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Uterine Synechiae Tips

All About Uterine Prolapse

Dr. Suman Rao 91% (251 ratings)
DNB (Obstetrics and Gynecology), Fellowship in Minimal Access Surgery, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Gurgaon
All About Uterine Prolapse

Your uterus is held in place by ligaments, tissues and pelvic muscles. The prolapse occurs when the ligaments or muscles weaken, and thus they can no longer support the uterus. The uterus slips or sags from its usual position into the birth canal (vagina).

Uterine prolapse could be complete or incomplete:

  • If the uterus partly sags into the vagina, the prolapse is incomplete.
  • If the uterus falls, and tissues are found to be resting in the vagina's exterior, the prolapse is termed 'complete'

Type of Prolapse:

  1. Cystocele: It is characterized by the herniation (bulging) of the vaginal wall caused by the bladder; it leads to urination problems
  2. Enterocele: It is characterized by the bulging on the vaginal wall caused by the bowel; it leads to backache
  3. Rectocele: If the rectum pushes into the vaginal wall, it makes movement in bowels difficult

Causes:
Uterine prolapse can be caused by any of the following factors:

  • Normal childbirth through the vagina weakens muscles
  • Pelvic muscles weaken with age
  • Tissues weaken after menopause and oestrogen loss
  • Chronic cough, constipation, pelvic tumours or abdominal fluid accumulation puts a lot of pressure on the abdomen leading to prolapse
  • Pelvic muscles are stressed if you are obese or overweight
  • Major pelvic (or areas around it) surgery leads to loss of muscular support
  • Smoking
  • Excessive weight lifting causes weakening of muscles

Symptoms:
Symptoms of uterine prolapse depend on its severity. There are no symptoms or signs if you have mild uterine prolapse. But if you have moderate to severe uterine prolapse, you might experience the following symptoms:

  1. Sensation of pulling or heaviness in the pelvis
  2. Tissue bulges out of your vagina
  3. Urinary problems like urine retention or urine leakage
  4. Bowel movement difficulties
  5. Pain in lower back
  6. Sexual problems such as vaginal tissues feeling loose

Symptoms might feel less distressing during the morning, but they worsen at night. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

4107 people found this helpful

Know Everything About Uterine Prolapse!!

Dr. Sunita Malhotra 87% (43 ratings)
MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Agra
Know Everything About Uterine Prolapse!!

The uterus or womb, is a muscular structure and is held in place by ligaments and pelvic muscles. If these muscles or tendons become weak, they cause prolapse and are no longer able to hold the uterus in its place.

Uterine prolapse happens when the uterus falls or slips from its ordinary position and into the vagina or birth waterway. It could be complete prolapse or even incomplete at times. A fragmented prolapse happens when the uterus is just hanging into the vagina. A complete prolapse depicts a circumstance in which the uterus falls so far down that some tissue rests outside of the vagina. Likewise, as a lady ages and with a loss of the hormone estrogen, her uterus can drop into the vaginal canal. This condition is known as a prolapsed uterus.

Risks: The risks of this condition are many and have been enumerated as follows:

  1. Complicated delivery during pregnancy
  2. Weak pelvic muscle
  3. Loss of tissue after menopause and loss of common estrogen
  4. Expanded weight in the stomach area, for example, endless cough, constipation, pelvic tumors or accumulation of liquid in the guts
  5. Being overweight
  6. Obesity causing extra strain on the muscles
  7. Real surgery in the pelvic zone
  8. Smoking

Symptoms: Some of the most common symptoms of prolapse involve:

  1. Feeling of sitting on a ball
  2. Abnormal vaginal bleeding
  3. Increase in discharge
  4. Problems while performing sexual intercourse
  5. Seeing the uterus coming out of the vagina
  6. A pulling or full feeling in the pelvis
  7. Constipation
  8. Bladder infections

Nonsurgical medications include:

  1. Losing weight and getting in shape to take stress off of pelvic structures
  2. Maintaining a distance from truly difficult work
  3. Doing Kegel workouts, which are pelvic floor practices that strengthen the vaginal muscles. This can be done at any time, even while sitting down at a desk.
  4. Taking estrogen treatment especially during menopause
  5. Wearing a pessary, which is a gadget embedded into the vagina that fits under the cervix and pushes up to settle the uterus and cervix
  6. Indulging in normal physical activity

Some specialists use the following methods to diagnose the problem:

  1. The specialist will examine you in standing position keeping in mind you are resting and request that you to cough or strain to build the weight in your abdomen.
  2. Particular conditions, for example, ureteral block because of complete prolapse, may require an intravenous pyelogram (IVP) or renal sonography. Color is infused into your vein, and an X-ray is used to view the flow of color through your urinary bladder.
  3. An ultrasound might be utilised to rule out any other existing pelvic issues. In this test, a wand is used on your stomach area or embedded into your vagina to create images of the internal organ with sound waves. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
4287 people found this helpful

Common Causes and Symptoms of Uterine Prolapse

Dr. Akhila Sangeetha Bhat 86% (92 ratings)
MS - Obstetrics and Gynaecology
Gynaecologist, Chennai
Common Causes and Symptoms of Uterine Prolapse

The uterus is a muscular structure held in place inside your pelvis with the help of muscles, ligaments, and tissues. These muscles weaken in women due to pregnancy, childbirth or delivery complications and can lead to severe complications. One such complication is a uterine prolapse. Uterine prolapse occurs when the uterus sags or slips from its normal position into the vaginal canal.

The causes of uterine prolapse are varied and include:

- Delivering a large baby
- Pregnancy
- Difficulty in labor and delivery
- Reduction in estrogen levels post menopause
- Traumatic childbirth
- Loss or weakening of the pelvic muscle
- Conditions which lead to increased pressure in the abdominal area such as a chronic cough, straining, pelvic tumors or accumulation of fluid in the abdomen
- Loss of external support due to major surgery in pelvic area


Uterine prolapse can be complete or incomplete depending on how far the uterus sags into the vagina. Women who have minor uterine prolapse may not have any visible symptoms. However, if the condition worsens, it manifests itself in visible signs.

Symptoms of moderate or severe prolapse are:

1. A feeling of fullness or pressure in your pelvis when you sit
2. Seeing the uterus or cervix coming out of the vagina
3. Vaginal bleeding or increased discharge
4. Painful sexual intercourse
5. Recurrent bladder infections
6. Continuing back pain with difficulty in walking, urinating and moving your bowels

Without proper attention, the condition can cause impairments in the bowel, and can also affect bladder and sexual function.

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

 

4833 people found this helpful

When To Go For Intra Uterine Insemination(IUI)?

Dr. Garima Kaur 90% (308 ratings)
MICOG, MS, MBBS
Gynaecologist, Delhi
When To Go For Intra Uterine Insemination(IUI)?

For the benefit of couples suffering from infertility, modern medical science has introduced several innovative procedures. Some of the popular procedures are In-vitro Fertilization (IVF)Intra Uterine Insemination (IUI), Gamete Intrafallopian Transfer (GIFT), Intracytoplasmic Sperm Injection (ICSI), donor eggs and embryos and so on. In addition to these, there are several drugs and surgical procedures that help the couple in getting rid of infertility. Among all these procedures, IUI has gained popularity in the field of gynaecology and infertility treatment procedures. The IUI treatment is also popularly called as artificial insemination procedure. Although this is a popular procedure, it is appropriate that you should also understand its pros and cons.

IUI procedure in brief:

Sometimes nature needs help to start a pregnancy - and the doctor can do this by giving the sperm a piggy back ride through a fine tube into the body. This procedure is called intrauterine insemination (IUI) or artificial insemination with husband's sperm (AIH) - and effectively, the doctor is giving nature a helping hand by increasing the chances of the egg and sperm meeting.

In this method of IUI, the sperms are removed from the seminal fluid by processing the semen in the laboratory and they are then injected directly into the uterine cavity. It is not advisable to inject the semen direct into the uterus, as the semen contains chemicals (prostaglandins) and pus cells which can cause severe cramping; and even tubal infection.

Conditions precedent of IUI Procedure:

Before initiating the IUI procedure, the fast moving eggs are separated from the slow moving eggs. This separation is done in the laboratory. Further, in order to undergo IUI procedure, the women should be less than 40 years of age. On the other hand, apart from healthy fallopian tube, the women should also have higher ovarian reserves. Also, the sperm should have minimum mortality rate. However, IUI procedure is adopted only if the fallopian tube is healthy. IUI procedure is suggested in case the couple is having difficulty in vaginal intercourse, either because of psychosexual reasons or for reasons of physical disability.

The IUI procedure can be performed either with the partner’s egg or with the donor’s egg. Some of the other important aspects of IUI procedure are briefly discussed here:

  1. The IUI procedure is a short duration procedure and it can be completed within a few minutes. This procedure does not cause any discomfort or pain. The procedure does not require any hospitalisation or administration of anesthesia. Further, the procedure also does not cause any side effects. In fact, compared to the IVF procedure, IUI is cost-effective.
  2. In order to enhance the level of success, the gynaecologist may suggest IUI procedure every month. In some cases, the gynaecologist may also prescribe a few medicines to simulate the ovulation procedure. Except this, IUI may not involve extensive medication.

Summary:

You may undergo the IUI procedure under the supervision of sufficiently experienced gynaecologist. Further, you may also ensure the hospital is equipped with modern state of art machineries for carrying out the IUI procedure.

4104 people found this helpful

Uterine Prolapse - What You Need To Know About It?

Dr. Amit Patil 89% (153 ratings)
Training in IVF / ICSI, Fellowship in Minimal Access Surgery, MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Pune
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.

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

4632 people found this helpful

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

Uterine Cancer: What You Need To Know?

Dr. Swarup Kumar Ghosh 89% (82 ratings)
MD - Bio-Chemistry, MF Homeo (London), DHMS (Diploma in Homeopathic Medicine and Surgery), BHMS
Homeopath, Kolkata
Uterine Cancer: What You Need To Know?

Studies have shown that those who beging their sex lives before the age of 17 years have many partners, are very much susceptible to cervical cancer. Cervix is the neck of the womb or uterus. Women between the age of 50 to 75 years who are or show signs of hypertension, or are sterile can suffer from endometrial cancer. Endometrium is the lining of the uterus. It rarely occurs before menopause.
Pap test is performed to detect cervical cancer. A thin wooden spatula spatula which is smaller than the tongue depresor is inserted into the cells. These are cancerous or otherwise. Pap test should be done every year for the first three years after a women becomes sexually active. A visual examination can be made by the aid of calposope by which little portions of the tissue are taken to perform.

The usual symptoms are heavy menstruation lasting longer with excruciating pains.
Surgery cryosurgery or laser therapy is used to destroy abnormal areas of the cervix. In more serious cases, the cervix, uterus, tubes & lymph nodes of the areas are removed.

Uterine Cancer - Who Is At Risk?

Dr. Dinesh Singh 86% (71 ratings)
MBBS, MD-Radio Therapy
Oncologist, Ghaziabad
Uterine Cancer - Who Is At Risk?

Cancer, be it in any part of the body, has an increased success rate of cure and survival, when it is diagnosed early. The same is true with uterine cancer, the most common form of female reproductive cancer. However, unfortunately, a limited section of the society is aware of the necessary information about this fatal disorder, which is incidentally treatable if caught at early stages. To help the cause, here is a brief note on what one should be aware of when it comes to uterine cancer.

What is uterine cancer?
Cancer which begins at the tissue lining of the uterus also referred to as the endometrium, is called uterine or endometrial cancer which occurs due to the abnormal growth of the cells that can invade the other parts of the body. Some people tend to confuse this with uterine sarcomas which start developing when there is cancer growth in the muscles and other supporting tissues in the uterus. Also, uterine sarcomas account for a small percentage of cancers in the uterus.

Who are at higher risk of being affected with uterine cancer?
It is presumed that post-menopausal women are at a higher risk of being affected by uterine cancer. The average women diagnosed with the disease is 60 years. It is very uncommon in women who are aged below 45 years, and the causes are not yet precisely known.

While menopausal and post-menopausal women are at a higher risk of developing uterine cancer, it is crucial to understand that women who don’t belong to any of the risk groups may also be diagnosed with the disease due to other factors such as obesity or hormone therapy for breast cancer.

What are the most common symptoms of uterine cancer?
Abnormal vaginal bleeding, which means bleeding after menopause or between periods, is the most common symptom of uterine cancer. Typically, the bleeding begins as a form of watery blood-streaked discharge that becomes bloodier with the passage of time.

Other signs and symptoms of uterine cancer include:

  • Difficulty or painful sensation while passing urine
  • Pain in the pelvic region
  • Prolonged and heavy episodes of vaginal bleeding
  • Thin and white vaginal discharge
  • Unusual vaginal bleeding
  • Feeling heaviness in the pelvic area

According to experts, a woman who undergoes any of these signs and symptoms should not ignore the condition and seek medical attention immediately. But it is important to note that these symptoms can indicate something more serious or less severe. You should always check with your doctor to know what’s bothering your body.

The good news is that endometrial or uterine cancer is treatable and there are several options for treatment when the diagnosis is made at an early stage. Treatment methods involve radiation therapy, chemotherapy, hormone therapy or surgical removal of the uterus depending on the particular scenario. To conclude, it can be said that being aware of the condition can help you in dealing with it. In case you have a concern or query you can always consult an expert & get answers to your questions!

3535 people found this helpful

Uterine Fibroid - How Removing Them Will Help You?

MD - Obstetrtics & Gynaecology, MBBS, Diploma In Specialised Advanced Gynaecological Endoscopy
Gynaecologist, Delhi
Uterine Fibroid - How Removing Them Will Help You?

It is very common for women to have heavy and painful periods or have a feeling of fullness in the lower abdomen. Although, it may not sound very alarming these could be the symptoms of uterine fibroids. These are the most common types of benign tumours found in women. The fibroids are basically some tissues and muscle cells that grow within the uterus, outside the uterus, or along the wall of the uterus. The fibroids are usually benign and asymptomatic and do not require any treatment unless they cause problems. 

Know the causes 

Though the exact cause of fibroid formation is not known, it is believed that the female hormones estrogen and progesterone have a role to play in their formation. Fibroids are formed only when a woman is producing these hormones and they are not seen in women in non-reproductive age i.e. before starting of menses or after stoppage of menses (menopause). If fibroids are persisting even after menopause or especially if increasing in size then it is an alarming sign. Such a fibroid needs to be taken care of immediately. 

What are the symptoms? 

Fibroids often remain quiet for long periods of time. They cause nonspecific symptoms in the pelvis and abdomen including: 

  1. Fullness in the abdomen 
  2. Low back pain 
  3. Irregular menstruation 
  4. Cramping with menstruation 
  5. Painful sex 
  6. Increased urgency to urinate 
  7. Anemia, leading to tiredness and weakness 
  8. Infertility Diagnosing the fibroids 

When these symptoms are recurrent, it is good to confirm the diagnosis. This can happen with a pelvic exam followed by ultrasound scanning to confirm the size and location of the fibroids. A blood test also may be done to confirm anemia, which is common due to heavy periods.

Treatment Options 

Management of fibroids can range from doing nothing to periodic monitoring to surgical removal. 

  1. If pain and heavy bleeding are the only symptoms, then pain killers like ibuprofen should suffice for symptomatic relief. Anemia, if severe, may require iron supplementation. 
  2. Embolization is an option which shrinks the fibroid, at the same time preserving the uterus. The blood flow to the fibroid is cut off, thereby preventing its further growth. It takes about 1 to 3 hours and requires some bed rest after the procedure. There could be some pelvic pain and vaginal bleeding, which will gradually subside. The fibroids may grow back, but the benefits of keeping the uterus are definitely there. This is suitable in case of single fibroid with specific blood supply. 
  3. The next surgical option is myomectomy, where the portion of the uterus which contains the fibroid alone is removed. This is done in women who still wish to get pregnant and in women who would like to retain the uterus. This can also be achieved laparoscopically( key hole surgery). In such cases, fibroids are cut into small pieces and then removed from the body. This procedure should be done by a doctor specialised in advanced gynecological endoscopy as all this cutting should be done in a bag to avoid any spillage of cells inside the abdominal cavity. This procedure is known as Laparoscopic Myomectomy with In-bag Moecellation. 
  4. In women who have crossed their pregnancy phase, hysterectomy or complete removal of the uterus is advised. In these women, the bleeding and pain may not have subsided even after years of treatment with hormones. The growing fibroids could be pressing on the adjacent organs, causing pressure. This is the only definitive treatment and should be done in women have completed their family and don’t desire to be pregnant. 
  5. Myomectomy and hysterectomy may be done laparoscopically or with an open method depending on the overall health, the size and location of the fibroids in the uterus.

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

3961 people found this helpful

How Best To Prevent Uterine Cancer From Affecting You?

Dr. Ninad Katdare 91% (178 ratings)
Registrar In Surgical Oncology, Fellowship In Gynaecologic Oncology, Masters In Advanced Oncology, Fellowship In advanced laparoscopy and robotic surgery, Fellowship In Gastrointestinal Oncology, Fellowship In CRS and HIPEC, Fellowship In PIPAC
Oncologist, Mumbai
How Best To Prevent Uterine Cancer From Affecting You?

Uterine cancer of cancer of the uterus is a fairly common type of cancer. In fact, this is the fourth most common type of cancer to affect women. This type of cancer is usually diagnosed in its early stages and hence can be easily treated. However, did you know that this type of cancer can be prevented? This is primarily because most cases of uterine cancer are caused by an increased amount of estrogen as compared to progestin. Here are a few tips to keep in mind.

  1. Birth control pills: The regular use of birth control pills for at least a year is believed to reduce the risk of uterine cancer by at least 50%. The longer these contraceptives are used for, the more effective they are. The protection provided by them lasts for 15 years after their use has been discontinued.
  2. Reduce weight: Being overweight not only increases the risk of lifestyle diseases such as diabetes and high blood pressure but can also increase a woman’s risk of suffering from uterine cancer. This is because fat cells produce estrogen that further dis-balances the estrogen to progestin ratio. Reducing weight can thus help lower the estrogen levels in the body and prevent cancer. To lose weight, one must keep a strict control over portion sizes, eat nutritious food and exercise regularly.
  3. Use an IUD: Some methods of contraception not only prevent unwanted pregnancy but also reduce the risk of uterine cancer. Many IUDs or Intrauterine Devices contain progestin. This helps balance the estrogen and progestin levels in the body. Additionally, it also reduces the risk of hyperplasia. This is a condition marked by the abnormal thickening of the lining of the uterus. In many cases, this condition is a precursor to uterine cancer.
  4. Question Your Family: Genetics can also influence the risk of developing uterine cancer. For example, people carrying the gene responsible for Lynch Syndrome or hereditary nonpolyposis colorectal cancer have a much higher risk of uterine cancer as compared to others. Thus, if you know of family members who have suffered or are suffering from uterine or colon cancer, it is a good idea to undergo genetic testing.
  5. Broccoli - A super food: Some foods can also help strengthen the immune system and reduce the risk of uterine cancer. Broccoli is one such vegetable. This is known as a super food that can prevent cancer. The best way to eat broccoli is by steaming it. This has the higher amounts of glucosinolate as compared to fried or boiled broccoli.

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

3260 people found this helpful
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