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UTERINE PROLAPSE IS A DELICATE PROBLEM FOR WOMEN
Asian International University
Temirova Dilnoza Olimjonovna
Uterine prolapse is a variant of pelvic floor dysfunction. Every third patient
experiences this condition, which in half of the cases is accompanied by urinary
incontinence. Recently, there has been a “rejuvenation” of the disease. Not only
women who have given birth can experience uterine prolapse, but also young girls,
since the cause of the development of this condition may be the characteristics of the
connective tissue.
Key words: uterine prolapse, urinary incontinence, vaginal pain, birth of
large children, pessary
Often, the realization of this predisposition is facilitated by injury to the
pelvic floor muscles (childbirth, heavy physical activity, constipation).
The pathology is caused by a number of predisposing and provoking factors,
which can occur either in isolation or in combination with each other. Most often, the
predisposing causes of uterine prolapse are:
age-related decrease in the elasticity of ligamentous structures;
birth of large children;
pelvic floor injury during childbirth;
hereditary characteristics of connective tissue (in particular dysplasia);
heavy physical activity, which is accompanied by an excessive increase in
intra-abdominal pressure.
Provoking factors can also be:
excess div weight;
sedentary lifestyle;
smoking;
persistent cough.
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As a rule, prolapse develops due to the overlap of predisposing (for example,
family history) and provoking (increased intra-abdominal pressure, perineal trauma)
factors. During menopause, when estrogen levels drop critically, prolapse progression
is often noted. In the initial stages of prolapse and prolapse of the uterus or vaginal
walls, symptoms may not appear at all or appear very little for a woman. In the early
stages, there is no pain, so you may not notice the presence of the disease. The
menstrual period in this case remains normal, there are no disruptions. The first signs
of prolapse of the vaginal walls or uterine prolapse may appear during intimacy, the
woman may feel discomfort and may experience pain. When the disease begins to
progress, symptoms appear:
heaviness in the vaginal area;
painful sensations when moving;
sensation of a foreign div in the vagina;
protrusion of the genitals beyond the vulvar ring;
problems with urination, urinary incontinence;
painful sexual intercourse;
chronic aching pain in the lower back;
vaginal pain;
bloody discharge.
If there are symptoms of uterine prolapse, as well as complications that arise,
only surgical treatment will be effective. Conservative therapy is possible only if there
are absolute contraindications to surgery. In this case, the woman is recommended to
wear a special device - a pessary, as well as a hysterophore - a bandage designed to
support organs.
Currently, surgical and conservative treatment methods are used.
Conservative treatment methods: exercise therapy, physiotherapy of the pelvic floor
muscles, wearing a special vaginal pessary (the pessary helps maintain the uterus in
its natural position). Conservative treatment tactics are used only in the early stages
of uterine prolapse and if surgical treatment is performed
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A miscarriage causes a number of problems in women. These include urinary
incontinence, feeling and pain as if there is a foreign div in the vagina, constipation.
maintaining intervals, not lifting heavy loads (because women's pelvic floor muscles
are not as strong as men's), preventing constipation, regular Kegel exercises, changing
a passive lifestyle and of course it is necessary to undergo a gynecologist examination
twice a year.
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