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Hysterectomy Tips

Surgery For Womb Removal - What You Need To Be Aware Of?

Dr.Vidya Shetty 90% (10ratings)
MBBS, MD - Obstetrics & Gynaecology
Gynaecologist, Thane
Surgery For Womb Removal - What You Need To Be Aware Of?

hysterectomy is an operation to remove the uterus and, usually, the cervix. The ovaries and tubes may or may not be removed during this procedure, depending on the reasons for the surgery being performed. If the ovaries are removed, you will commence menopause. A hysterectomy is a major surgical procedure with physical and psychological consequences.

Why is a hysterectomy performed?

Common reasons include painful or heavy periodspelvic pain, fibroids or as a part of therapy for cancer. You should have a clear understanding of your reason for this surgery.

How is this done?

The procedure is normally performed under a general anesthetic and takes approximately one hour. To commence your anesthetic a drip is inserted into your arm. Once you are asleep, you will have a urinary catheter inserted. The importance of the catheter is to reduce the size of your bladder, keeping it away from the operation site and reducing the risk of complications.

There are three ways to remove the uterus:

  1. Vaginal hysterectomy - The removal of the uterus and the closing of the wound is performed through the vagina. There is no cut in the abdomen. 
  2. Laparoscopic hysterectomy - About four small keyhole cuts are made in the abdomen to divide the attachments of uterus, ovaries, and tubes in the pelvis. The uterus is usually then removed through the vagina.
  3. Abdominal hysterectomy - The uterus is removed through a cut in the lower abdomen. The cut is about 15–20 cm in length and runs across your abdomen, usually below the bikini line. Less commonly, it may be necessary to have a cut that runs from the belly button down to the pubic area.

What are the risks of undergoing this procedure?

  • Although the risks associated with hysterectomy are low, you should be aware that every surgical procedure has some risk. This may also depend upon the type of surgery you have. 
  • Severe bleeding from large blood vessels around the uterus or top of the vagina. This is not common. A blood transfusion may be required to replace blood loss. A vaginal pack may also be used to control the bleeding.
  • Infection in the operation site, pelvis or urinary tract.
  • Nearby organs such as the ureter (tube leading from kidney to bladder), bladder or bowel may be injured—expected to happen to approximately one in every 140 women. Further surgery will be needed to repair the injuries.
  • The bowel may not work well after the operation; this is usually temporary. Treatment may include a drip to give fluids into the vein and no food or fluids by mouth.

Things to do before you come to the hospital

  • It is important for you to have all the tests ordered at your outpatient clinic appointment completed prior to coming to the hospital these include blood tests and an ECG and chest X-ray, if you are more than 50 years old

  • You may be required to have a bowel preparation, which will empty your bowel prior to the surgery.

  • You should stop eating and drinking at the following times on the day of your surgery unless otherwise notified

    • At midnight if your procedure is in the morning

    • At 6 am if your procedure is in the afternoon.

  • You will need to shower and dress in clean clothes prior to coming into hospital. It is important that you do not shave your operation site as this increases the risk of wound infection.

  • Please remove all body jewelry.

After your surgery

  • When you wake from the anesthetic, you will be ready to be transferred, in your bed, for recovery.

  • Having an anesthetic can make you feel sick and may cause vomiting. You will have a drip in your arm which is necessary to maintain fluid intake and provide pain relief. This will remain in until you can tolerate food and fluids and your pain control is changed to oral medication.

  • Your nurse will take frequent observations of your vital signs e.g. temperature, pulse, blood pressure.

  • You may have small amounts of water or ice to suck, then progress from fluids to a normal diet as tolerated.

  • If you have pain or nausea, please tell your nurse. Effective pain management is important.

  • You will have a urinary catheter in place. The catheter will normally be removed the day following your surgery.

Recovering at home

What to expect

  • You may have a blood-stained vaginal discharge which is similar to a light period. This will gradually reduce to nil over 4-6 weeks as your internal wounds heal

  • You may need to take some simple analgesia for pain/discomfort, especially on waking and settling at night

  • You may feel fatigued

  • You may require up to four to six weeks off work. You should have returned to normal activity by two to three months, depending on the type of surgery, although full recovery may take longer

  • After the operation, you will no longer have a period

  • For the majority of women, hysterectomy surgery does not have a negative effect on sexual function

What to avoid

  • For the first two to three weeks lift nothing greater than two kilograms. Increase gently as tolerated over six weeks.

  • It will take about three weeks before you should drive a car. Only when you know you can act confidently with emergency breaking should you attempt driving the car.

  • Avoid sexual intercourse for six weeks to allow healing to take place.

  • Avoid inserting anything into the vagina for six weeks to allow time for healing to take place (e.g. use sanitary pads and not tampons).

It is important to avoid constipation and straining immediately after your surgery as this will assist healing and improve your comfort.

Contact your doctor if you develop any of the following complications:

  • Your wound becomes red or inflamed, painful.

  • You have heavy vaginal bleeding—heavier than a normal period.

  • You have offensive vaginal discharge.

  • You develop a fever i.e. temperature of about 38° C, or you are feeling unwell.

  • You have pain that is not relieved by simple analgesia.

  • You are having difficulty passing urine or opening your bowels.

 In case you have a concern or query you can always consult an expert & get answers to your questions!

3216 people found this helpful

Underwent A Robotic Hysterectomy? Here Are Some Recovery Tips!

Dr.Ninad Katdare 95% (203ratings)
MBBS, MS - General Surgery, DNB - General Surgery
Oncologist, Mumbai
Underwent A Robotic Hysterectomy? Here Are Some Recovery Tips!

A hysterectomy is a surgical procedure that is done to remove your uterus. Robotic hysterectomy is a more preferred procedure than open surgeries because:

  1. They cause minimal discomfort.
  2. They have better recovery options.
  3. Loss of blood is minimized
  4. The pain associated with the usual surgical procedures are less compared to other options.

This is one of the best procedures that have been designed after years of research in the field of robotics. It is true that they are safe, but it does not mean that there are immediate recovery options. The bottom line is that it is a procedure to remove the uterus and you have to give due importance to the recovery procedures that come along with such robotic surgeries. Let us have look at them.

Recovery
The recovery period depends on the type of surgery you had and also depends on a case to case basis. However, you might be asked to stay overnight in the hospital for observation. You would be constantly monitored during this period and any complications that might arise are given utmost care.

  1. Pain medications and medicines to prevent infections that might arise due to the surgery are given during this period.
  2. You may experience a light vaginal bleeding for a few days. However, this is normal and will gradually ease out. In case the ovaries are removed, the recovery period is extremely crucial. You will no longer have menstrual periods and your body would immediately start adapting to the menopause cycle.

During this transition, the hormonal changes start to occur and you might be experiencing mood swings and hot flashes. You may also experience periods of night sweats. However, all these factors are common occurrences and your body would gradually adapt to these changes. The exact recovery period can range from a week to about six weeks. During these times, you would be given the following advice:

  • Take plenty of rest and limit your activities.
  • Do not lift any weights or do any rigorous tasks during these periods.
  • Any sorts of sexual intercourse must be avoided till you heal completely. Talk to your doctor about this and get to know more about the recovery options.
  • Never miss a periodic check-up during these times.
  • Always take the prescribed medications on time.

There can be some sense of loss of your uterus during this period. For some women, this can mean that they would not be able to bear a child. These are some of the common stress factors that come into play during the recovery period. Watch out for them and get emotional support guidance from the counsellor, if the need arises.

2315 people found this helpful

Vaginal Vault Prolapse - How To Get It Sorted?

Dr.Asha Gavade 88% (797ratings)
DNB - Obstetrics & Gynecology, MBBS
Gynaecologist, Pune
Vaginal Vault Prolapse - How To Get It Sorted?

Vaginal Vault Prolapse is the condition where the upper portion of the vagina may lose its normal shape and drop or sag down into the vaginal canal or maybe even outside the vagina. This may occur after a hysterectomy or even simultaneously with uterine prolapse. 

The treatment of vaginal vault prolapse varies with the severity and extremity of your symptoms. Your health care provider may suggest medications and physical therapy to treat your condition if you feel that the prolapse is not bothersome. However, you might have to undergo surgery later if your symptoms worsen and the prolapse affects your quality of life and hinders functional ability.  You must keep in mind that usually more than one area is affected by weakness in your pelvic floor. 

The symptoms of Vaginal Vault Prolapse include- backache, pelvic heaviness, bulging mass into or sometimes outside your vagina that hinders normal activities such as walking and sitting, vaginal bleeding and releasing urine involuntarily. 

 Treatments:

1. Medication
Most of the women with this condition usually go through menopause around the same time. Since the estrogen levels are severely lowered during menopause, it causes vaginal dryness. Discussing estrogen therapy with your health care provider is a must if you wish to remedy your vaginal dryness. Not every woman should take estrogen so it is imperative to talk to a medical expert first. Usually, women are treated with estrogens before they go into surgery.

2. Physical Therapy
Most health care experts recommend pelvic floor exercises as physical therapy using biofeedback so as to strengthen the specific muscles of your pelvic floor. Biofeedback is the use of monitoring devices that contain sensors and are placed either in your rectum, vagina or on your skin. Biofeedback is very important because it tells you the strength of each muscle you are squeezing i.e. contractions, and if you are squeezing the right muscles in order to perform the exercise correctly. Long term usage of biofeedback in physical therapy leads to the strengthening of your muscles and a reduction in your symptoms. 

3. Surgery
Corrective surgery may be performed on you by the surgeon either through the abdomen or vagina. If the surgeon is performing the corrective surgery through the vagina, he will use the ligaments which support the uterus to solve the problem.          
 

7572 people found this helpful

Hysterectomy - Everything You Should Be Knowing!

Dr.Shanujeet Kaur 91% (37ratings)
MBBS, MD - Obstetrics & Gynaecology
Gynaecologist, Chandigarh
Hysterectomy - Everything You Should Be Knowing!

hysterectomy is a surgical procedure to remove a woman's uterus. The uterus, also known as the womb, is where a baby grows when a woman is pregnant. The uterine lining is the source of menstrual blood.
You may need a hysterectomy for many reasons. The surgery can be used to treat a number of chronic pain conditions as well as certain types of cancer and infections.

A woman may have a hysterectomy for different reasons, including:

  1. Uterine fibroids that cause painbleeding, or other problems
  2. Uterine prolapse, which is a sliding of the uterus from its normal position into the vaginal canal
  3. Cancer of the uterus, cervix, or ovaries
  4. Endometriosis
  5. Abnormal vaginal bleeding
  6. Chronic pelvic pain
  7. Adenomyosis, or a thickening of the uterus
  8. Hysterectomy for noncancerous reasons is usually considered only after all other treatment approaches have been tried without success.

Types of Hysterectomy:

Depending on the reason for the hysterectomy, a surgeon may choose to remove all or only part of the uterus. Patients and health care providers sometimes use these terms inexactly, so it is important to clarify if the cervix and/or ovaries are removed:

In partial or supracervical hysterectomy, the upper portion of the uterus is removed, leaving the cervix intact.

Complete or total hysterectomy involves the removal of both the uterus and the cervix. This is the most common type of hysterectomy performed.

Hysterectomy with bilateral salpingo-oophorectomy is the removal of the uterus, cervix, fallopian tubes, and ovaries.

Radical hysterectomy is an extensive surgical procedure in which the uterus, cervix, ovaries, fallopian tubes, upper vagina, some surrounding tissue, and lymph nodes are removed.

Hysterectomy Surgical Procedures:

Traditionally, hysterectomies have been performed using a technique known as total abdominal hysterectomy (TAH). However, in recent years, two less-invasive procedures have been developed: Vaginal hysterectomy and Laparoscopic hysterectomy:

  1. Total Abdominal Hysterectomy (TAH): In a total abdominal hysterectomy (TAH), the surgeon makes an incision approximately five inches long in the abdominal wall, cutting through skin and connective tissue to reach the uterus. This type of surgery is especially useful if there are large fibroids or if cancer is suspected. Disadvantages include more pain and a longer recovery time than other procedures, and a larger scar.
  2. Vaginal Hysterectomy: A vaginal hysterectomy is done through a small incision at the top of the vagina. Through the incision, the uterus (and cervix, if necessary) is separated from its connecting tissue and blood supply and removed through the vagina. This procedure is often used for conditions such as uterine prolapse. Vaginal hysterectomy heals faster than abdominal hysterectomy, results in less pain, and generally does not cause external scarring.
  3. Laparoscopic Hysterectomy: During a laparoscopic hysterectomy, your doctor uses a tiny instrument called a laparoscope. A laparoscope is a long, thin tube with a high-intensity light and a high-resolution camera at the front. The instrument is inserted through incisions in the abdomen. Three or four small incisions are made instead of one large incision. Once the surgeon can see your uterus, they will cut the uterus into small pieces and remove one piece at a time.

A hysterectomy is a major decision that you should take after careful consultation with your doctor. You should understand the reason for the operation, the benefits and risks and the alternatives to a hysterectomy.

2270 people found this helpful

Vaginal Vault Prolapse - Know The Treatment Of It!

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Ghaziabad
Vaginal Vault Prolapse - Know The Treatment Of It!

Vaginal Vault Prolapse is the condition where the upper portion of vagina may lose its normal shape and drop or sag down into the vaginal canal or maybe even outside the vagina. This may occur after a hysterectomy or even simultaneously with uterine prolapse.

The treatment of Vaginal Vault Prolapse varies with the severity and extremity of your symptoms. Your healthcare provider may suggest medications and physical therapy to treat your condition, if you feel that the prolapse is not bothersome. However, you might have to undergo surgery later if your symptoms worsen and the prolapse affects your quality of life and hinders functional ability.  You must keep in mind that usually more than one area is affected by weakness in your pelvic floor. 

The symptoms of Vaginal Vault Prolapse include, backache, pelvic heaviness, bulging mass into or sometimes outside your vagina that hinders normal activities such as walking and sitting, vaginal bleeding and releasing urine involuntarily. 

Treatments:

  1. Medication: Most of the women with this condition usually go through menopause around the same time. Since the estrogen levels are severely lowered during menopause, it causes vaginal dryness. Discussing about estrogen therapy with your healthcare provider is a must if you wish to remedy your vaginal dryness. Not every woman should take estrogen so it is imperative to talk to a medical expert first. Usually women are treated with estrogens before they go into surgery.
  2. Physical therapy: Most healthcare experts recommend pelvic floor exercises as physical therapy using biofeedback so as to strengthen the specific muscles of your pelvic floor. Biofeedback is the usage of monitoring devices that contain sensors and are placed either in your rectum, vagina or on your skin. Biofeedback is very important because it tells you the strength of each muscle you are squeezing i.e. contractions, and if you are squeezing the right muscles in order to perform the exercise correctly. Long term usage of biofeedback in physical therapy leads to strengthening of your muscles and a reduction in your symptoms. 
  3. Surgery: Corrective surgery may be performed on you by the surgeon either through the abdomen or vagina. If the surgeon is performing the corrective surgery through the vagina, he will use the ligaments, which support the uterus to solve the problem.
1417 people found this helpful

Vaginal Cancer - How To Combat It?

DMRT, MBBS, MD - Radiation Oncology, DNBR
Oncologist, Kolkata
Vaginal Cancer - How To Combat It?

We all hear about cervical or ovarian cancer, but who hears about vaginal cancer?  The fact is that vaginal cancer, while uncommon, can be deadly if left undiagnosed and treated. Many women with vaginal cancer may not even know that they have it until it is too late. Cancer itself, and treatment options are discussed here!

The vaginal canal is sometimes referred to as the ‘birth canal’ because it leads from the opening of the cervix to the outside of the body. There are two main types of vaginal cancer: squamous cell carcinoma, and adenocarcinoma. Squamous cell carcinoma forms in the thin, flat cells that line the vagina. It grows slowly and usually does not metastasize, but when it does, it can spread to the lungs and liver, thereby being potentially deadly.

Adenocarcinoma grows in the secretory glands of the vagina. This type of cancer is more common and more likely to metastasize. This type of cancer appears most commonly after menopause.

Women who are above the age of 60, exposed to DES while in the womb, have had HPV, have had cervical cancer, or a history of abnormal cells in the cervix, have had uterine cancer, or a history of abnormal cells in the uterus, and have had a hysterectomy for cancer or other health problems affecting the uterus are more likely to develop vaginal cancer.

Vaginal cancer manifests itself in the form of pain or abnormal bleeding.  However, since it is oftentimes symptomless, it may only be detected during yearly pelvic exams and pap smears.  Bleeding and discharge in between periods, pain during intercourse, pain in the pelvic area, vaginal lumps, pain while urinating, and constipation are all signs of vaginal cancer.  

This cancer can often be detected by physical exams, pelvic exams, pap smears, colposcopies, biopsies, Treatment works better if cancer has not metastasized, the tumor size, the grade of the tumor cells, if there are symptoms at diagnosis, if the patient is younger and in good relative health, and if cancer has gone into permanent remission.

Treatment options include hysterectomy, vaginectomy, brachytherapy, dystilbol, pelvic exams, and vulvectomy.  As can be seen, the only viable treatment option in many cases is either minor or major surgery which results in removal in part or all of the reproductive tract organs.

Vaginal cancer patients have a better outlook than ever before.  Vaginal cancer is no longer the silent killer that it used to be, and many patients are living long and productive lives long after treatment.

1532 people found this helpful

Diseased Uterus - Can You Get It Replaced?

Sneh Hospital 88% (12ratings)
IVF Specialist, Ahmedabad
Diseased Uterus - Can You Get It Replaced?

In case you have a diseased uterus, which makes you infertile, you can undergo a procedure known as uterus transplant or uterine transplant to get pregnant. In the process of sexual reproduction, a diseased uterus does not allow embryonic implantation. This factor is referred to as uterine factor infertility or UFI. As a result, you will not be able to get pregnant. Learn more about having healthy pregnancy.

Who requires a uterus transplant?

This procedure involves women who have UFI and women who had their uterus removed by hysterectomy. Women who have a damaged uterus on account of an injury or infection, which does not function anymore, can also undergo a uterus transplant procedure. Women from the age of 21 to 45 are eligible for this procedure. Many women are born without having a uterus. This condition is called Mayer-Rokitansky-Küster-Hauser syndrome.

Procedure:

Uterus transplantation begins with undertaking a uterus retrieval surgery on the uterus donor. The uterus, which is recovered has to be stored and transported to the location of the patient undergoing the transplant. An ischemic tolerance may last over 24 hours. Three major surgeries have to be carried out with the recipient. Firstly, a transplantation surgery is required in which the donor’s uterus gets transplanted. In case pregnancy develops, a caesarean section surgery has to be performed. The patient is given immune suppressive therapy. After childbirth, a hysterectomy is done in order to terminate the immune suppressive therapy.

Will the women be able to get pregnant after having sex?

Women receiving a uterus transplant will not be capable of becoming pregnant without undergoing fertility treatments. The transplanted uterus is not connected with the fallopian tubes, which is the location of the normal fertilisation process. The women will require to carry out IVF or in vitro fertilisation to become pregnant after a uterus transplant. IVF is a process in which the eggs are removed from the ovaries and get fertilised in a laboratory.

Then, they are implanted in the uterus. After undergoing the uterus transplant procedure, a woman has to wait for a period of one year. The uterus requires time for healing and after recovery, the embryo may be implanted for pregnancy. After giving birth successfully, a woman will be able to keep the transplanted uterus. This is a reason why IVF is a popular procedure.

She has the option to get pregnant again. However, after giving birth twice, a hysterectomy must be carried out for the removal of the uterus. This is done so that the woman can stop using the immune suppressant drugs, which are associated with major risks. Uterus transplant is a relatively new technology. In October 2014, the first healthy baby was born to a woman who had undergone a uterus transplant. This surgery is kind of experimental in nature and is usually the last option for getting pregnant.

4175 people found this helpful

Hysterectomy - Know Methods Of It!

Dr.Sravana Soujanya 90% (13ratings)
MBBS, Diploma in Obstetrics & Gyanecology
Gynaecologist, Hyderabad
Hysterectomy - Know Methods Of It!

The surgical procedure that is used for uterus removal of a female patient is known as a hysterectomy. From uterine fibroids to cancer in the uterus, there may be a variety of reasons for carrying out this procedure. Here is everything you need to know about the procedure and recovery.

Causes:

There are a number of reasons for which one may have to undergo a hysterectomy. If uterine fibroids and other kinds of growth are causing severe pelvic pain and bleeding, then it may be required. This also applied to particularly painful endometriosis. Abnormal vaginal bleeding as well as severe and chronic pelvic pain, are enough of reasons by themselves for going in for this kind of surgery to remove the uterus. Also, when the uterus slides away from its normal position and slips into the vaginal canal, this signifies a condition known as Uterine Prolapse, which will also require treatment in the form of a hysterectomy. Andenomyosis is another reason why this surgery may be required, as this condition results in the thickening of the organ. Finally, if the patient is suffering from cervical or ovarian cancer, then the doctor may recommend this surgery to remove the uterus in case the tumour found has been tested as malignant.

Technique:

There are various techniques that may be followed in the course of this surgery, depending on the location, the size and the severity of the condition and the growth that is associated with it. 

  1. Open Surgery Hysterectomy: This involves an incision of six to seven inches, in the belly of the patient so as to act on the abdominal region. After recovery, there will be a visible scar on the stomach of the patient.
  2. MIP Hysterectomy: The various approaches for this technique include vaginal hysterectomy, laparoscopic hysterectomy, laparoscopic-assisted vaginal hysterectomy, and robot-assisted laparoscopic hysterectomy.

Risks:

While this is mostly known as a low-risk procedure, there may be various risks after the surgery including urinary incontinence, vaginal prolapse, formation of fistula where an abnormal link may form between the bladder and the vagina and finally, persistent pain. Infection, haemorrhage and blood clots may also happen in extreme cases.

Recovery:

The female patient will automatically start menopause once this uterus removal procedure has been carried out. Usually, the doctor will ask you to refrain from lifting heavy weights for a few weeks after the surgery and also, to abstain from sex for a while. Most female patients reported complete cure of the problem following this surgery. Also, it is not common to find too many side effects after the surgery.

Tips

  1. Walking after a month. 
  2. Simple stretching exercises after a month. 
  3. Plenty of fruits and vegetables in the diet
  4. Water intake should be around 3-4 liters.
  5. Calcium supplements.
1928 people found this helpful

Can Homeopathy Transform Your Sex Life?

Dr.Irfan Ahmad 86% (18ratings)
BHMS, MD - Homeopathy, Diploma in Nutrition and Health Education
Homeopathy Doctor, Patna
Can Homeopathy Transform Your Sex Life?

Do you feel like sex has become a burden for you? You know you love your partner but when it comes to sex, you feel as if you have lost that desire? Then you are not the only one.

Many people go through a similar phase, known as loss of sex desire or low libido. This condition tends to affect you not just mentally but also your relationship with your partner and spouse. Sex is a type of communication between various hormones and neurotransmitters. Only when these two things work in harmony, you feel that sexual desire and excitement.

What is causing you to lose your sex desire?
A number of factors cause a person to experience sexual aversion. Knowing about these causes can help you understand and diagnose the problem. Some of the causes of this condition are the following:

  1. Stress
  2. Diabetes
  3. Depression
  4. Anxiety
  5. Impotency
  6. Child sexual abuse
  7. Childbirth
  8. Drugs
  9. Hypothyroid (when the thyroid gland fails to generate sufficient hormones)
  10. Birth control medication
  11. Inadequate testosterone levels in men
  12. Substance abuse such as drugs, smoking and alcohol
  13. Hysterectomy (a procedure which removes the uterus) in case of women
  14. Pregnancy
  15. Absence of mental and emotional satisfaction in a marriage
  16. Uncomfortable and painful sex due to decreased supply of blood to the vagina

How can you determine if you are suffering from low libido?
Knowing and recognizing the problem will go a long way in remedying this problem. This is how you can understand whether you are suffering from low libido:

  1. Diminished sex drive i.e., if you don’t feel like having frequent sex like before
  2. Feeling sluggish when faced with the prospect of having sex
  3. When you realize sex has become more like a chore or duty rather than something spontaneous and pleasurable
  4. If your partner or spouse has to put a lot more effort than normal in arousing you
  5. You don’t enjoy sex as much as you used to
  6. If you hardly think of sex as much as you used to
  7. You just stop caring about sex altogether

How does homeopathy play a role in making this problem better?
Since homeopathy is completely natural, it always targets the body’s healing function by restoring and rejuvenating it. Because diminished sexual desire is an emotional and psychological condition, homeopathy can greatly help in treating it by eradicating the emotional triggers. Even though homeopathy takes a longer time in treating problems it is because it strikes at the root of the problem and permanently gets rid of the disorder. Your homeopath doctor will formulate your medicines very precisely keeping in mind your symptoms and difficulties and this will help treat your condition better. There remains a very little chance of the same problem recurring. Since homeopathic medicines are extremely diluted, there are hardly any side effects.

Sex is nothing to be ashamed about. It is a very crucial part of a relationship and marriage and just because you are suffering from a low libido now, that does not mean you are going to feel like that forever. So, trust the power of homeopathy and get your sex life back on track.

1678 people found this helpful

Vaginal Vault Prolapse - Know The Treatment For It!

Dr.Smriti Uppal 90% (479ratings)
DNB (Obstetrics and Gynecology), DGO, MBBS Bachelor of Medicine and Bachelor of Surgery
Gynaecologist, Delhi
Vaginal Vault Prolapse - Know The Treatment For It!

Vaginal Vault Prolapse is the condition where the upper portion of vagina may lose its normal shape and drop or sag down into the vaginal canal or maybe even outside the vagina. This may occur after a hysterectomy or even simultaneously with uterine prolapse.

The treatment of Vaginal Vault Prolapse varies with the severity and extremity of your symptoms. Your healthcare provider may suggest medications and physical therapy to treat your condition, if you feel that the prolapse is not bothersome. However, you might have to undergo surgery later if your symptoms worsen and the prolapse affects your quality of life and hinders functional ability.  You must keep in mind that usually more than one area is affected by weakness in your pelvic floor. 

The symptoms of Vaginal Vault Prolapse include, backache, pelvic heaviness, bulging mass into or sometimes outside your vagina that hinders normal activities such as walking and sitting, vaginal bleeding and releasing urine involuntarily. 

Treatments:

  1. Medication: Most of the women with this condition usually go through menopause around the same time. Since the estrogen levels are severely lowered during menopause, it causes vaginal dryness. Discussing about estrogen therapy with your healthcare provider is a must if you wish to remedy your vaginal dryness. Not every woman should take estrogen so it is imperative to talk to a medical expert first. Usually women are treated with estrogens before they go into surgery.
  2. Physical therapy: Most healthcare experts recommend pelvic floor exercises as physical therapy using biofeedback so as to strengthen the specific muscles of your pelvic floor. Biofeedback is the usage of monitoring devices that contain sensors and are placed either in your rectum, vagina or on your skin. Biofeedback is very important because it tells you the strength of each muscle you are squeezing i.e. contractions, and if you are squeezing the right muscles in order to perform the exercise correctly. Long term usage of biofeedback in physical therapy leads to strengthening of your muscles and a reduction in your symptoms. 
  3. Surgery: Corrective surgery may be performed on you by the surgeon either through the abdomen or vagina. If the surgeon is performing the corrective surgery through the vagina, he will use the ligaments, which support the uterus to solve the problem.
4010 people found this helpful
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