Prolapse of the uterus - female "impotence. How to treat uterine prolapse: operations, medicines, folk recipes

Omission or prolapse of the uterus is a rather serious pathology that every woman can face. The bottom line is the displacement of the organ, while the cervix remains in its normal position. Most often, uterine prolapse occurs in older women, but young girls are not immune from this pathology. Therefore, what constitutes the prolapse of the uterus and the treatment of pathology at home should be considered in more detail.

Causes of uterine prolapse in women

This pathology occurs in the fair sex as a result of weakening and loss of muscle elasticity. This occurs for the following reasons:

  • severe pregnancy;
  • after heavy or repeated childbirth;
  • period of menopause;
  • constant physical activity associated with work and professional sports;
  • chronic cough or constipation.

Also, repeated births can lead to weakness of the pelvic floor muscles.

Symptoms of pathology

The main signs of uterine prolapse in women are:

  • pressing pain in the vagina and in the abdominal cavity;
  • painful urination and constipation;
  • discomfort during intimacy;
  • haemorrhoids;
  • urinary or fecal incontinence.

Important to remember! At the first ailments, you should contact a specialist for help! He must diagnose the pathology and prescribe effective treatment.

For older women, this pathology is a common occurrence. In order to eliminate it, it is necessary to perform exercises that improve the functioning of the pelvic muscles and the press. Treatment of women after 60 years in this way gives a fairly quick positive result. Special gymnastics includes the following exercises:

  1. At the time of urination, this process should be stopped and resumed again. This needs to be done as often as possible.
  2. In a horizontal position, slowly squeeze and unclench the buttocks along with the anus. Repeat the exercise 30-40 times.
  3. Lie face down on the floor, put your hands under your head. Slowly raise the legs in turn - first the right, then the left limb. At the same time, try to squeeze the anus. Do 10 repetitions for each leg.
  4. For the next exercise, you will need a small ball. In a horizontal position on your back, you should slowly squeeze the ball between your legs. The knees must be bent. Repeat 20-30 times.

You can also use an exercise such as scissors.

Important to remember! These exercises are best done with a specially trained instructor at first!

Currently, any woman can eliminate this pathology without resorting to surgical intervention. The most common and effective ways are:

  1. Treatment with leeches. This method of exposure helps to eliminate stagnation of blood in the pelvic area. The beneficial effect of leeches improves blood circulation, and also eliminates hormonal imbalance. In addition to the prolapse of the uterus, this method of treatment is also used for the treatment of fibroids.
  2. Exposure to Jade Egg. This method can be used at home. To do this, a special egg should be inserted into the vagina and try to hold it as long as possible. This method will be especially useful for women after childbirth. In addition to the prolapse of the uterus, the egg helps to eliminate urinary incontinence.
  3. Sitting baths. There are many recipes for making baths based on medicinal herbs, such as chamomile, calendula, mint, lemon balm, St. John's wort, and more.
  4. The use of tampons. This method is suitable for women with a slight prolapse of the uterus. Before use, you need to make sure that there are no infectious gynecological diseases. Tampons should be used with special absorbent features, and should not be used at night.

The prolapse of the uterus brings a lot of suffering to any woman, can she fall out? If you start timely treatment of pathology, then such a complication can be avoided.

Important to remember! Treatment of this pathology should be carried out under the supervision of a specialist!

Treatment with folk remedies

In order to get rid of this pathology, you can use medicines prepared according to alternative medicine recipes, which are easily prepared at home. The advantage of this effect is that they are all based on natural ingredients, so they do not have side effects and contraindications. The only limitation is the individual intolerance of a certain component.

Alder and birch

To prepare the medicine, you will need alder and birch bark in the amount of 1 tsp. Pour 1 cup of water, put on fire and cook for about 20 minutes. After that, separate the broth from the sediment and use 100 ml slightly chilled.

viburnum

You should take 1 tbsp. l. viburnum flowers, add 1 cup hot water and boil for 10 minutes. After the time has elapsed, strain the broth and take 100 ml 3 times a day. This tool effectively increases muscle tone.

St. John's wort

It will take 1 tbsp. l. St. John's wort and 1 glass of water. Put to languish on a slow fire for 20 minutes. Then strain the broth and drink 50 ml 3 times a day. St. John's wort also relieves inflammation in the body.

Astragalus and Melissa

These ingredients can be used to make a tincture. This will require 1 tbsp. l. astragalus and lemon balm, which should be poured with 0.5 liters of vodka or alcohol, tightly sealed with a lid and left to infuse for 10 days in a cool, dark place. After the time has elapsed, take the resulting tincture 1 tsp. 3 times a day before eating.

Dandelion

You should take 20 g of finely chopped leaves of this plant. Pour 2 liters of boiling water, insist for 1 hour. Then pour the resulting broth into a bath with a small amount of water. Sit in this liquid for about 20 minutes.

Mint, Melissa, Lavender

To prepare a decoction, you will need 70 g of white cassava and 50 g of mint and lemon balm. Mix all ingredients thoroughly. Take 1 tbsp. l. the resulting mixture and pour 1 cup boiling water. Close the container tightly with a lid and leave for 30 minutes. After that, pour the medicine without sediment and take 100 ml 3 times a day.

Important to remember! Despite the effectiveness of medicinal herbs, you should consult a specialist before using them! Perhaps he will prescribe decoctions as an auxiliary effect.

Prevention of uterine prolapse

In order to avoid the appearance of this pathology, every woman should adhere to the following rules:

  • during pregnancy, regularly visit a gynecologist;
  • do not lift weights weighing more than 10 kg;
  • conduct regular physical training;
  • after childbirth, perform special exercises to strengthen the muscles of the press, vagina and pelvic floor.

Women during menopause need to take special medications to normalize hormonal levels, which improves blood circulation and uterine tone. You should also not forget about regular preventive examination by a gynecologist 2 times a year.

Prolapse of the uterus is a pathology that is most often diagnosed in older women. The causes of this condition can be chronic inflammatory diseases of the reproductive system, and difficult childbirth, and the specifics of labor activity (weight lifting), and infectious processes (sexually transmitted diseases).

Traditional medicine believes that the choice of a method for treating uterine prolapse at home is acceptable if the process is at an early stage and there are no forerunners of prolapse of this organ yet.

Moreover, it will not be possible to cope with the problem exclusively with herbal decoctions / baths - you need to apply an integrated approach.

Plants in the treatment of uterine prolapse

Folk remedies for the treatment of uterine prolapse require not only regular use, but also strict adherence to the therapy regimen. The fact is that the disease in question cannot be cured in a couple of weeks - a woman must mentally prepare for the fact that the process of recovery / strengthening of muscles and ligaments will be long. There are several recipes for decoctions and tinctures that are indicated for use in this state:

Multi-component herbal collection. It is necessary to prepare:

  • white lamb - 70 grams;
  • lime blossom - 50 grams;
  • alder (root) - 30 grams;
  • mint leaves or lemon balm - 50 grams.

All of the listed dry ingredients should be mixed, then take a tablespoon (with a large "slide") and pour a glass (200 ml) of boiling water. After cooling (cover the dishes with a lid), you need to take half a glass three times a day. The scheme of treatment with this decoction: 21 days of daily intake are replaced by 14 days of break. Such courses can be carried out any number, up to a complete cure.

Alcohol tincture. It is necessary to take one part of astragalus roots (sold in pharmacies), pour nine parts of vodka (if alcohol is used, it must be diluted to a vodka concentration) and leave for at least 10 days. Alcohol tincture from astragalus root is taken 1 teaspoon in the morning and evening (required after meals!), After diluting it with a small amount of water (or simply drinking a single dose with water). Treatment regimen: use for 30 days, then take a break for 14 days and repeat the course. Please note: during the entire course of treatment with alcohol tincture of astragalus (roots), you should stop driving vehicles for 40 minutes after consumption. Of course, the dose of alcohol is minimal, but it's better to play it safe.

Complicated tool. Pour 30 grams of plantain with 500 ml of water and boil. Leave on low heat (the broth should still boil) for 20 minutes, then add a few tablespoons of honey (from 2 to 4) and continue to boil for another 10 minutes. After the resulting “cocktail” is cooled and filtered, ten grams of celery seeds should be added to it (they must be fresh - buy in seed stores) and mix thoroughly. Take a decoction should be a pile three times a day. Important: after drinking the prepared plantain decoction, you need to drink half a glass of herbal infusion from:

  • repeshki;
  • burnet;
  • calendula;
  • hypericum;
  • bedstraw.

The listed components are taken in equal amounts and brewed - for example, a tablespoon of dry raw materials per liter of water, heat / insist / strain. Reception time - no later than 10 minutes after the use of the first composition.

These funds are quite effective, but only if you strictly adhere to the recommended treatment regimen. You should not "bet" solely on the "miraculous" power of plants - you need to make every effort. Therefore, a woman needs to know how to treat uterine prolapse with the help of physical education.

Physical education against uterine prolapse

Official medicine insists that it is not only possible, but necessary, to play sports when the uterus is prolapsed!

Very often, women who have a confirmed diagnosis begin to take care of their body, completely refusing any stress - this is a mistake. Yes, you should limit heavy lifting, but some physical exercises for uterine prolapse are essential.

A woman with the disease in question must do the following:

  1. Tension of the muscles of the perineum - while inhaling with force, strain the muscles of the perineum, hold your breath for 10-30 seconds (if possible), then slowly and calmly exhale-relaxation. For one "approach" you can do several tens/hundreds of such "tensions".
  2. Gradual tension of the muscles of the perineum ("lift") - you need to strain the muscles gradually, lingering at each stage for 3-5 seconds. But you need to relax completely, deeply and not quickly.
  3. Sharp/fast contractions. Just contract and relax the muscles of the perineum as intensely / quickly as possible.
  4. We push. We make efforts, as if we are pushing during the act of defecation. Having reached the maximum possible straining, you should hold your breath for a few seconds (as long as possible).

This set of exercises is called Kegel gymnastics. when the uterus is prolapsed and can be carried out anywhere - at home / in public transport / at work / sitting and lying down. Doctors recommend performing at least 200 exercises a day, especially since gymnastics does not bring discomfort and any special tension. But keep in mind: in the first days there will be no effect, it seems that the muscles simply “do not obey”. But after a week of gymnastics, a woman will feel the elasticity of intimate and abdominal muscles. There is no time limit for Kegel exercises.

Many doctors recommend using Yunusov gymnastics, but the exercises there are not very diverse. It is only necessary to contract the muscles, simulating urinary retention. This is done in a random pace/order, the effect of this gymnastics is certainly present, but Kegel still offers a more advanced version of recovery.

Physical education with uterine prolapse may include:

  • yoga classes- they have no contraindications, but should be carried out under the supervision of a specialist at the initial stage;
  • morning work-out- useful for general health, but practically does not affect the improvement of health during uterine prolapse;
  • exercises to restore/strengthen the abdominal muscles- for example, exercises "bike" or "scissors".

In any case, exercise therapy will have a beneficial effect on the body, strengthen the intimate and abdominal muscles, and relieve the woman of the unpleasant symptoms of uterine prolapse. But it is necessary to combine exercises / gymnastics with the use of decoctions of medicinal herbs.

What else will help with the prolapse of the uterus

Gynecologists in diagnosing the disease in question may prescribe massage. This procedure is fundamentally different from the usual massage - a manual effect is performed directly on the uterus and the muscles / ligaments surrounding it.

Every woman should know: categorically it is impossible to carry out gynecological massage on your own or outside the clinic- there are certain features of such a procedure:

  • the massage therapist must teach the woman to breathe correctly and relax the muscles of the perineum and abdominal region;
  • the procedure is performed only if there are no inflammatory / infectious diseases of the genitourinary system;
  • massage cannot be carried out for a long time - the woman herself must tell the gynecologist when the pains began (the usual time is 10-15 minutes);
  • a woman may feel some discomfort, but in the event of a sharp pain, the massage should be immediately interrupted.

The duration of the course, the number of sessions is determined by the gynecologist, for every 5 procedures a woman should come for a preventive examination to the attending physician - it is necessary to find out if there are positive changes.

A fairly effective treatment is bandage- when the uterus is prolapsed, such “panties” are recommended for every woman to wear. Firstly, they will prevent deterioration and prolapse of the uterus. Secondly, the bandage has a certain compressive effect on the internal organs. Thirdly, they are easy to use, can be worn on a naked body (this is important in summer), and can only be washed by hand.

Doctors warn that you should not wear a bandage for more than 12 hours in a row when the uterus is lowered. But before you take off these "panties", you need to take a horizontal position and relax - in this way, the effect obtained from wearing the bandage for many hours will be preserved.

Most Popular Questions

Most often, women who have been diagnosed with uterine prolapse ask the following questions:

  1. Is it possible to have sex? At the initial stage of uterine prolapse, women do not experience any inconvenience at all, they do not even suspect that there is a problem. Therefore, sex continues, but when the first symptoms appear (burning, pain), the woman herself will refuse close relationships. During the recovery period and after the exclusion of unpleasant symptoms, sex can be resumed. Important: it is undesirable during this period to resort to the anal form of carnal pleasures.
  2. Is a normal pregnancy and childbirth possible? Yes, it is quite possible to conceive when the uterus prolapses, but during pregnancy there is too much pressure on the muscles and ligaments of the internal genital organs, in particular the uterus. Therefore, it is desirable to plan pregnancy and prevent conception with contraceptives during the treatment of uterine prolapse.
  3. Is it possible to download the press? Doctors, as a treatment for uterine prolapse, prescribe physical education, exercises aimed at strengthening muscles. Therefore, you can download the press, but you should not get carried away with this exercise - it is advisable to stop when the first pains appear.
  4. Can you spin the hoop? Why not, especially since at this moment you can absolutely calmly perform Kegel exercises.
  5. Is it possible to run? But the run should be postponed until better times - it will only aggravate the condition of the woman, and the prolapse of the uterus will progress.
  6. What are the dangers of ignoring doctor's orders? Everything is simple here: the uterus descends closer to the vagina, then it prolapses. There have been cases when this hollow organ falls out of the vagina and is perfectly visible to the gynecologist and felt by the woman herself during examination / palpation.

Uterine prolapse is not a dangerous disease - it is perfectly treated, and if it was diagnosed at an early stage of development, then the therapy process is completely simplified / shortened.

You can use prayers for treatment, you can go to holy places, but without consulting a doctor, nothing will give results. This is due to the fact that in the presence of an infectious / inflammatory / fungal disease, you must first get rid of it - you will need a complete examination and the appointment of antibacterial drugs (antibiotics).

Video: We are talking about uterine prolapse in the Doctors program

Uterine prolapse is often referred to as uterine prolapse. The most dangerous thing about this disease is that it proceeds almost imperceptibly and does not manifest itself in any way. True, she is invisible until the time has come for a woman to give birth to a child. There is a medical term for this disease - genital prolapse.

Attention! Pregnancy is a provoking factor and can worsen the course of the disease. Therefore, knowing about the existence of this pathology, postpone conception until the moment of complete recovery, until the muscles return to normal tone.

This disease is more common in older women. According to statistics, in women of this particular age, the disease occurs in forty percent of cases. Moreover, this process can last for several years, and the woman will not even know about it. There are cases when the uterus descends very quickly, then urgent surgical intervention is necessary.

Symptoms of the disease

The first signs of the disease include:

  • discomfort in the pelvic area when walking or in a calm position;
  • pain sensations;
  • problems with urination;
  • difficult sexual intercourse;
  • there is bleeding from the vagina;
  • sensation of a foreign body.

Causes of the disease

The most common cause of the disease is intense physical activity. After childbirth, it also appears in the case of a severe birth process and various postpartum complications. The disease is gaining momentum due to the fact that the muscles that support the vagina and uterus weaken, cease to be elastic. These organs begin their downward movement, going beyond the level of the vagina.

Attention! If you notice the first symptoms, you should immediately consult a doctor. Limit any physical activity, do not lift weights.

An inattentive attitude to this disease or a complete disregard for it can lead to the fact that the prolapsed uterus is infringed, vaginal bedsores, purulent complications develop.

Exposure to the bladder can lead to urinary incontinence and urinary stasis. As a result, ascending infection of the urinary tract and kidneys occurs.

Treatment Methods

The number of women suffering from this pathology is surprising. Despite the prevalence of genital prolapse, there are treatments that can prevent the disease. You can do without surgery and use traditional medicine recipes. Most of these methods help to completely deal with the disease without resorting to medical treatment.

without surgery

In the initial stages of the disease, manual reduction of the uterus in a horizontal position is possible. However, this method is not effective enough, since the disease often progresses. Patients who have a problem with uterine prolapse are prescribed a diet high in fiber. This will help to avoid constipation and straining during bowel movements.

It is also important to avoid physical activity. Special gymnastics is effective, the exercises of which can strengthen the muscles of the pelvic floor, abdominals and prevent organ prolapse. The use of folk remedies is also practiced, which reduce pain and restore muscle tone. For example, tinctures of lemon balm, coltsfoot, elecampane are effective.

Uterine prolapse in the elderly

Only a doctor can determine the method of treatment for older women. Initially, drug treatment is effective - for example, drugs containing the female hormone estrogen. It is important for patients to avoid physical exertion, lead a healthy lifestyle, and engage in physiotherapy exercises. It is necessary to follow a diet and avoid constipation.

Doctors believe that the most effective way to treat uterine prolapse in the elderly is surgery. Sometimes it is a complete removal of the uterus. If the operation is not possible, pessaries are used - special uterine rings.

After childbirth

For the treatment of cervical prolapse after childbirth, several methods are used:

  • special gymnastics - exercises aimed at strengthening the muscles of the pelvic floor;
  • the use of ointments containing the female hormone - estrogen, to normalize the hormonal background, restore the tone of the uterine ligaments;
  • special gynecological massage, which is done by a specialist;
  • it is important to reduce the amount of physical activity;
  • the use of folk remedies.

Traditional medicine - to help

Treatment at home involves strict adherence to the prescription. It is important not to skip the medication and follow all related prescriptions. There are many types of treatment for uterine prolapse:

  • lying in baths;
  • douching;
  • internal use of folk remedies;
  • use of tampons;
  • physiotherapy.

An effective way is to make a decoction of gentian rhizomes. This herb is poured with 300 ml of boiling water. The decoction should be infused for about an hour. After that, it is filtered and taken chilled daily, a couple of times forty minutes before meals.


Dandelion

In conjunction with this decoction, a dandelion bath is used. Grind 20 grams of dandelion leaves and pour a bucket of water into the bath. Ten minutes should infuse grass with water. Then all together poured into the bathroom.

Remember that the water temperature should not be above 38 degrees and below 30. It is enough to lie in such a bath for about twenty minutes.

Collection of herbs

The collection of plants affects the restoration of the position of the uterus. A collection of alder root, linden flowers, lemon balm and lamb is poured with boiling water. Proportion: 200 grams of water to two tablespoons of herbs. Three times a day, half a glass of broth is drunk half an hour before a meal. Treatment with this decoction is effective for three weeks. Then a break for a couple of weeks and again you need to repeat the three-week course.

Eggs

The eggshell helps.

  1. It needs to be crushed and mixed with finely chopped lemons.
  2. 5 eggs and 9 lemons - this infusion should stand for four days. You need to stir it periodically.
  3. After four days, half a liter of vodka is poured into the mixture. Then you need to leave the infusion for five days.
  4. Next, the mixture is filtered and squeezed.

Infusion treatment: a couple of times a day, you need to take fifty grams of infusion until it runs out. Take a break of a month and make an infusion again. The procedure should be carried out three times, in which case it will be useful in treatment. Gynecologists do not consider this method effective.

Quince

Quince infusion allows you to restore the tone of the muscles of the vagina and uterus. Quince is filled with water in a ratio of 1/10. An infusion is prepared on a steam bath and drunk like tea.

Lily

Brings the uterus in order infusion of white lily. We are talking about the roots of the plant. To make the infusion, you need two tablespoons. They are poured with two glasses of boiling water and infused for twelve hours. The infusion is filtered and taken daily. You need to cook it every day and take it three times a day an hour before meals.

Baths and douches

Douching is effectively done with a decoction prepared from oak bark. They take 70 grams of oak bark, grind it and pour it with two liters of cold water. The mixture is put on fire and boiled for two hours. Usually this decoction is enough for three douching. This procedure must be done every day for a month. Oak bark is sold in a pharmacy. You can use the remedy only after consulting a gynecologist.

Pine nuts in the amount of one glass are poured with two liters of water, boiled in advance. The mixture is boiled for an hour over low heat and infused for about half an hour. The broth should be poured into the bath and lie down in it for about fifteen minutes.

Remember that the temperature of the water in the bath should be around 38 degrees. This is the optimal mode for effective treatment.

Folk remedies help and are effective only in conjunction with exercises. Make the famous "scissors" or "birch". Cycling is also effective. Twice a week riding will be enough for a good treatment. You can't lift anything heavy. Care must be taken during intercourse.

The treatment of any gynecological disease must be approached responsibly and always take care of yourself: women's health is very fragile and difficult to recover.

Prolapse of the uterus is one of the forms of prolapse (displacement, prolapse) of the pelvic organs. It is characterized by a violation of the position of the uterus: the organ is shifted down to the entrance to the vagina or even falls out of it. In modern practice, this disease is considered as a variant of the hernia of the pelvic floor, which develops in the area of ​​the vaginal entrance.

Doctors in the description of this disease and its varieties use the concepts of "omission", "prolapse", "genital prolapse", "cystorectocele". The prolapse of the anterior wall of the uterus, accompanied by a change in the position of the bladder, is called a "cystocele". The prolapse of the posterior wall of the uterus with the capture of the rectum is called "rectocele".

Prevalence

According to modern foreign studies, the risk of prolapse requiring surgical treatment is 11%. This means that at least one in 10 women will undergo surgery for this disease during their lifetime. In women after surgery, in more than a third of cases, a recurrence of genital prolapse occurs.

The older the woman, the more likely she is to have this condition. These conditions occupy up to a third of all gynecological pathology. Unfortunately, in Russia, after the onset, many patients do not go to the gynecologist for many years, trying to cope with the problem on their own, although every second of them has this pathology.

Surgical treatment of the disease is one of the frequent gynecological operations. Thus, in the United States more than 100 thousand patients are operated on annually, spending 3% of the entire healthcare budget on this.

Classification

Normally, the vagina and cervix are tilted back, and the body of the organ itself is tilted forward, forming an angle open to the front with the axis of the vagina. The bladder is adjacent to the anterior wall of the uterus, the posterior wall of the cervix and vagina is in contact with the rectum. From above the bladder, the upper part of the body of the uterus, the intestinal wall are covered with peritoneum.

The uterus is held in the pelvis by the force of its own ligamentous apparatus and by the muscles that form the perineal region. With the weakness of these formations, its omission or loss begins.

There are 4 degrees of the disease.

  1. The external uterine os descends to the middle of the vagina.
  2. The cervix, along with the uterus, moves down to the entrance to the vagina, but does not protrude from the genital gap.
  3. The external pharynx of the cervix moves outside the vagina, and the body of the uterus is higher without going out.
  4. Complete prolapse of the uterus into the perineum.

This classification does not take into account the position of the uterus, it determines only the most prolapsed area, often the results of repeated measurements differ from each other, that is, there is poor reproducibility of the results. These shortcomings are deprived of the modern classification of genital prolapse, adopted by most foreign experts.

Appropriate measurements are taken with the woman lying on her back during straining, using a centimeter tape, uterine probe or forceps with a centimeter scale. Point prolapse is evaluated relative to the plane of the hymen (the outer edge of the vagina). Measure the degree of prolapse of the vaginal wall and shortening of the vagina. As a result, uterine prolapse is divided into 4 stages:

  • Stage I: the most drop-down zone is more than 1 cm above the hymen;
  • Stage II: this point is within ±1 cm of the hymen;
  • Stage III: the area of ​​maximum prolapse is more than 1 cm below the hymen, but the length of the vagina is reduced by less than 2 cm;
  • Stage IV: complete prolapse, reduction in the length of the vagina by more than 2 cm.

Causes and mechanism of development

The disease often begins at the woman's fertile age, that is, before the onset of menopause. Its course is always progressive. As the disease develops, there are dysfunctions of the vagina, uterus, and surrounding organs.

For the appearance of genital prolapse, a combination of two factors is necessary:

  • increased pressure in the abdominal cavity;
  • weakness of the ligamentous apparatus and muscles.

Causes of uterine prolapse:

  • a decrease in estrogen production that occurs during menopause and postmenopause;
  • congenital weakness of the connective tissue;
  • trauma to the muscles of the perineum, in particular, during childbirth;
  • chronic diseases accompanied by impaired blood circulation in the body and increased intra-abdominal pressure (intestinal diseases with constant constipation, respiratory diseases with prolonged severe cough, obesity, kidney, liver, intestines, stomach).

These factors in various combinations lead to weakness of the ligaments and muscles, and they become unable to hold the uterus in a normal position. Increased pressure in the abdominal cavity "squeezes" the organ down. Since the anterior wall is connected to the bladder, this organ also begins to follow it, forming a cystocele. The result is urological disorders in half of the women with prolapse, for example, urinary incontinence when coughing, physical effort. The posterior wall, when lowered, "pulls" the rectum behind it with the formation of a rectocele in a third of patients. Often there is a prolapse of the uterus after childbirth, especially if they were accompanied by deep muscle ruptures.

Increase the risk of disease multiple births, intense physical activity, genetic predisposition.

Separately, it is worth mentioning the possibility of vaginal prolapse after amputation of the uterus for another reason. According to different authors, this complication occurs in 0.2-3% of operated patients with a removed uterus.

Clinical picture

Patients with pelvic organ prolapse are mostly elderly and senile women. Younger patients usually have early stages of the disease and are in no hurry to see a doctor, although the chances of successful treatment in this case are much greater.

  • feeling that there is some kind of formation in the vagina or perineum;
  • prolonged pain in the lower abdomen, in the lower back, tiring the patient;
  • protrusion of a hernia in the perineum, which is easily injured and infected;
  • painful and prolonged menstruation.

Additional signs of uterine prolapse arising from the pathology of neighboring organs:

  • episodes of acute urinary retention, that is, the inability to urinate;
  • urinary incontinence;
  • frequent urination in small portions;
  • constipation;
  • in severe cases, fecal incontinence.

More than a third of patients experience pain during sexual intercourse. This worsens the quality of their life, leads to tension in family relationships, negatively affects the woman's psyche and forms the so-called pelvic descent syndrome, or pelvic dysynergy.

Often develops varicose veins with swelling of the legs, cramps and a feeling of heaviness in them, trophic disorders.

Diagnostics

How to recognize uterine prolapse? To do this, the doctor collects an anamnesis, examines the patient, prescribes additional research methods.

A woman needs to tell the gynecologist about the number of births and their course, surgeries, diseases of internal organs, mention the presence of constipation, bloating.

The main diagnostic method is a thorough two-handed gynecological examination. The doctor determines how much the uterus or vagina has sunk, finds defects in the muscles of the pelvic floor, performs functional tests - a test with straining (Valsalva test) and cough. A rectovaginal examination is also carried out to assess the condition of the rectum and structural features of the pelvic floor.

To diagnose urinary incontinence, urologists use a combined urodynamic study, but when organs are prolapsed, its results are distorted. Therefore, such a study is optional.

If necessary, endoscopic diagnostics is prescribed: (examination of the uterus), cystoscopy (examination of the bladder), sigmoidoscopy (study of the inner surface of the rectum). Typically, such studies are necessary if cystitis, proctitis, hyperplasia, or cancer are suspected. Often, after the operation, a woman is referred to a urologist or proctologist for conservative treatment of identified inflammatory processes.

Treatment

Conservative treatment

Treatment of uterine prolapse should achieve the following goals:

  • restoration of the integrity of the muscles that form the bottom of the small pelvis, and their strengthening;
  • normalization of the functions of neighboring organs.

Prolapse of the uterus of the 1st degree is treated conservatively on an outpatient basis. The same tactic is chosen for uncomplicated genital prolapse of the 2nd degree. What to do with the prolapse of the uterus in mild cases of the disease:

  • strengthen the muscles of the pelvic floor with the help of therapeutic exercises;
  • refuse heavy physical activity;
  • get rid of constipation and other problems that increase intra-abdominal pressure.

Is it possible to pump the press when the uterus is lowered? When lifting the body from a prone position, intra-abdominal pressure increases, which contributes to further pushing the organ out. Therefore, therapeutic exercises include tilts, squats, leg swings, but without straining. It is carried out in a sitting and standing position (according to Atarbekov).

At home

Treatment at home includes a diet rich in vegetable fiber, reduced in fat. It is possible to use vaginal applicators. These small devices produce electrical stimulation of the muscles of the perineum, strengthening them. There are developments in SCENAR therapy aimed at improving metabolic processes and strengthening ligaments. Can be performed.

Massage

Gynecological massage is often used. It helps to restore the normal position of the organs, improve their blood supply, and eliminate discomfort. Usually, 10 to 15 massage sessions are performed, during which the doctor or nurse, with the fingers of one hand inserted into the vagina, lifts the uterus, and with the other hand, circular massage movements are made through the abdominal wall, as a result of which the organ returns to its normal place.

However, all conservative methods can only stop the progression of the disease, but not get rid of it.

Is it possible to do without surgery? Yes, but only if the prolapse of the uterus does not lead to its prolapse outside the vagina, does not impede the function of neighboring organs, does not cause the patient trouble associated with an inferior sex life, and is not accompanied by inflammatory and other complications.

Surgery

How to treat uterine prolapse III-IV degree? If, despite all conservative methods of treatment or due to the patient's late request for medical help, the uterus has gone beyond the vagina, the most effective method of treatment is prescribed - surgical. The purpose of the operation is to restore the normal structure of the genital organs and correct the disturbed functions of neighboring organs - urination, defecation.

The basis of surgical treatment is vaginopexy, that is, fixing the walls of the vagina. With urinary incontinence, the strengthening of the walls of the urethra (urethropexy) is simultaneously performed. If there is weakness of the muscles of the perineum, they are plastic (recovered) with strengthening of the neck, peritoneum, supporting muscles - colpoperineolevathoroplasty, in other words, suturing of the uterus during prolapse.

Depending on the required volume, the operation can be performed using transvaginal access (through the vagina). This is how, for example, removal of the uterus, suturing the walls of the vagina (colporrhaphy), loop operations, sacrospinal fixation of the vagina or uterus, strengthening the vagina with the help of special mesh implants are performed.

With laparotomy (an incision of the anterior abdominal wall), the operation for prolapse of the uterus consists in fixing the vagina and cervix with its own tissues (ligaments, aponeurosis).

Sometimes laparoscopic access is also used - a low-traumatic intervention, during which it is possible to strengthen the walls of the vagina and suture defects in the surrounding tissues.

Laparotomy and vaginal access do not differ in long-term results. Vaginal is less traumatic, with less blood loss and the formation of adhesions in the pelvis. Application may be limited due to lack of necessary equipment or qualified personnel.

Vaginal colpopexy (strengthening the cervix with access through the vagina) can be performed under conduction, epidural anesthesia, intravenous or endotracheal anesthesia, which expands its use in the elderly. This operation uses a mesh-like implant that strengthens the pelvic floor. The duration of the operation is about 1.5 hours, the blood loss is insignificant - up to 100 ml. Starting from the second day after the intervention, the woman can already sit down. The patient is discharged after 5 days, after which she undergoes treatment and rehabilitation in the clinic for another 1-1.5 months. The most common long-term complication is erosion of the vaginal wall.

Laparoscopic surgery is performed under endotracheal anesthesia. During it, a mesh prosthesis is also used. Sometimes amputation or extirpation of the uterus is performed. The field of operation requires early activation of the patient. An extract is carried out on the 3-4th day after the intervention, outpatient rehabilitation lasts up to 6 weeks.

Within 6 weeks after the operation, a woman should not lift weights of more than 5 kg, sexual rest is required. Within 2 weeks after the intervention, physical rest is also necessary, then you can already do light housework. The average period of temporary disability is from 27 to 40 days.

What to do in the long term after the operation:

  • do not lift weights more than 10 kg;
  • normalize stool, avoid constipation;
  • treat respiratory diseases accompanied by cough in time;
  • long-term use of estrogen suppositories (Ovestin) as prescribed by a doctor;
  • do not engage in certain sports: cycling, rowing, weightlifting.

Features of the treatment of pathology in the elderly

Gynecological ring (pessary)

Treatment of uterine prolapse in the elderly is often difficult due to comorbidities. In addition, often this disease is already in an advanced stage. Therefore, doctors face significant difficulties. To improve the results of treatment, at the first signs of pathology, a woman should contact a gynecologist at any age.

Therefore, a bandage will provide significant assistance to a woman when the uterus is lowered. It can also be used by younger patients. These are special supportive panties that tightly cover the abdominal area. They prevent prolapse of the uterus, support other organs of the small pelvis, reduce the severity of involuntary urination and pain in the lower abdomen. Choosing a good bandage is not easy, a gynecologist should help with this.

A woman must perform therapeutic exercises.

With a significant prolapse, a surgical operation is performed, often this is the removal of the uterus through a vaginal access.

Effects

If the disease is diagnosed in a woman of fertile age, she often has the question of whether it is possible to become pregnant with the prolapse of the walls of the uterus. Yes, there are no special obstacles to conception in the early stages if the disease is asymptomatic. If the omission is significant, then before the planned pregnancy it is better to be operated on 1-2 years before conception.

Preservation of pregnancy with proven uterine prolapse is fraught with difficulties . Is it possible to bear a child with this disease? Of course, yes, although the risk of pregnancy pathology, miscarriage, premature and rapid birth, bleeding in the postpartum period is significantly increased. In order for the pregnancy to develop successfully, you need to constantly be observed by a gynecologist, wear a bandage, use a pessary if necessary, engage in physiotherapy exercises, and take medications prescribed by a doctor.

What threatens the prolapse of the uterus in addition to possible problems with carrying a pregnancy:

  • cystitis, pyelonephritis - infections of the urinary system;
  • vesicocele - saccular dilation of the bladder, in which urine remains, causing a feeling of incomplete emptying;
  • urinary incontinence with irritation of the skin of the perineum;
  • rectocele - expansion and prolapse of the ampulla of the rectum, accompanied by constipation and pain during defecation;
  • infringement of intestinal loops, as well as the uterus itself;
  • eversion of the uterus with its subsequent necrosis;
  • deterioration in the quality of sexual life;
  • a decrease in the overall quality of life: a woman is embarrassed to go out into a public place, because she is constantly forced to run to the toilet, change incontinence pads, she is exhausted by constant pain and discomfort when walking, she does not feel healthy.

Prevention

The prolapse of the walls of the uterus can be prevented in this way:

  • minimize prolonged traumatic childbirth, if necessary, excluding the straining period or performing a caesarean section;
  • timely identify and treat diseases accompanied by increased pressure in the abdominal cavity, including chronic constipation;
  • in the event of ruptures or dissection of the perineum during childbirth, carefully restore the integrity of all layers of the perineum;
  • recommend women with estrogen deficiency hormone replacement therapy, in particular, with menopause;
  • assign patients at risk of genital prolapse special exercises to strengthen the muscles that form the pelvic floor.

Collapse

Prolapse of the uterus occurs as a result of a decrease in the tone of the muscles of the small pelvis. Quite often, with this diagnosis, surgical treatment is prescribed, the meaning of which is to fix the organ or shorten the ligaments, etc., due to which the uterus is “pulled up” to its physiological position. But is it possible to cure this condition conservatively and at home? Much in this case will depend on the degree of development of the pathology, its course, the characteristics of the state of the reproductive system and the ligamentous apparatus in the small pelvis. Some therapeutic methods prescribed by a doctor can be carried out at home to significantly improve the condition.

Is it possible to completely cure uterine prolapse at home?

At the first stage of the development of the disease (that is, with a very slight omission), doctors quite often prescribe treatment for the condition at home. This is due to the fact that conservative therapy is prescribed at the first stage, and surgery is not required. Therefore, a complete cure is possible. However, the methods of traditional medicine are still not able to replace the medications prescribed by the doctor, so it is better to use traditional recipes as a supplement.

Home treatment for the second stage (slightly stronger omission) is also carried out. Usually, it is a combination of massage methods, gymnastics and drug treatment. Folk recipes, as in the previous case, can be used as additional ones, but you cannot rely on them completely in the treatment.

At the third stage, the condition can be called quite severe. On an outpatient basis and at home, it is usually not completely cured. To correct the location of the uterus in this situation, it is often necessary to undergo surgical intervention. However, the patient must also carry out some therapeutic measures at home. You can supplement such therapy with folk recipes, but you must also follow all the recommendations of a specialist in full, because it is completely impossible to cure the condition at this stage at home on your own.

How to treat uterine prolapse at home? No way. This condition, which is also called the fourth stage of organ prolapse, cannot be cured at home. In this condition, the organ falls into the vagina, and then, together with the vagina, out, outside the genital gap. There are no ways that can cure this condition at home. In addition, any delay in starting treatment can be dangerous, as this condition is fraught with infections, injuries, etc.

From the above, we can conclude that at the first stage it is possible to cure the disease completely at home. Sometimes this happens on the second. However, "home" methods should not be used instead of, but together with therapy prescribed by a specialist.

Herbal treatment

How, in fact, can conservative treatment affect the position of the uterus? As in the case of medications taken systemically, folk prescription drugs affect the tone of muscles, ligaments and fascia indirectly. That is, they increase this tone, eliminating the reason why it has decreased (sometimes). As a result of such measures, the uterus, over time, returns to its normal physiological position.

For example, it is possible to cure prolapse without surgery if it is caused by a hormonal imbalance. In this situation, the normalization of hormone levels stops the pathological process. And gymnastics and massage strengthen already stretched ligaments. Approximately the same principle of action in the case of other pathologies.

It is important to remember that decoctions, infusions, etc. from herbs are much lower in their effectiveness compared to medications. In fact, their use is not able to have a significant effect on the body, so you cannot fully rely on them for treatment. Herbs alone, and even in combination with massage and gymnastics, cannot significantly affect the position of the uterus and even muscle tone.

Quince

In order to restore the tone of the uterus at home, you can drink a simple quince compote. It is used like any other (in the same volumes, with the same frequency). You need to cook it, taking the ingredients (water and fruits) in proportions of 10 to 1. Add sugar or honey to taste. Compote will increase the tone of all organs of the small pelvis.

Datura

Take 7 liters of boiling water and add 20 grams of this herb to them. Cover the container with a lid and leave to infuse for 15-20 minutes. After that, add the infusion to a bath filled with warm water. Take a sitz bath in this mixture for 15 minutes.

Melisa

Melissa has a positive effect on the tone of the ligaments and muscles. You need to drink it regularly, the courses can be quite long, depending on how long the rest of the treatment of the uterus continues. In addition, you can drink it during the recovery period. It rarely causes an allergic reaction, and therefore can be successfully used even by those women who are prone to allergies. In addition, it has almost no side effects and contraindications.

How to carry out treatment without surgical intervention in this way? Lemon balm can be brewed as a decoction both fresh and dried. To create a drinking infusion, take 2 tablespoons of the herb and pour 2 cups of boiling water over it. It is better to mix these components in a thermos, which then must be tightly closed and the mixture must be infused for 3-4 hours.

After complete infusion, it must be filtered. Infusion take a quarter cup before each meal, one hour before it. But no more than one glass a day.

There is another way. Combine 75 g of lemon balm, the same amount of oregano and 100 g of coltsfoot. Prepare a drinking infusion in the same way as from one lemon balm (2 tablespoons of the mixture and two glasses of water). Take it the same way.

<Лечебная гимнастика>

Elecampane

Pour a tablespoon of vegetable raw materials with two glasses of vodka. Mix thoroughly and leave the mixture to infuse in a dark bowl under the lid for 10 days. In this case, the place should be sufficiently dark and cool. Treatment with folk remedies of this type is carried out daily. Take 1 teaspoon on an empty stomach.

Therapeutic baths

It is believed that the prolapse or prolapse of the uterus can also be influenced by methods applied topically. That is, sometimes it is recommended, for example, the use of baths with medicinal components. One of the most popular recipes is the following:

  1. Take 1 glass of pine nuts and pour two liters of boiling water;
  2. Place the mixture in an enamel pot with a lid;
  3. Boil the mixture over very low heat, without bringing to a boil, for one hour;
  4. Turn off the stove and leave the mixture to infuse under the lid for another half hour;
  5. Filter the ingredients.

This volume of the composition is enough to take one bath. Pour water into it at a temperature of about 37-38 degrees and pour in the broth. Take a bath in the decoction for 15 minutes. Such sessions should be carried out every other day. It will not cure uterine prolapse directly, but it works well when used in conjunction with other methods.

Douche Recipes

Infusion of oak bark helps best of all. Pour 8 glasses of water (cold, filtered) 70 grams of vegetable raw materials (oak bark). The mixture is brought to a boil, then the fire is reduced and the mixture is boiled for two hours. The broth must be filtered and divided into three parts. One part is enough for a single douche. Douche with a solution once a day, in the evening, after a shower.

Physiotherapy

If the patient usually uses folk remedies at her own peril and risk, then with gymnastics the situation is different. This is a method that has proven its effectiveness and has proven itself in the treatment of this pathology. Sometimes omission in the early stages, in fact, can be cured by gymnastics alone. This method is prescribed by doctors, and a set of exercises is prescribed by an exercise therapy specialist.

  • Yoga, which classes are conducted under the supervision of a specialist, has no contraindications;
  • Exercise "Bicycle", aimed at strengthening the abdominal muscles;
  • Exercise "Scissors", performed for the same purpose;
  • Traditional morning exercises.

All these methods in general will positively affect the body and help return the uterus to its physiologically normal position.

Kegel exercises

Kegel exercises are a specific set of measures aimed at increasing the tone of the pelvic muscles. They are quite effective and have proven themselves well. Includes 4 basic exercises that need to be performed as often and for a long time as possible. At the same time, after a month, the patient will surely feel the effect of them.

What exercises usually include such gymnastics?

  • Tension of the muscles of the perineum when inhaling. Then you need to hold your breath for at least 10 seconds, then exhale calmly, relaxing the muscles. You need to do as many of these exercises per day as possible;
  • Tighten your muscles gradually, lingering at each stage for 3-5 seconds. In this case, the number of stages can be any. This is followed by a sharp and complete relaxation;
  • The most rapid and intense, multiple contraction of the muscles of the perineum. The more often you do this exercise, the better;
  • Push with maximum force and for the longest possible time, holding your breath.

In addition, there is a set of exercises according to Yunusov. It can also be applied. It includes only one exercise - imitation of a jet delay during urination. You just need to do this exercise as often as possible. However, most doctors still prefer the Kegel method.

Massotherapy

Massage during the prolapse of the uterus at the first and second stages of the development of prolapse is of great importance. It is almost the main method of treatment during this period. A special gynecological massage is performed. This is a complex of effects on the muscles of the perineum and abdomen, which lead to an increase in the elasticity of the abdominal wall and an increase in the tone of muscles and ligaments. Such a massage should be performed strictly by a professional.

When lowering the pelvic organs, it is important not only to carry out competent treatment in order to raise them, but also to follow a number of recommendations regarding lifestyle:

  1. Lead a generally healthy lifestyle, eat right;
  2. Reduce the amount of physical activity, temporarily cancel fitness classes, dancing, etc.;
  3. Do not lift weights;
  4. Carefully follow the recommendations of the doctor;
  5. For at least 12 hours a day, wear a special gynecological bandage that relieves stress from the muscles.

The video presented in this material tells in more detail about this diagnosis and the features of life with it, as well as about the methods of treatment and the causes of prolapse.

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