A lowering of the uterus can
occur whilst the muscle mass and connective tissue of the lady pelvic ground
loosen. If those systems are not capable of preserve the uterus, it sags. The
scientific time period for uterine subsidence Descensus uteri. Sometimes the
uterus sinks to date that it in part or absolutely protrudes from the vagina.
Doctors then talk of a uterine prolapse or uterine prolapse.
Experts estimate that around
30 to 50 percentage of women have a uterine prolapse or prolapse. Most
frequently this occurs all through or after the menopause, i.E. Greater
frequently in older women. But even young ladies aren't proof against a uterine
sagging, for instance after pregnancy.
Uterine subsidence: Symptoms depend upon the severity
It isn't always necessarily
the case that a decreasing of the uterus is accompanied by using ache or other
pain. There are really women in whom this system proceeds with out signs. The
first signal of a sagging uterus is a feeling of pressure down towards the
vagina. Many additionally have the feeling that there's a overseas body within
the vagina.
In addition, a decreasing of
the uterus can trigger signs and symptoms including:
• Pain in the decrease stomach : The uterus “tugs” by way of
sinking at the ligaments from which it is hung.
• Involuntary loss of urine : Urinary incontinence takes place
when the pelvic floor is overstretched and the urethra loses its maintain
inside the tissue.
• Problems with urination or bladder infections also are
feasible.
• Pressure sores arise whilst the liner of the vagina or
cervix protrudes. These ulcers make it less difficult for bacteria and fungi to
colonize. Then there may be bleeding and / or a bad-smelling discharge ,
• If the rectum additionally protrudes into the vagina because
of the uterine subsidence, issues with bowel movements can end result.
• If the vaginal occlusion is disturbed by the protrusion, the
vagina can grow to be inflamed (colpitis)
• Also very regularly women have back pain whilst the uterus
is lowered, particularly inside the decrease returned.
Tip! Pelvic floor exercises
can help stop the uterus from sagging and adjust incontinence . Pelvic ground
physical games are particularly really helpful during being pregnant or whilst
the uterus has subsided after giving beginning. How long it takes for the
anatomical condition to enhance again varies greatly from girl to woman. For a
few, a few months pass, for others, this does not paintings at all.
Doctors classify uterine subsidence into four tiers or tiers of severity :
1. Grade 1: The uterus does not attain the vaginal front after
decreasing.
2. Grade 2: If the uterus has sunk all the way down to the
entrance of the vagina, this means a 2d diploma uterus subsidence.
Three. Grade three: This level is reached when the
uterus has pushed out past the vaginal entrance.
Four. Grade four: The uterus has became out thru the vagina. In the case
of a 4th degree uterine subsidence, docs also talk of a total prolapse.
Uterine subsidence: analysis by way of palpation and imaging
If you enjoy signs and
symptoms of uterine subsidence, you should see your gynecologist. He will first
communicate to you and ask you a few questions about your scientific records
(anamnesis). Here's how he unearths out:
• which lawsuits you have precisely,
• while the signs and symptoms appear and how severe they are,
• what number of births you had or
• whether or not other reasons, including menopause, should
cause the signs.
The patient interview is
observed by a gynecological examination . A decreasing of the uterus may be
felt. Your health practitioner will even assess the placement of the pelvic
ground and the girl genital organs whilst urgent.
A full bladder cough test
can be used to look if you are leaking urine. This is an indication that the
urethra has loosened. If there is incontinence, the residual urine may be
determined the usage of ultrasound (sonography) . If urine stays inside the
bladder, contamination is much more likely.
Other viable examinations
that provide evidence of a uterine subsidence are:
• Determination of bladder stress
• Cystoscopy
• Ultrasound (sonography) of the bladder and kidneys
• Examination of defecation (defecography)
Uterine decreasing therapy: without or with surgical operation
A uterine subsidence is not
an independent sickness. Rather, it's far a symptom of the pelvic floor being
too weak or progressively weakening. Therefore, best the signs of uterine
subsidence may be dealt with. However, girls can use pelvic floor sports to prevent
similarly lowering.
Doctors to begin with use
conservative remedy (with out surgical procedure) to decrease the uterus. If
the reduction is more reported, surgery can also assist women. Which treatment
is the right one relies upon to your signs and symptoms, accompanying signs
(e.G. Incontinence), your age, preferred nation of fitness or whether or not
you need to have kids.
Conservative therapy: deal with uterine subsidence with out surgery
Doctors treat the reducing
of the uterus with out surgical procedure. Conservative strategies frequently
reap proper effects with a slight lowering of the uterus and minor
incontinence. These measures encompass, as an example:
• Reduce or switch off danger elements along with heavy
smoking, continual constipation or being very obese
• Learn techniques for proper lifting and carrying
• Exercise the pelvic ground frequently at some stage in and
after the lowering of the uterus and toughen the supporting structures
• Use a pessary, a small ring, cube or a bowl made from
rubber. The doctor otherwise you placed it in the vagina in which the tool is
supposed to stabilize the uterus. Estrogen therapy generally dietary
supplements the remedy so that the pessary does no longer damage the vaginal
mucous membrane.
Tip! Exercises, for instance
in the shape of pregnancy or postnatal gymnastics, can also save you uterine
subsidence in (early) pregnancy.
Even if a decreasing of the
uterus can not be absolutely reversed with conservative remedies - the measures
help save you the uterus from lowering even in addition.
Surgery to lower the uterus
Sometimes the conservative
treatments are not sufficiently a success. Then the uterine subsidence may be
handled with an operation. It is also a opportunity if the sagging is greater
pronounced or if the uterus has partially herniated. There are numerous
surgical tactics to pick from:
• Vaginal fixation on the lateral pelvic wall (sacrospinal
colpopexy)
• Procedures that use the nearby ligaments to keep the uterus
and vagina in location
• Vaginal compression / vaginal plasty (colporrhaphy)
• Methods wherein tissue networks preserve the organs and the
pelvic ground (mesh insert)
In the case of simultaneous
incontinence, there also are surgical processes which can be supposed to
improve the perspective among the urethra and the bladder. A blended process
can assist girls who are now not of childbearing age. The general practitioner
gets rid of the uterus thru the vagina, gathers the vagina and sutures the
vaginal tissue.
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