Uterine prolapse

Uterine prolapse Uterine prolapse is a common condition that can happen as a woman ages. Over time, and with multiple You might experience:

Anterior prolapse (cystocele).

Mild uterine prolapse generally doesn't cause signs or symptoms. Signs and symptoms of moderate to severe uterine prolapse include:

Sensation of heaviness or pulling in your pelvis
Tissue protruding from your vagina
Urinary problems, such as urine leakage (incontinence) or urine retention
Trouble having a bowel movement
Feeling as if you're sitting on a small ball or as if something is falling ou

t of your vagina
Sexual concerns, such as a sensation of looseness in the tone of your vaginal tissue
Often, symptoms are less bothersome in the morning and worsen as the day goes on. When to see a doctor
See your doctor to discuss your options if signs and symptoms of uterine prolapse become bothersome and disrupt your normal activities. Causes
Uterine prolapse results from the weakening of pelvic muscles and supportive tissues. Causes of weakened pelvic muscles and tissues include:

Pregnancy
Difficult labor and delivery or trauma during childbirth
Delivery of a large baby
Being overweight or obese
Lower estrogen level after menopause
Chronic constipation or straining with bowel movements
Chronic cough or bronchitis
Repeated heavy lifting
Risk factors
Factors that can increase your risk of uterine prolapse include:

One or more pregnancies and vaginal births
Giving birth to a large baby
Increasing age
Obesity
Prior pelvic surgery
Chronic constipation or frequent straining during bowel movements
Family history of weakness in connective tissue
Being Hispanic or white
Complications
Uterine prolapse is often associated with prolapse of other pelvic organs. Weakness of connective tissue separating the bladder and vagina may cause the bladder to bulge into the vagina. Anterior prolapse is also called prolapsed bladder. Posterior vaginal prolapse (rectocele). Weakness of connective tissue separating the rectum and vagina may cause the rectum to bulge into the vagina. You might have difficulty having bowel movements. Severe uterine prolapse can displace part of the vaginal lining, causing it to protrude outside the body. Vaginal tissue that rubs against clothing can lead to vaginal sores (ulcers.) Rarely, the sores can become infected. Prevention
To reduce your risk of uterine prolapse, try to:

Perform Kegel exercises regularly. These exercises can strengthen your pelvic floor muscles — especially important after you have a baby. Treat and prevent constipation. Drink plenty of fluids and eat high-fiber foods, such as fruits, vegetables, beans and whole-grain cereals. Avoid heavy lifting and lift correctly. When lifting, use your legs instead of your waist or back. Control coughing. Get treatment for a chronic cough or bronchitis, and don't smoke. Avoid weight gain. Talk with your doctor to determine your ideal weight and get advice on weight-loss strategies, if you need them.

02/08/2022

Uterine prolapse can occur at the same time as prolapse of the anterior or posterior va**nal compartments
Little is known about the prevalence and natural progression of prolapse
Initially, patients should be assessed and managed conservatively in primary care
Conservative management is advised for patients who are not fit for surgery or do not want surgery
Surgical treatment for uterine prolapse should incorporate procedures to prevent recurrence
Reliable evidence for both conservative and surgical treatment options is lacking, but randomised trials are under way
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How common is uterine prolapse?
The exact prevalence is unknown. Forty per cent of participants in the women's health initiative (WHI) trial in the United States had some degree of prolapse. Uterine prolapse was found in 14% of the 27 342 women enrolled in the study.3 Another US study of 149 554 women found an 11% lifetime risk of surgery for prolapse or incontinence in the United States.4
The Oxford Family Planning Association study in the United Kingdom followed more than 17 000 women aged 25-39.5 The annual incidence of hospital admission with prolapse was 20.4/10 000, and the annual incidence of surgery for prolapse was 16.2/10 000. Many studies do not distinguish between prolapse of all pelvic organs and prolapse of the uterus alone, which makes it difficult to determine the true incidence.
Four hundred and twelve women originally enrolled in the WHI study were followed up to assess progression of prolapse. Spontaneous regression was common, especially for grade 1 prolapse—the progression rate was 1.9/100 women years and the regression rate was 48/100 women years.6 Thus, prolapse is not always progressive.

02/08/2022

Pelvic organ prolapse is when 1 or more of the organs in the pelvis slip down from their normal position and bulge into the va**na.
It can be the womb (uterus), bowel, bladder or top of the va**na.
A prolapse is not life threatening, but it can cause pain and discomfort.
Symptoms can usually be improved with pelvic floor exercises and lifestyle changes, but sometimes medical treatment is needed.
Symptoms of pelvic organ prolapse
Pelvic organ prolapse symptoms include:
a feeling of heaviness around your lower tummy and ge****ls
a dragging discomfort inside your va**na
feeling like there's something coming down into your va**na – it may feel like sitting on a small ball
feeling or seeing a bulge or lump in or coming out of your va**na
discomfort or numbness during s*x
problems p*eing – such as feeling like your bladder is not emptying fully, needing to go to the toilet more often, or leaking a small amount of p*e when you cough, sneeze or exercise (stress incontinence)

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