy

Article outline

Most young girls ignore the development of such a pathology as cervical prolapse. Lack of proper treatment leads to the development of serious complications, one of which is the impossibility of healthy childbearing. This is due to the fact that uterine prolapse and pregnancy are two incompatible processes. The development of pathology provokes the prolapse of the uterus from the vagina, so it is impossible to get pregnant with prolapse in most cases.

Causes of the disease

The main factors provoking uterine prolapse during pregnancy include:

complications during natural childbirth, as a result of which large ruptures of the genitals were formed. A provocative factor may be the bearing of a heavy fetus, a long maternity process, the use of additional operations;
the age of the girl - after 35 years, the muscle tissues of the vagina become less elastic and lose their former elasticity;
the menopausal state in most cases is accompanied by the formation of vaginal prolapse;
regular heavy physical activity, which manifests itself in lifting heavy objects, engaging in active sports. To eliminate prolapse, it is enough to draw up a training methodology with a moderate load;
frequent constipation leads to an overstrain of the muscle tissues of the genital organs, thereby provoking the prolapse of the uterus;
a strong cough also overexerts the muscles that hold the uterus;
genetic predisposition - the characteristic features of the body in many cases are inherited;
the presence of excess weight, which becomes additional pressure in the abdomen.

Degrees

Prolapse is a pathology that is characterized by a slow course and consists of three main stages:

The first stage is considered to be a mild form, in which the lowering of the neck occurs at the level of a flat pelvis. As a rule, at this stage it is impossible to notice the prolapse of the uterus.
In the second stage, prolapse is clearly visible on examination by a gynecologist who does not use special devices.
The third stage is complete.

In many cases, there is a prolapse of one wall of the uterus, and not the organ as a whole. A medical specialist prescribes treatment based on the degree of prolapse, taking into account the individual characteristics of the body, age, and health status.

Is it possible to get pregnant with uterine prolapse

The unnatural position of the uterus during pregnancy will lead to its prolapse. This pathology leads to the formation of unpleasant symptoms that cause discomfort. In this regard, medical specialists recommend first of all to eliminate the prolapse, and only then plan the replenishment. Despite this, if the cervix is lowered, it is possible to become pregnant. The most favorable for pregnancy with cervical prolapse are the first and second degrees of pathology, when a gynecologist can detect a violation. At the same time, carrying out any preventive measures can harm the expectant mother. In order for childbirth during prolapse to be successful, it is recommended to postpone treatment until the baby is born.

Prohibition for pregnancy

The absence of discomfort indicates that the pregnancy passes without complications. As a rule, after three months of gestation, the symptoms disappear.

There are the following contraindications for pregnancy, which is accompanied by cervical prolapse:

The first factor that imposes a ban is the presence of hormonal imbalance. With this deviation, it is almost impossible to get pregnant - this is due to the fact that the reproductive function is closely related to the hormonal background.
The progression of the third stage, which is characterized by complete prolapse of the uterus to the outside. This process eliminates the possibility of sexual intercourse.
The development of the inflammatory process, which provoked the formation of edema on the neck.

The previous event is a complete examination of the patient, during which the medical specialist will acquaint the girl with possible threats:

the risk of miscarriage is due to the lack of normal conditions for the formation of the fetus. The process of pregnancy is much more complicated in the presence of an inflammatory process and deformation of the uterine walls;
termination of pregnancy, which entails the removal of the uterus;
fetal development is accompanied by pressure on the bladder. Prolapse will aggravate the condition of the expectant mother;
maintaining a pregnancy with prolapse implies that the girl is on inpatient treatment, since the expectant mother must be under the constant supervision of doctors.

Prolapse of the uterus in the early stages

Most expectant mothers are sure: prolapse at the beginning of pregnancy leads to the formation of detachment, hematoma, and other serious abnormalities. Practitioners refute this fact, explaining this by the lack of a direct relationship between the development of prolapse and possible complications.

The indirect effect of prolapse during early pregnancy is manifested by the following symptoms:

The progression of the inflammatory process, which damages the cervix, genitals, womb. The course of the infectious period significantly affects the proper development of the fetus.
Prolapse leads to the formation of injuries on the genitals. This factor is manifested during sexual contact. In order to avoid complications, the girl must disengage from physical and emotional stress.

What to do when prolapsed during pregnancy

The presence of uterine prolapse indicates that the decision to become pregnant must be considered. If you follow these recommendations, it will be most successful:

the previous event is the passage of a complete examination, as a result of which the doctor will detect the development of a sexual infection, as well as prescribe therapeutic therapy;
restriction on carrying heavy objects, prolonged stay of pregnant women in an upright position, excessive active sexual intercourse;
determining the safest way to give birth. The choice of natural childbirth implies the exact implementation of all the recommendations of the attending doctor in order to avoid additional complications.

During pregnancy in the early stages, it is necessary to wear a special belt - a bandage. This device effectively fixes the internal organs in the correct position. In addition, the bandage fits the load on the spine due to the rational distribution of weight. The condition of the uterus with prolapse improves markedly when used, which strengthens muscle tissue, normalizes the course of pregnancy, and improves the general condition of the expectant mother. It is worth remembering that the use of this set of exercises is allowed only after the approval of the attending physician.

If there is no effect from therapeutic exercises and wearing a bandage, the girl is recommended to use. This ring is placed in the vagina, keeping the uterus in the correct position. The ring must be installed by a qualified person. Otherwise, the pessary will adversely affect the fetus.

Alternative medicine methods are allowed to be used after the approval of the gynecologist. You can improve your general condition with the help of the following recipes:

It is necessary to grind a plantain leaf, pour boiling water over it, then put it on low heat and cook for fifteen minutes. After manipulation, the decoction is infused, filtered and applied for its intended purpose. When used, it is allowed to add a little honey.
Melissa is used to restore the nervous system. Three tablespoons of the component are steamed with 300 ml of boiling water. Further, the broth is infused, filtered and consumed before bedtime.

Conceiving a child is not an easy task, especially if there are health problems. Uterine prolapse is not a joke disease, but specialists can do everything, they can help to become. The main thing is not to lose hope and go forward to the cherished goal.

An incorrect position of the uterus in a woman is a difficulty for bearing a fetus and a risk for the mother. With this position of the organ, there is a displacement (significant or insignificant, depending on the degree) of the fundus and cervix, which is located in an unnatural position below the anatomical and physiological border.

The weakening of the ligaments of the uterus and the muscles of the pelvic floor is accompanied by a feeling of pressure, pulling pains in the lower abdomen and in the vagina. Frequent urination disorders: increased frequency, incontinence, as well as pathological discharge. May be complicated by partial or complete prolapse of the uterus. It is difficult to become a mother without medical intervention; with advanced pathology options, pregnancy is impossible.

Degrees of uterine prolapse

This deviation is characterized by four degrees:

The first degree implies a slight prolapse of the organ, when the cervix is already in the vaginal canal, but does not come out of the vaginal inlet, even when straining.
The second degree is characterized by partial prolapse of the cervix when coughing, straining and lifting weights.
The third is partial (incomplete) loss. The cervix and part of the uterus protrude from the vagina.
Fourth degree, when the female genitals are completely protruded at the slightest physical movement.

Is it possible to get pregnant with uterine prolapse

Doctors have proven that it is quite possible to get pregnant with genital prolapse. This is especially true in stages 1 and 2.

However, the uterine body, with the growth of the fetus, will rapidly sink down and can harm the mother and child. Therefore, before planning conception, it is necessary to cure all gynecological pathologies.

Proctological complications in this type of disorder are observed in almost every third patient. Constipation, fecal incontinence, colitis and increased gas formation are noted.

When it's possible

Omission of the reproductive organ of a woman and pregnancy are possible.

When carrying a child, the risk of displacement of the organ is extremely high, and therefore a woman with a previously detected displacement of the uterus is under the supervision of a doctor.

When not to

It will be difficult to conceive if the balance of hormones is disturbed. Hormones are responsible for the reproductive ability of the body, and therefore, if there is an imbalance in the body, pregnancy becomes more complicated. For treatment, hormonal therapy and strengthening exercises are prescribed.
When the uterus protrudes from the vagina.
When she is in good shape or inflamed. Because due to swelling, the entrance to the neck is closed.

dangerous moments

Pregnant women have to face problems during the gestation period in the 1st trimester. One of the frequent complications is the fading of pregnancy, after which an abortion is performed. The threat of early unplanned birth is also considered.

The probability of pregnancy failure and deprivation of an organ for bearing a fetus is quite high, but a deadly complication for both the baby and the mother is an inflammatory process, an infection that goes straight into the uterus through a lowered neck.

With the growth of the baby, pressure on the internal organs increases, which provokes a displacement of nearby organs: the rectum - a rectocele, the bladder - a cystocele.

What to do

If a woman does not have chronic and current diseases (except for genital prolapse), if there are no problems in genetics, and there are no bad habits, then it is quite possible to give birth to a healthy baby. The main task is to take care of yourself and follow all the recommendations of the doctor.

Already from the second trimester, the patient is placed for preservation. She should observe bed rest as much as possible, because there is an enormous load on the small pelvis, and this threatens early childbirth.

Does pregnancy affect the baby when the uterus prolapses?

When conception occurs, a woman worries not so much about her health as about the condition of the child. Is there a risk to the fetus if the uterus prolapses? Doctors say that if a pregnant woman adheres to the recommendations, follows the necessary schedule, then the risks are minimal. This pathology does not affect the child. Particular attention should be paid to hygiene, minimal physical exertion and abstinence from sexual intercourse during the period of bearing a baby.

You should completely change the diet of the food you eat. Eat only healthy and proper food.
Prohibition of sexual activity during pregnancy.
Strengthening the pelvic muscles using the Kegel method.

Depending on the stage of the diagnosis, experts advise.

Prolapse of the cervix or uterus during pregnancy are just special cases from a large group of conditions associated with the usefulness of the pelvic floor in women. Correctly, the group of these diseases is called "prolapse or prolapse of the female genital organs" or "prolapse of the GPO".

Such diseases are typical for women aged 40+, however, there are unpleasant exceptions in young patients, including during pregnancy. All data on the statistics of this disease go with reference to women over 40 and, according to experts, make up about 35% of women.

You can imagine that every third woman after the age of forty has one or another version of this problem, which violates the quality of life, causing physical and psychological suffering.

Degrees of uterine prolapse. Source: Borninvitro.ru

In a large group of pelvic organ prolapse, several subgroups can be conditionally distinguished:

The prolapse of the walls of the vagina. This is the most common and frequently encountered situation. Of the options for "prolapse", the prolapse of the walls of the vagina is the mildest degree. Both the anterior and posterior walls of the vagina can descend, as well as both walls at the same time.

In total, there are three degrees of omission, from the first - the most insignificant, to the third - the most pronounced. It is generally accepted that the prolapse of the anterior wall of the vagina is always associated with a violation of the normal anatomical position of the bladder and is called a cystocele.

When the posterior wall is lowered, the rectum and its function suffer, and such a prolapse is called a rectocele. The prolapse of the vaginal walls is by far the most common situation faced by pregnant women, as well as patients after childbirth.

Incomplete prolapse of the uterus is a kind of boundary between the prolapse of the walls of the vagina of the third degree and the complete prolapse of the uterus. As a rule, with this option, the cervix is already visible from the genital slit, especially after a long stay in an upright position or physical activity, but the body of the uterus is still “hiding” in the pelvis. Patients suffer greatly not only because of a cosmetic defect, but also because of dysfunctions of the bladder and rectum.

Complete uterine prolapse is an extreme version of prolapse, when not only the cervix is visible from the genital slit, but also the body of the uterus itself, enclosed in the walls of the vagina. The self-prolapsed uterus can no longer be reduced, women experience great difficulties with urination and defecation.

It is important to understand that prolapse of the uterus during pregnancy is a practically casuistic and unlikely situation, since the ligamentous apparatus of the growing uterus with the fetus, on the contrary, “pulls” the uterus up, and the uterus that increases in volume is pushed into the small pelvis, so the pregnant uterus simply cannot “fall out”.

There are examples when, during pregnancy, incomplete prolapse of the uterus or elongation of the cervix even improved its course, unfortunately, significantly aggravated immediately after childbirth.

Elongation of the cervix is a type of prolapse of the GPO, in which, due to the peculiarities of the redistribution of the load on the ligaments of the small pelvis, the main load falls on the ligamentous apparatus of the cervix, as a result of which it gradually lengthens in size, changes its configuration and begins to appear from the genital gap.

This form differs from incomplete prolapse in that the uterus itself, in the case of pure cervical elongation, does not change its anatomical position. This form of prolapse also occurs in young women and pregnant women.

Of course, over time, lighter forms can turn into more complex and neglected ones. This can happen for a long time and gradually - over decades, or it can happen in one moment - especially with a sharp cough, sneeze, severe constipation or jerky lifting of weight.

The reasons

There are a lot of reasons for pelvic organ prolapse, but the basis of the foundations is a certain genetic defect in the connective tissue, in which there is a violation of the synthesis of collagen and other connective tissue fibers.

As a result, connective tissue throughout the body, including the pelvic floor, which consists of muscles and fascia, has reduced tolerance or resistance to physical stress. This feature is called systemic connective tissue dysplasia syndrome.

Childbirth. Unfortunately, this absolutely physiological process in patients with a tendency to prolapse can provoke its appearance, and already at a young age. Of great importance is the number of births, the weight of the fetus, the characteristics of the course of childbirth. The more births there were, the larger the children, the higher the chances of a violation of the anatomy of the pelvic floor. Tears and crotch cuts are another plus with this nasty piggy bank.

Heavy physical labor, namely work associated with lifting weights. When lifting a large weight, there is a sharp increase in intra-abdominal pressure, which seems to “push” the pelvic organs down towards the vagina.

Operations on the pelvic floor are relevant in this case, not only obstetric operations for cutting and suturing the perineum (episiotomy, perineotomy), but also, say, other interventions in this area. For example, operations on the rectum, operations to eliminate fistulous passages, coccygeal passages, and so on.

Severe constipation - The problem of constipation as well as heavy lifting is associated with an increase in intra-abdominal pressure when straining.

Severe atrophic changes in the vagina - such changes in the elasticity of the walls of the vagina are often observed in patients in menopause and are associated with a deficiency of sex hormones. Less commonly, there are atrophic changes after chemotherapy or radiation therapy for cancer, against the background of autoimmune diseases, for example, Sjögren's syndrome.

However, no matter what the provoking factors, a connective tissue defect will always come first. That is why we often see patients who have given birth to three or four children, weighing about 4 kg, who have worked all their lives as sleepers, but with a completely ideal pelvic floor. In contrast, a patient who has given birth to one small child without perineal trauma and has worked as an accountant all her life may have a complete uterine prolapse.

prolapse symptoms

Clinical manifestations and symptoms of uterine prolapse during pregnancy are in principle similar to those outside of pregnancy.

Visual and tactile sensation of "discomfort" or "disorder" in the genital area. Often, patients compare the “fallen out” vaginal wall with an egg or a ball, some take a rectocele for a large hemorrhoid.

Discomfort during urination of defecation, expressed all the more, the higher the degree of prolapse of the walls of the vagina or prolapse of the uterus. With complete prolapse, patients cannot urinate or have a bowel movement until the uterus is manually pushed back into the vagina. In addition, patients are concerned about frequent urination, unproductive urination and defecation, a large amount of residual urine in the bladder, and urine leakage.

Defects, cracks and ulcers on the "dropped out" mucous membranes, cervix. Very characteristic is the appearance of the so-called decubital ulcer on the cervix during its elongation or complete prolapse of the gallbladder. These ulcers occur due to the fact that the delicate mucous membranes of the vagina and cervix are in an alien environment, they are easily injured, dried out, and long-term non-healing, bleeding defects - ulcers occur.

It is rather difficult to meet a pregnant woman with such extreme manifestations of prolapse of the gallbladder, as a rule, in young reproductively active women, the situation is limited to elongation of the cervix or prolapse of the vaginal walls. As we have already mentioned, pregnancy is characterized by some improvement in the process.

Uterine prolapse during early pregnancy is most often associated with urination and defecation disorders, discomfort in the external genital organs, more frequent secondary infection on the descending walls of the vagina than in a pregnant woman with a normal anatomy. In later periods, as the growing uterus is “pushed out”, the situation may even improve on its own.

Treatment and prevention

Outside of pregnancy, the method of choice for treating severe degrees of prolapse is surgical treatment of prolapse - one or another variant of pelvic floor plasty. Modern gynecology has a lot of options for such operations, depending on the age of the patient, her main complaints and wishes, as well as the material interest of the woman herself:

Pelvic floor plasty with mesh prostheses. There are special types of grafts that are inserted in a special way between the muscle layers and fascia of the pelvic floor and strengthen the sagging and overstretched pelvic floor. This is a modern and high-tech type of operation, but it is he who requires the main material injections of the patient herself. Mesh prostheses are quite expensive and are bought by the patient on her own.

Vaginoplasty with own tissues is an older and decades-proven method, including cutting out flaps from the walls of the vagina, suturing them, shortening the ligamentous apparatus, and so on.

Removal of the uterus - almost always performed in patients 40+ with complete uterine prolapse. Removal options can be either abdominal surgery through an incision in the anterior abdominal wall, or a new modern method of vaginal extirpation of the uterus through the anterior vaginal fornix. Removal of the uterus is always combined with pelvic floor plasty with own tissues or a prosthesis.

The Manchester operation is an old but proven method for cervical elongation - shortening the length of the cervix, cervical plastic and strengthening the cervix and dome of the vagina with a ligamentous apparatus from the cervix itself.

These are methods of surgical treatment, which, of course, are not performed in a pregnant woman. What to do with the prolapse of the uterus during pregnancy in the early stages? Definitely, the management of such patients is strictly conservative.

Kegel gymnastics and a variety of vaginal simulators based on it. This gymnastics was specially developed by the gynecologist Hegel or Kegel for the treatment of early degrees of prolapse of the gallbladder or the prevention of further progression of the process.

The meaning of the exercises is to compress and relax the muscles of the vagina, perineum and sphincters of the bladder and rectum - the muscles come into tone, strengthen and keep the pelvic floor in good shape.

Patients are sometimes very skeptical about "physical education", however, with the lowering of the walls of the vagina of small degrees with regular daily performance of the complex, the results are amazing.

Technological progress has created special simulators based on these exercises, which are inserted into the vagina and even attached to programs on a tablet or phone. The program suggests sets of exercises, controls the pressure on the simulator and reminds you of the start time of the set of exercises.

The introduction of uterine pessaries and rings with pronounced elongation or omission of the walls. These are special products made of silicone or medical plastic, inserted into the vagina or put on the cervix, holding the walls of the vagina and pelvic organs inside. There are a lot of models of such pessaries, a specific model, size can only be advised by a gynecologist for each specific patient.

Prevention of a large fetus, polyhydramnios, traumatic childbirth, careful suturing of the perineum and vaginal ruptures.

Dear Olga!

You correctly noted that when planning a pregnancy in women with uterine prolapse, the difficulty arises not with conception, but with bearing a child. This pathology provokes certain risks that can be fatal to the fetus and pose a threat to the health of the expectant mother. Unfortunately, there is no single forecast of whether you will be able to safely bear a child, but you cannot categorically state that the birth of a second child in your family cannot take place. It all depends on the severity of the pathology and the degree of sensation of the uterus.

Pregnancy and uterine prolapse

When planning a pregnancy with your pathology, you should be warned about all the possible risks and consequences. However, most often, doctors do not consider uterine prolapse to be a complete contraindication to pregnancy. However, you must understand that pregnancy can end in fading or miscarriage of the fetus, especially in the early stages.

The reason for this is the lack of normal conditions for the development of the baby, because when the uterus prolapses, inflammatory processes often develop that prevent the normal development of pregnancy. In addition, the walls of the organ are deformed, and as the fetus grows, the uterus will descend very quickly, which can lead to a miscarriage of pregnancy and even the need for complete removal of the organ. The growth of the uterus increases the pressure on the surrounding organs - the intestines, bladder, etc., which can lead to urinary incontinence, severe constipation and other unpleasant conditions. When deciding on a pregnancy with a prolapsed uterus, a woman should be prepared that she may have to lie in bed for most of the pregnancy. However, it must be emphasized once again that the prognosis depends entirely on the degree of omission and the severity of the pathology established by specialists.

There are several stages of uterine prolapse:

The first stage: on examination, it is found that the external pharynx of the neck is lowered relative to the normal position, the woman feels discomfort.
The second stage: the cervix falls out of the vagina, sexual life becomes impossible.
The third stage: the entire uterus falls out of the genital slit, there is a disruption in the work of a number of organs. The prolapsed uterus becomes inflamed, erosion appears, and an abscess may develop.

Treatment of uterine prolapse

Treatment of uterine prolapse must begin long before the intended pregnancy. The initial stage of pathology with adequate treatment makes it possible to bear a child under the supervision of doctors. At the first stage, conservative treatment is prescribed, including general strengthening therapy aimed at improving the tone of the abdominal wall and ligaments. These are physiotherapy exercises and water procedures. It is necessary to perform a special set of exercises to strengthen the gluteal muscles, elements of oriental dances, Kegel exercises, etc. Sometimes such work on your body gives very good results, but when pregnancy occurs, in any case, constant wearing of bandages will be required.

If the omission has reached the second and third stages, surgical treatment is prescribed. So, it is possible to surgically install a pessary, which will prevent the prolapse of the uterus from the vagina. This device is able to keep the uterus at the right level throughout the entire period of pregnancy, but this method has its drawbacks. So that it does not harm the fetus, it must be skillfully and correctly installed. In addition, when worn for a long time, it leads to the appearance of bedsores and stretching of the pelvic muscles, therefore, when installing a pessary, a woman should be under constant medical supervision and douche every day.

At advanced stages, the uterus is sutured to the base of the muscles. Such an operation is quite effective, but has a long rehabilitation period, excluding weight lifting and any physical activity.

Sincerely, Xenia.

Violation of the normal anatomical state of the genital organs located in the small pelvis of a woman is negative factor for conception and gestation. Pregnancy with uterine prolapse occurs with complications, and after delivery one should be wary of the rapid progression of the disease with a high risk of complete uterine prolapse.

Genital prolapse: what are the chances for conception

impossibility of intimate life with complete prolapse of the reproductive organ;
the presence of concomitant inflammation in the cervical canal and endometrium;
violation of blood circulation in the uterine arteries and veins;
concomitant change in the hormonal function of the ovaries;
the inability of the uterus, as a container for the fetus, to create optimal conditions for the embryo.

For every woman the prognosis for conception is individual: after a full examination in the Clinic, you can find out the degree of prolapse and try to correct the situation, if possible, without resorting to surgical treatment.

Rice. Genital prolapse

Prolapse of the uterus: what complications can occur during pregnancy

With the successful conception of a baby, it is necessary to contact a specialist as early as possible in order to do everything possible to prevent complications and create optimal conditions for the growing fetus. Dangerous complications include:
spontaneous abortion in the 1st trimester against the background of insufficient blood circulation in the uterus and fading of embryo development in the first weeks of gestation;
childbirth ahead of schedule with the birth of a premature baby in the formation of isthmic-cervical insufficiency (the inability of the cervix to keep the exit from the uterus closed);
uterine bleeding associated with abnormal location or premature detachment of the placenta.

Unpleasant and less dangerous complications include:

the presence of constant pulling pains in the lower abdomen throughout pregnancy;
the appearance or exacerbation of vaginal infections with itching, burning and profuse leucorrhoea;
problems with stool (lowered internal organs create conditions for the retention of feces in the large intestine with the formation of constipation, which can only be dealt with with the help of special medicines);
inability to retain urine (the constant pressure of the lowered uterus on the bladder leads to various forms of pathology of the urinary system);
pain in the pelvic bones in front in the area of the pubic junction (symphysitis), arising against the background of a pronounced pressure of the lowered uterus on the bosom.

Throughout pregnancy, a woman needs to constantly monitor the state of her own body and regularly visit the attending physician: only with strict adherence to the advice and prescriptions of a specialist can she deliver and give birth to a healthy baby.

After childbirth: what are the consequences

The method of delivery in women with genital prolapse is chosen individually. With a low risk of dangerous complications (bleeding, eversion), you can try to give birth on your own. If indicated, the doctor will suggest a caesarean section. The result of natural childbirth can be the following consequences:

aggravation of the severity of uterine prolapse (transition from II degree to III);
postpartum uterine bleeding due to the inability of the uterine muscle to contract.

In all cases, you need to listen to the opinion of the doctor: if the doctor suggests delivery through surgery, then you should agree to a caesarean section, which will help prevent a lot of problems with future women's health.

Therapeutic tactics: what to do to maintain pregnancy

At the stage of pregravid preparation, it is necessary to use all methods to strengthen the muscles of the pelvic floor. If you are overweight, you need to get rid of extra pounds with the help of a nutritionist or endocrinologist.

Having conceived a child, from the first weeks of pregnancy, a woman must fulfill the following doctor's prescriptions:

nutrition correction with the rejection of a large amount of fats and carbohydrates in the diet (this is necessary to prevent rapid weight gain);
refusal of sexual life for the entire period of gestation;
cessation of hard work and physical activities (if necessary, the doctor will give a certificate to the employer about the transfer of a pregnant woman to light work);
if necessary, taking medications to maintain pregnancy;
regular ultrasound monitoring of the state of the cervix (cervicometry);
wearing a prenatal bandage from 22-26 weeks;
the introduction of a special obstetric pessary (rings on the cervix) with a strong shortening of the length of the cervical canal and the risk of premature birth.

A photo. Introduction of the obstetric pessary

The initial forms of genital prolapse are not at all an obstacle to conceiving a child. Subject to the advice of the doctor and the timely application of modern methods of treatment, a woman will be able to endure and give birth to a baby.

treating
doctors

Our center employs the most experienced and qualified staff in the region

Attentive
and experienced staff

Zhumanova Ekaterina Nikolaevna

Head of the Center for Gynecology, Reproductive and Aesthetic Medicine, Candidate of Medical Sciences, Doctor of the Highest Category, Associate Professor of the Department of Restorative Medicine and Biomedical Technologies of A.I. Evdokimova, Member of the Board of the ASEG Association of Specialists in Aesthetic Gynecology.

Graduated from the Moscow Medical Academy named after I.M. Sechenov, has a diploma with honors, passed clinical residency at the Clinic of Obstetrics and Gynecology named after. V.F. Snegirev MMA them. THEM. Sechenov.
Until 2009, she worked at the Clinic of Obstetrics and Gynecology as an assistant at the Department of Obstetrics and Gynecology No. 1 of the Moscow Medical Academy. THEM. Sechenov.
From 2009 to 2017 she worked at the Medical and Rehabilitation Center of the Ministry of Health of the Russian Federation
Since 2017, she has been working at the Center for Gynecology, Reproductive and Aesthetic Medicine, JSC Group of Companies Medsi
She defended her dissertation for the degree of candidate of medical sciences on the topic: "Opportunistic bacterial infections and pregnancy"

Myshenkova Svetlana Alexandrovna

Obstetrician-gynecologist, candidate of medical sciences, doctor of the highest category

In 2001 she graduated from the Moscow State University of Medicine and Dentistry (MGMSU)
In 2003 she completed a course in obstetrics and gynecology at the Scientific Center for Obstetrics, Gynecology and Perinatology of the Russian Academy of Medical Sciences
He has a certificate in endoscopic surgery, a certificate in ultrasound diagnostics of pathology of pregnancy, fetus, newborn, in ultrasound diagnostics in gynecology, a certificate in laser medicine. He successfully applies all the knowledge gained during theoretical classes in his daily practice.
She has published more than 40 works on the treatment of uterine fibroids, including in the journals Medical Bulletin, Problems of Reproduction. He is a co-author of guidelines for students and doctors.

Kolgaeva Dagmara Isaevna

Head of Pelvic Floor Surgery. Member of the Scientific Committee of the Association for Aesthetic Gynecology.

Graduated from the First Moscow State Medical University. THEM. Sechenov, has a diploma with honors
Passed clinical residency in the specialty "obstetrics and gynecology" on the basis of the Department of Obstetrics and Gynecology No. 1 of the First Moscow State Medical University. THEM. Sechenov
She has certificates: an obstetrician-gynecologist, a specialist in laser medicine, a specialist in intimate contouring
The dissertation work is devoted to the surgical treatment of genital prolapse complicated by enterocele.
The sphere of practical interests of Kolgaeva Dagmara Isaevna includes:
conservative and surgical methods for the treatment of prolapse of the walls of the vagina, uterus, urinary incontinence, including the use of high-tech modern laser equipment

Maksimov Artem Igorevich

Obstetrician-gynecologist of the highest category

Graduated from the Ryazan State Medical University named after Academician I.P. Pavlova with a degree in General Medicine
Passed clinical residency in the specialty "obstetrics and gynecology" at the Department of Clinic of Obstetrics and Gynecology. V.F. Snegirev MMA them. THEM. Sechenov
He owns a full range of surgical interventions for gynecological diseases, including laparoscopic, open and vaginal access
The sphere of practical interests includes: laparoscopic minimally invasive surgical interventions, including single-puncture access; laparoscopic surgery for uterine myoma (myomectomy, hysterectomy), adenomyosis, widespread infiltrative endometriosis

Pritula Irina Alexandrovna

Obstetrician-gynecologist

Graduated from the First Moscow State Medical University. THEM. Sechenov.
Passed clinical residency in the specialty "obstetrics and gynecology" on the basis of the Department of Obstetrics and Gynecology No. 1 of the First Moscow State Medical University. THEM. Sechenov.
She is a certified obstetrician-gynecologist.
Possesses the skills of surgical treatment of gynecological diseases on an outpatient basis.
He is a regular participant in scientific and practical conferences on obstetrics and gynecology.
The scope of practical skills includes minimally invasive surgery (hysteroscopy, laser polypectomy, hysteroresectoscopy) - Diagnosis and treatment of intrauterine pathology, pathology of the cervix

Muravlev Alexey Ivanovich

Obstetrician-gynecologist, oncogynecologist

In 2013 he graduated from the First Moscow State Medical University. THEM. Sechenov.
From 2013 to 2015, he underwent clinical residency in the specialty "Obstetrics and Gynecology" on the basis of the Department of Obstetrics and Gynecology No. 1 of the First Moscow State Medical University. THEM. Sechenov.
In 2016, he underwent professional retraining on the basis of GBUZ MO MONIKI them. M.F. Vladimirsky, majoring in Oncology.
From 2015 to 2017, he worked at the Medical and Rehabilitation Center of the Ministry of Health of the Russian Federation.
Since 2017, she has been working at the Center for Gynecology, Reproductive and Aesthetic Medicine, JSC Group of Companies Medsi

Mishukova Elena Igorevna

Obstetrician-gynecologist

Dr. Mishukova Elena Igorevna graduated with honors from the Chita State Medical Academy with a degree in General Medicine. Passed clinical internship and residency in obstetrics and gynecology at the Department of Obstetrics and Gynecology No. 1 of the First Moscow State Medical University. THEM. Sechenov.
Mishukova Elena Igorevna owns a full range of surgical interventions for gynecological diseases, including laparoscopic, open and vaginal access. He is a specialist in providing emergency gynecological care for diseases such as ectopic pregnancy, ovarian apoplexy, necrosis of myomatous nodes, acute salpingo-oophoritis, etc.
Mishukova Elena Igorevna is an annual participant of Russian and international congresses and scientific and practical conferences on obstetrics and gynecology.

Rumyantseva Yana Sergeevna

Obstetrician-gynecologist of the first qualification category.

Graduated from the Moscow Medical Academy. THEM. Sechenov with a degree in General Medicine. Passed clinical residency in the specialty "obstetrics and gynecology" on the basis of the Department of Obstetrics and Gynecology No. 1 of the First Moscow State Medical University. THEM. Sechenov.
The dissertation work is devoted to the topic of organ-preserving treatment of adenomyosis by FUS-ablation. He has a certificate of an obstetrician-gynecologist, a certificate in ultrasound diagnostics. He owns a full range of surgical interventions in gynecology: laparoscopic, open and vaginal approaches. He is a specialist in providing emergency gynecological care for diseases such as ectopic pregnancy, ovarian apoplexy, necrosis of myomatous nodes, acute salpingo-oophoritis, etc.
Author of a number of publications, co-author of a methodological guide for physicians on organ-preserving treatment of adenomyosis by FUS-ablation. Participant of scientific and practical conferences on obstetrics and gynecology.

Gushchina Marina Yurievna

Gynecologist-endocrinologist, head of outpatient care. Obstetrician-gynecologist, reproductive specialist. Ultrasound doctor.

Gushchina Marina Yuryevna graduated from the Saratov State Medical University. V. I. Razumovsky, has a diploma with honors. She was awarded a diploma from the Saratov Regional Duma for excellent academic and scientific achievements, and was recognized as the best graduate of the SSMU. V. I. Razumovsky.
She completed a clinical internship in the specialty "obstetrics and gynecology" at the Department of Obstetrics and Gynecology No. 1 of the First Moscow State Medical University. THEM. Sechenov.
He has a certificate of an obstetrician-gynecologist; doctor of ultrasound diagnostics, specialist in the field of laser medicine, colposcopy, endocrinological gynecology. She repeatedly took advanced training courses in "Reproductive Medicine and Surgery", "Ultrasound Diagnostics in Obstetrics and Gynecology".
The dissertation work is devoted to new approaches to differential diagnosis and tactics of managing patients with chronic cervicitis and early stages of HPV-associated diseases.
He owns a full range of minor surgical interventions in gynecology, performed both on an outpatient basis (radiocoagulation and laser coagulation of erosions, hysterosalpingography), and in a hospital setting (hysteroscopy, cervical biopsy, conization of the cervix, etc.)
Gushchina Marina Yurievna has more than 20 scientific publications, is a regular participant in scientific and practical conferences, congresses and congresses on obstetrics and gynecology.

Malysheva Yana Romanovna

Obstetrician-gynecologist, pediatric and adolescent gynecologist

Graduated from the Russian National Research Medical University. N.I. Pirogov, has a diploma with honors. Passed clinical residency in the specialty "obstetrics and gynecology" on the basis of the Department of Obstetrics and Gynecology No. 1 of the Medical Faculty of the First Moscow State Medical University. THEM. Sechenov.
He has a certificate of an obstetrician-gynecologist, an ultrasound diagnostician, a specialist in laser medicine, pediatric and adolescent gynecology.
He owns a full range of minor surgical interventions in gynecology, performed both on an outpatient basis (radiocoagulation and laser coagulation of erosions, cervical biopsy), and in a hospital setting (hysteroscopy, cervical biopsy, cervical conization, etc.)
Passed clinical residency in the specialty "Obstetrics and Gynecology" on the basis of the Department of the Federal State Budgetary Educational Institution of Additional Professional Education "Institute for Advanced Studies of the Federal Medical and Biological Agency".
He has certificates: an obstetrician-gynecologist, a specialist in the field of colposcopy, non-operative and operative gynecology of children and adolescents.

Baranovskaya Yulia Petrovna

Doctor of ultrasound diagnostics, obstetrician-gynecologist, candidate of medical sciences

Graduated from the Ivanovo State Medical Academy with a degree in general medicine.
She completed an internship at the Tambov Regional Clinical Hospital with a degree in obstetrics and gynecology
He has a certificate of an obstetrician-gynecologist; doctor of ultrasound diagnostics; a specialist in the field of colposcopy and treatment of cervical pathology, endocrinological gynecology.
Repeatedly took advanced training courses in the specialty "Obstetrics and Gynecology", "Ultrasound Diagnostics in Obstetrics and Gynecology", "Fundamentals of Endoscopy in Gynecology"
He owns the full range of surgical interventions on the pelvic organs, performed by laparotomy, laparoscopic and vaginal accesses.

Is it possible to get pregnant with the prolapse of the uterus: features and danger of the condition. If the cervix of the uterus is lowered in a woman, is it possible to become pregnant, endure and give birth naturally with prolapse. Can there be prolapse of the uterus during pregnancy

Causes of the disease

Degrees

Is it possible to get pregnant with uterine prolapse

Prohibition for pregnancy

Prolapse of the uterus in the early stages

What to do when prolapsed during pregnancy

Degrees of uterine prolapse

Is it possible to get pregnant with uterine prolapse

When it's possible

When not to

dangerous moments

What to do

Does pregnancy affect the baby when the uterus prolapses?

The reasons

prolapse symptoms

Treatment and prevention

Pregnancy and uterine prolapse

Treatment of uterine prolapse

treating doctors

treating
doctors