Uterine prolapse is sometimes called the disease of an overloaded woman, because prolapse or even prolapse of this organ often occurs in those of the fair sex who have to lift weights, strain. This is also a problem for those women who have given birth many times, especially if the babies were born large. The weakening of the pelvic floor muscles does not occur quickly, therefore, at the first signs of a possible uterine prolapse, measures should be taken to correct this pathology and prevent complications.
Why does uterine prolapse happen and why is it dangerous
Almost every third case of women visiting a gynecologist is somehow connected with uterine prolapse. The danger of this pathology is that many supporting structures related to various organs are intertwined in the pelvic floor area. They are anatomically close and have much in common, and therefore the failure of the ligamentous apparatus of the uterus can cause a similar anatomical and functional disorder in other organs and systems. As a result, prolapse of the uterus provokes urinary incontinence, problems associated with the failure of the anal sphincter.
The problem of uterine prolapse has a polyetiological origin, the weakening of the muscles and ligaments of the pelvic floor, the following factors contribute to an increase in intra-abdominal pressure:
- difficult childbirth resulting in various injuries for the woman;
- congenital failure of connective tissue structures;
- hernias, prolapse of internal organs;
- insufficient estrogen production;
- chronic diseases causing metabolic disturbances in the body.
Under the influence of these factors, the ligamentous apparatus of the uterus weakens, and in the event of an increase in intra-abdominal pressure (for example, with tension, straining), the uterus is squeezed out of the pelvic floor.
Symptoms suggestive of uterine prolapse
When the uterus prolapses and prolapses, complete and partial prolapse is possible: with complete prolapse, the entire organ is below the genital fissure, with partial prolapse, the cervix extends beyond the genital fissure.
Uterine prolapse is a slow process, the patient comes to the appointment, as a rule, with complaints about some kind of foreign body that interferes with her vagina. In addition, there are complaints of pain and heaviness in the lower abdomen, nagging pain in the lower back, pain in the sacrum. Pain is aggravated by walking and lifting weights, even by sneezing and coughing.
On examination, it is found that the mucous membrane of the prolapsed part of the uterus looks like dry keratinized skin, which then cracks, becomes covered with abrasions and ulcers. Due to stagnation of blood in the descending uterus, the tissues swell, cyanosis of the mucous membranes is observed.
What are the complications of untreated uterine prolapse
Prolapse of the uterus is usually accompanied by difficulty urinating. In the absence of timely treatment of uterine prolapse, urine stagnates, infection of the lower and then upper sections of the genitourinary system of a woman occurs. This condition carries the risk of developing hydronephrosis, obstruction of the ureters.
Constipation can become both an etiological factor in uterine prolapse, and a manifestation of the disease as a proctological complication.
Treatment of uterine prolapse is prescribed depending on the degree of prolapse. If the descended uterus has not reached the vestibule of the vagina, it is possible to correct the situation by conservative methods with the appointment of exercise therapy. When it comes to uterine prolapse, surgical treatment is indicated.
Physicians should remind their patients with a history of factors that contribute to the development of uterine prolapse, to correct lifestyle, avoid excessive stress, preventive measures aimed at strengthening the muscles of the pelvic floor.
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