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Pelvic Organ Prolapse Health Feed

Uterine Prolapse - Causes, Symptoms And Management!

Dr. Nikhil D Datar 88% (12 ratings)
MD - Obstetrics & Gynaecology, DGO, MBBS , FCPS, DNB, FICOG, LLB
Gynaecologist, Mumbai
Uterine Prolapse - Causes, Symptoms And Management!

The uterus is a muscular organ which houses the fertilized egg and gives it space to grow through pregnancy. It is held in place by various ligaments and tissues, as it is suspended in the pelvic area. Uterine prolapse is when the uterus slips down and is not able to stay in place. It can slip into the vaginal cavity, and may sometimes be protruding through the vagina. 

Causes: 

  1. The female hormone estrogen plays a vital role in keeping this in place. With age, as the hormone levels reduce, the uterus tends to prolapse.  Also, if the ligaments and muscles holding it in place weaken, then the uterus can slide down. 

  2. Multiple vaginal deliveries can cause prolapse.

  3. Excessive fluid in the abdomen, constant cough, and constipation can put pressure on the uterus.

  4. Being obese and smoking are also believed to be risk factors for uterine prolapse.

Degrees: 

  1. First degree is when the cervix is in the vagina 

  2. The second degree is when the cervix reaches almost the level of vaginal opening to the outside 

  3. The third degree is when cervix can be seen protruding out of the vagina 

  4. In the fourth degree, the entire uterus is outside the vagina 

Symptoms: 

  1. A feeling of something sticking out of the vagina 

  2. Difficult and painful sex 

  3. Difficulty in urination or incomplete evacuation 

  4. Fullness in the pelvis 

  5. Low back pain 

Though the symptoms are often ignored, avoiding medical care can worsen the situation. The above symptoms should trigger a medical check-up. 

  1. The doctor will check you and make you strain (by asking you to cough) to understand the problem.

  2.  Sonography may be done to diagnose the condition, including the extent of it. 

Management: 

  1. Minor degree of prolapse can be managed by Kegel exercises, which strengthen the uterine and pelvic muscles. These are easy to do and can be done anywhere. It involves tightening the pelvic muscles, similar to what happens when trying to stop urine flow. In fact, doing these regularly can help prevent the onset of prolapse. As women age, they should do these, so prolapse and incontinence can be managed. 

  2. The most effective way to treat the prolapse is surgery. The surgery may or may not involve removal of the uterus. During surgery the pelvic fascia is repaired thoroughly and the organs are fixed to their anatomical positions. Most often the surgery is done by vaginal route and there is not even a small scar on the abdomen.

3672 people found this helpful

Treatment Of Rectal Prolapse And ODS

Dr. Ashish Ganatra 90% (109 ratings)
M.S
General Surgeon, Rajkot

Once thoroughly investigated including Mr. Defecography, you can have options of starr which is scarless perineal approach, or laproscopic rectopexy which is minimal invasive or in females where associated pelvic organ/uterine prolapse a pops-starr is a very nice minimally invasive option with day care.

1 person found this helpful

Factors That Put You At Risk Of Uterine Prolapse!

Dr. Nutan Hegde 93% (151 ratings)
MBBS, DGO, MRCOG
Gynaecologist, Mumbai
Factors That Put You At Risk Of Uterine Prolapse!

The uterus or womb is a strong structure that is held up by the pelvic muscles and tendons. In case that these muscles or tendons extend or get distinctly powerless, they are no longer ready to support the uterus, bringing about prolapse. Uterine prolapse happens when the uterus hangs or slips from its ordinary position, into the vagina or birth channel.

Uterine prolapse might be fragmented or complex. A deficient prolapse happens when the uterus is just halfway drooping into the vagina. An entire prolapse depicts a circumstance in which the uterus falls so far down that some tissue rests outside of the vagina.

The danger of having a prolapsed uterus increases as a woman ages and her estrogen levels diminish. Estrogen is the hormone that keeps the pelvic muscles solid. Harm to pelvic muscles and tissues during pregnancy and labor may likewise lead to prolapse. Women with more than one vaginal birth and in their postmenopausal period are under the most significant risk. Any action that puts weight on the pelvic muscles can expand your danger of a uterine prolapse. Different variables that can increase your risk for the condition include:

  1. Obesity
  2. Constant coughing
  3. Constipation

Women who have a minor uterine prolapse might not have any side effects. Direct to serious prolapse may bring about side effects like:

  1. Having an inclination that you are sitting on a ball
  2. Vaginal bleeding
  3. Too much discharge
  4. Issues with sex
  5. Feeling the uterus or cervix leaving the vagina
  6. A pulling or substantial feeling in the pelvis
  7. Constipation
  8. Bladder infections

In case that you experience these symptoms, it is important to see your specialist. Without appropriate diagnosis, the condition can weaken your vagina, bladder, and sexual capacity. Treatment is not generally fundamental for this condition. In case that prolapse is serious, talk with your specialist about which treatment choice is suitable for you. Nonsurgical medicines include:

  1. Shedding pounds to take the strain off of pelvic structures
  2. Maintaining a strategic distance from truly difficult work
  3. Doing Kegel works out, which are pelvic floor exercises that strengthen the vaginal muscles
  4. Taking estrogen substitution treatment
  5. Wearing a pessary, which is a device embedded into the vagina that fits under the cervix and pushes up and settles the uterus and cervix

Surgical management include uterine suspension or hysterectomy. During uterine suspension, your specialist puts the uterus once again into its normal position by reattaching pelvic tendons or utilizing surgical materials. During a hysterectomy, your specialist expels the uterus from the body through the stomach area or the vagina. Surgery is usually successful; however, it is not suggested for women who anticipate having a baby later on. In case you have a concern or query you can always consult an expert & get answers to your questions!

3526 people found this helpful

4 Ways To Treat Pelvic Floor Dysfunction!

Dr. Swati Gupta 89% (52 ratings)
MBBS, MS - Obstetrics & Gynaecology
Gynaecologist, Kanpur
4 Ways To Treat Pelvic Floor Dysfunction!

In medical terms, the pelvic floor refers to a group of muscles in the pelvic area. These muscles provide support to the organs in the pelvic region, including the bladder, uterus (women), prostate (men), and rectum.

What is pelvic floor dysfunction?
This is a medical condition that is used to refer to a situation when you are unable to control the functioning of the pelvic floor. It means you fail to control the bowel movement. People suffering from pelvic floor dysfunction use these muscles to contract rather than to relax. It is for this reason that they cannot have a bowel movement. They often have an incomplete one.

What causes pelvic floor dysfunction?
In most of the cases, the exact reason behind this dysfunction is unknown. It is often believed that this condition is caused due to traumatic injuries to the pelvic area. This can happen after an accident and due to complications aroused after vaginal childbirth.

What are the symptoms?
There are several symptoms that are linked to this medical condition. You must visit your doctor if you come across the following signs:

  1. The feel of having several bowel movements within a short period of time.
  2. If you feel that you cannot complete a bowel movement.
  3. When there is constipation pain linked with bowel movements.
  4. A frequent urge to urinate.
  5. Painful urination.
  6. Pain in lower back.
  7. Continuous pain in pelvic region, genitals, or rectum.
  8. Pain during intercourse in women

How is pelvic floor dysfunction diagnosed?
It may be diagnosed through a physical examination by the doctor. You will ask several questions to know the case history and find out the cause. You may also be asked to take pelvic muscle control test by placing surface electrodes on the perineum or sacrum. A small device called a perineometer is also used for the same.

What are the best ways for treating pelvic floor dysfunction?
It can be treated without surgery. There are several techniques. Some of these are as follows:

  1. Biofeedback: It is done with the help of a physical therapist.He uses special sensors to watch and monitor the muscles.
  2. Medication: A low-dose muscle relaxant is prescribed to treat the same.
  3. Relaxation techniques: Your therapist may ask you to take up techniques for relaxation such as warm baths, yoga, and exercises.
  4. Surgery: If your physician finds out that the dysfunction is caused by a rectal prolapse or rectocele, he or she will take up surgery.

Pelvic Floor Dysfunction results in Urinary Dysfunction. Urinary incontinence is the unintentional passing of urine. It's a common problem thought to affect millions of people. There are several types of urinary incontinence, including:

  1. Stress Incontinence – when urine leaks out at times when your bladder is under pressure; for example, when you cough or laugh
  2. Urge Incontinence – when urine leaks as you feel a sudden, intense urge to pass urine, or soon afterwards
  3. Overflow Incontinence (chronic urinary retention) – when you're unable to fully empty your bladder, which causes frequent leaking
  4. Total Incontinence – when your bladder can't store any urine at all, which causes you to pass urine constantly or have frequent leaking

It's also possible to have a mixture of both stress and urge urinary incontinence.

Pelvic Organ Prolapse

Pelvic organ prolapse is a condition in which structures such as the uterus, rectum, bladder, urethra, small bowel, or the vagina itself may begin to prolapse, or fall, out of their normal positions. Without medical treatment or surgery, these structures may eventually fall farther into the vagina or even through the vaginal opening if their supports weaken enough.
 

1 person found this helpful

Uterine Prolapse - Know The Risks It Can Cause!

Dr. Rajan Joshi 91% (221 ratings)
MD Gynaecology, MBBS
Gynaecologist, Ahmedabad
Uterine Prolapse - Know The Risks It Can Cause!

The uterus or womb is a strong structure that is held up by the pelvic muscles and tendons. In case that these muscles or tendons extend or get distinctly powerless, they are no longer ready to support the uterus, bringing about prolapse. Uterine prolapse happens when the uterus hangs or slips from its ordinary position, into the vagina or birth channel.

Uterine prolapse might be fragmented or complex. A deficient prolapse happens when the uterus is just halfway drooping into the vagina. An entire prolapse depicts a circumstance in which the uterus falls so far down that some tissue rests outside of the vagina.

The danger of having a prolapsed uterus increases as a woman ages and her estrogen levels diminish. Estrogen is the hormone that keeps the pelvic muscles solid. Harm to pelvic muscles and tissues during pregnancy and labor may likewise lead to prolapse. Women with more than one vaginal birth and in their postmenopausal period are under the most significant risk. Any action that puts weight on the pelvic muscles can expand your danger of a uterine prolapse. Different variables that can increase your risk for the condition include:

  1. Obesity
  2. Constant coughing
  3. Constipation

Women who have a minor uterine prolapse might not have any side effects. Direct to serious prolapse may bring about side effects, for example:

  1. Having an inclination that you are sitting on a ball
  2. Vaginal bleeding
  3. Expanded discharge
  4. Issues with sex
  5. Feeling the uterus or cervix leaving the vagina
  6. A pulling or substantial feeling in the pelvis
  7. Constipation
  8. Bladder infections

In case that you experience these symptoms, it is important to see your specialist. Without appropriate diagnosis, the condition can weaken your vagina, bladder, and sexual capacity. Treatment is not generally fundamental for this condition. In case that prolapse is serious, talk with your specialist about which treatment choice is suitable for you. Nonsurgical medicines include:

  1. Shedding pounds to take the strain off of pelvic structures
  2. Maintaining a strategic distance from truly difficult work
  3. Doing Kegel works out, which are pelvic floor exercises that strengthen the vaginal muscles
  4. Taking estrogen substitution treatment
  5. Wearing a pessary, which is a device embedded into the vagina that fits under the cervix and pushes up and settles the uterus and cervix

Surgical medications include uterine suspension or hysterectomy. During uterine suspension, your specialist puts the uterus once again into its normal position by reattaching pelvic tendons or utilizing surgical materials. During a hysterectomy, your specialist expels the uterus from the body through the stomach area or the vagina. Surgery is usually successful; however, it is not suggested for women who anticipate having a baby later on. In case you have a concern or query you can always consult an expert & get answers to your questions!

 

2872 people found this helpful

My uterus comes down during the day time & has to be pushed back in position. Doctor has told that it is due to weak ligaments. Please tell if there is any treatment to strengthen the ligaments or if there is any other method to keep it in position. My age is 73 years.

Dr. Pooja Bhalke 91% (1251 ratings)
BHMS,PGDPC At Motiwala Homoeopathic Medical College and Hospital Nashik, PGDPC
Homeopath, Nashik
Take Homeopathy medicine for best results 1) Sepia 200. 4 pills. 3 times a day for 15 days See the results and contact me for Follow up. Thanks.
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Uterine Prolapse - What You Need To Know About It?

Dr. Rashmi Jain 87% (56 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, DGO
Gynaecologist, Ghaziabad
Uterine Prolapse - What You Need To Know About It?

The condition of uterine prolapse takes place when the floor muscles (and sometimes, ligaments) of the pelvis region gets stretched overly and then gradually weakens, thus becoming unable to provide adequate support to the uterus. This often leads to the protrusion or the slipping down of the uterus out of the vaginal opening. Though it can affect women of any age, it usually happens to women after menopause, especially those who have already had deliveries out of the vagina.

Causes
The weakening of the muscles in the pelvic region is the chief cause that leads to uterine prolapse. Other causes include:

  1. Natural estrogen loss, especially after menopause
  2. Gravity effects
  3. Supportive tissues of pregnancy and childbirth being damaged
  4. Constant straining over time
  5. Excessive smoking
  6. Improper weight - obesity or being overweight

Symptoms:

There are a number of varieties of uterine prolapse, of varying severity. In case of moderate to severe uterine prolapse, the symptoms tend to be more pronounced and include a number of prominent symptoms.

  1. Protruding tissue from the vagina
  2. Problems in bowel regulation
  3. Increased lower back pains
  4. Increased urinary problems, such as leakage or increased retention
  5. Looseness in the vagina, which may affect your sex life

Usually, these are symptoms which become pronounced in the morning and eventually worsens through the course of the day.

Risk Factors:
The major risk factors that may increase the risk of being afflicted by uterine prolapse are:

  1. Multiple pregnancies
  2. Increasing age
  3. Past problems relating to the pelvis - including surgeries or accidents
  4. General weakness in tissues 
  5. Frequently lifting heavy weights

Additionally, there are a number of conditions, such as chronic constipation, obesity or other pulmonary diseases, that may apply excess strain on tissues and muscles of the pelvic region, that accentuates your chances of being afflicted by uterine prolapse.

1 person found this helpful

How Is Pelvic Floor Dysfunction Diagnosed?

Dr. Arpana Jain 92% (754 ratings)
MBBS, DGO, DNB
Gynaecologist, Delhi
How Is Pelvic Floor Dysfunction Diagnosed?

In medical terms, the pelvic floor refers to a group of muscles in the pelvic area. These muscles provide support to the organs in the pelvic region, including the bladder, uterus (women), prostate (men), and rectum.

What is pelvic floor dysfunction?
This is a medical condition that is used to refer to a situation when you are unable to control the functioning of the pelvic floor. It means you fail to control the bowel movement. People suffering from pelvic floor dysfunction use these muscles to contract rather than to relax. It is for this reason that they cannot have a bowel movement. They often have an incomplete one.

What causes pelvic floor dysfunction?
In most of the cases, the exact reason behind this dysfunction is unknown. It is often believed that this condition is caused due to traumatic injuries to the pelvic area. This can happen after an accident and due to complications aroused after vaginal childbirth.

What are the symptoms?
There are several symptoms that are linked to this medical condition. You must visit your doctor if you come across the following signs:

  1. The feel of having several bowel movements within a short period of time.
  2. If you feel that you cannot complete a bowel movement.
  3. When there is constipation pain linked with bowel movements.
  4. A frequent urge to urinate.
  5. Painful urination.
  6. Pain in lower back.
  7. Continuous pain in pelvic region, genitals, or rectum.
  8. Pain during intercourse in women

How is pelvic floor dysfunction diagnosed?
It may be diagnosed through a physical examination by the doctor. You will ask several questions to know the case history and find out the cause. You may also be asked to take pelvic muscle control test by placing surface electrodes on the perineum or sacrum. A small device called a perineometer is also used for the same.

What are the best ways for treating pelvic floor dysfunction?
It can be treated without surgery. There are several techniques. Some of these are as follows:

  1. Biofeedback: It is done with the help of a physical therapist.He uses special sensors to watch and monitor the muscles.
  2. Medication: A low-dose muscle relaxant is prescribed to treat the same.
  3. Relaxation techniques: Your therapist may ask you to take up techniques for relaxation such as warm baths, yoga, and exercises.
  4. Surgery: If your physician finds out that the dysfunction is caused by a rectal prolapse or rectocele, he or she will take up surgery.

Pelvic Floor Dysfunction results in Urinary Dysfunction. Urinary incontinence is the unintentional passing of urine. It's a common problem thought to affect millions of people. There are several types of urinary incontinence, including:

  1. Stress Incontinence – when urine leaks out at times when your bladder is under pressure; for example, when you cough or laugh
  2. Urge Incontinence – when urine leaks as you feel a sudden, intense urge to pass urine, or soon afterwards
  3. Overflow Incontinence (chronic urinary retention) – when you're unable to fully empty your bladder, which causes frequent leaking
  4. Total Incontinence – when your bladder can't store any urine at all, which causes you to pass urine constantly or have frequent leaking

It's also possible to have a mixture of both stress and urge urinary incontinence.

Pelvic Organ Prolapse

Pelvic organ prolapse is a condition in which structures such as the uterus, rectum, bladder, urethra, small bowel, or the vagina itself may begin to prolapse, or fall, out of their normal positions. Without medical treatment or surgery, these structures may eventually fall farther into the vagina or even through the vaginal opening if their supports weaken enough.

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

2497 people found this helpful

What Are The Side Effects Of Uterine Prolapse?

Dr. Mala Sinha 85% (37 ratings)
secondary DNB, DGO, fellowship in minimal access surgery, observership in advanced reproductive technique
Gynaecologist, Patna
What Are The Side Effects Of Uterine Prolapse?

The uterus or womb is a strong structure that is held up by the pelvic muscles and tendons. In case that these muscles or tendons extend or get distinctly powerless, they are no longer ready to support the uterus, bringing about prolapse. Uterine prolapse happens when the uterus hangs or slips from its ordinary position, into the vagina or birth channel.

Uterine prolapse might be fragmented or complex. A deficient prolapse happens when the uterus is just halfway drooping into the vagina. An entire prolapse depicts a circumstance in which the uterus falls so far down that some tissue rests outside of the vagina.

The danger of having a prolapsed uterus increases as a woman ages and her estrogen levels diminish. Estrogen is the hormone that keeps the pelvic muscles solid. Harm to pelvic muscles and tissues during pregnancy and labor may likewise lead to prolapse. Women with more than one vaginal birth and in their postmenopausal period are under the most significant risk. Any action that puts weight on the pelvic muscles can expand your danger of a uterine prolapse. Different variables that can increase your risk for the condition include:

  1. Obesity
  2. Constant coughing
  3. Constipation

Women who have a minor uterine prolapse might not have any side effects. Direct to serious prolapse may bring about side effects, for example:

  1. Having an inclination that you are sitting on a ball
  2. Vaginal bleeding
  3. Expanded discharge
  4. Issues with sex
  5. Feeling the uterus or cervix leaving the vagina
  6. A pulling or substantial feeling in the pelvis
  7. Constipation
  8. Bladder infections

In case that you experience these symptoms, it is important to see your specialist. Without appropriate diagnosis, the condition can weaken your vagina, bladder, and sexual capacity. Treatment is not generally fundamental for this condition. In case that prolapse is serious, talk with your specialist about which treatment choice is suitable for you. Nonsurgical medicines include:

  1. Shedding pounds to take the strain off of pelvic structures
  2. Maintaining a strategic distance from truly difficult work
  3. Doing Kegel works out, which are pelvic floor exercises that strengthen the vaginal muscles
  4. Taking estrogen substitution treatment
  5. Wearing a pessary, which is a device embedded into the vagina that fits under the cervix and pushes up and settles the uterus and cervix

Surgical medications include uterine suspension or hysterectomy. During uterine suspension, your specialist puts the uterus once again into its normal position by reattaching pelvic tendons or utilizing surgical materials. During a hysterectomy, your specialist expels the uterus from the body through the stomach area or the vagina. Surgery is usually successful; however, it is not suggested for women who anticipate having a baby later on.

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

2433 people found this helpful

Uterine Prolapse - 6 Most Common Risk Factors!

Dr. Mukti Sethi 90% (67 ratings)
MBBS, DGO, Ceritification in Minimal Invasive Surgery
Gynaecologist, Ghaziabad
Uterine Prolapse - 6 Most Common Risk Factors!

Uterine prolapse is a condition which occurs due to a weakness in the muscles and ligaments of the pelvic floor which are responsible for supporting the uterus. This condition results in the bulging out of the uterus from the vagina. The continuous stretching in the muscles of the pelvic floor due to the lifting of heavy things might initiate uterine prolapse. If you suffer from severe uterine prolapse, the doctors might suggest laparoscopic surgery to get rid of the pain. Lack of diagnosis might form infected ulcers in the pelvic regions.

Risk Factors
The risk factors that can trigger a uterine prolapse are as follows:

  1. You are more prone to suffering from uterine prolapse as you age because aging causes a significant reduction in the estrogen (the hormone responsible for the overall development of the pelvic muscles) levels of the body.
  2. If your pelvic muscles and the adjoined tissues have suffered sustained damage during pregnancy or childbirth, you have a higher risk of suffering from uterine prolapse.
  3. Obesity, sustained episodes of constipation or coughing make you more vulnerable to uterine prolapse.
  4. In women, estrogen levels reduce significantly after menopause.
  5. A woman who has undergone vaginal childbirth multiple times can suffer from uterine prolapse.
  6. Having undergone surgery in the pelvic region and experiencing severe pain during excretion raises the risk levels even more.

Symptoms
The symptoms of uterine prolapse vary with the severity of the condition. If the prolapse is a minor one, there will be no symptoms. But severe uterine prolapse might bring with it the following symptoms:

  1. Severe pain in the lower back region along with significant problems during urination such as leakage of urine.
  2. Bulging out of tissues from the vagina.
  3. Recurrent instances of constipation and abnormal discharges from the vagina.
  4. Infection in the bladder and experiencing severe problems during sex intercourse.

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



 

2714 people found this helpful
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