Uterine prolapse is the last stage. Treatment of prolapse of the vaginal walls. Symptoms of vaginal wall prolapse

The development of genital prolapse begins with a slight change in the normal level of the uterus. Then the uterus begins to descend more and more, crushing the vagina on its way. As a rule, uterine prolapse is already a problem that requires surgery. Although everything depends on the specific conditions and state of the body as a whole. In this article we will discuss prolapse of the posterior wall of the uterus: complications and consequences of this phenomenon.

The most unpleasant thing is that prolapse of the posterior wall of the uterus leads to vaginal prolapse. At first it only swells a little at the entrance to the genital slit, then it begins to turn outward more and more. What are the consequences this process It’s useful to know, if only to imagine the full scope of the threat.

It is extremely unpleasant that the prolapse of the posterior wall of the uterus causes parallel prolapse of the walls of the rectum. As the problem develops, constipation begins and the intestine is compressed by the back wall. Constipation causes straining, which aggravates the situation, and often causes hemorrhoids with subsequent bowel prolapse.

Exit vaginal walls beyond the aisles of the genital slit when the posterior wall of the uterus prolapses causes not only severe pain, but also a violation of the integrity of the vaginal mucosa, the occurrence of erosion, which can spread higher along the walls of the vagina, up to the cervix. These parallel problems bring a lot of trouble.

The gradual prolapse of the posterior wall of the uterus makes the process of self-healing irreversible. The worse things are, the surgery is more likely. They eliminate the problem of a prolapsed vagina, extremely harshly, the “excess”, damaged tissue is truncated - cut out. This may lead to partial loss of vaginal sensation. The recovery process is long and extremely painful.

The posterior wall of the uterus never descends alone. The front one will definitely follow it. This, in turn, puts pressure on the bladder and begins to provoke pain, cystitis, incontinence and other problems.

Prolapse of the posterior wall of the uterus: complications of the disease

In addition to the consequences that affect the lower pelvic organs, we must not forget about the threat of prolapse of intestinal loops into the pelvic cavity. This is quite possible, because the lowering of the walls of the vagina and uterus indicates that there is “enough” space.

Prolapse of the uterus and vaginal walls leads to dire consequences uterine prolapse. The result of such a destructive process can cause not only problems with excretory system, which will affect the entire body, but will also lead to the development of infertility. Subtle mechanism of reproductive female organs, requires the most attentive treatment.

Relentless statistics say that every third woman over 45 years old suffers from one form or another of prolapse of the posterior wall of the uterus. Typically, the problem is rarely detected in the early stages. This speaks of the negligence of our population - until we get sick, we will not go to the doctor. Take care of yourself and try to avoid things that can cause or aggravate this problem.

Prevention of prolapse of the posterior wall of the uterus

After childbirth, especially childbirth with complications, it is worth seeing a doctor for displacement or prolapse of the uterus. An experienced gynecologist will tell you what needs to be done to keep organs in physiological correct position, without serious intervention.

You can't carry heavy things. It is strictly forbidden for both women who have given birth and women of all ages who have not given birth to carry weights when the posterior wall of the uterus is prolapsed. This is fraught with displacement, complete prolapse of the uterus and further development of the problem.

The problem of excess weight, obesity in particular, can cause stress on internal organs and lead to prolapse of the genitals.

Chronic bronchitis, asthma, respiratory diseases, can contribute to the aggravation of prolapse of the posterior wall of the uterus, if its rudiments are already present.

Violation normal function intestines - constipation, often become not only an aggravating factor, but also the cause of the development of the problem.

Except typical problems, the diagnosis of uterine prolapse can be earned by a woman with congenital abnormalities or an atypical shape of the uterus. Women during menopause are also susceptible to the disease.

Treatment of prolapse of the posterior wall of the uterus

Today, the problem of uterine prolapse is effectively combated. The problem can be dealt with at almost any stage of its development. For treatment use:

A specially designed course of exercises and physical activities.

Drug treatment with prolapse of the posterior wall of the uterus, aimed at strengthening the body as a whole.

Manual procedures and bandages.

Artificial restoration of hormone levels in the body.

Surgical intervention for prolapse of the posterior wall of the uterus.

And these are not all the possibilities that can be used to treat the problem.

What exercises will help with prolapse of the anterior wall of the uterus? Uterine prolapse is female pathology, which often appears as a result labor activity as a consequence of increased weakness pelvic floor. This disease is accompanied by the progression of unpleasant symptoms, and treatment often requires surgical intervention. If the uterine prolapse is not severe, it can be treated with a special Kegel complex and gymnastics, and if the pathology progresses, wearing a pessary is prescribed and surgery is performed.

Characteristics of the disease

Prolapse of the anterior and posterior walls reproductive organ represents him incorrect position as a result of weakening of the muscles and ligaments in the pelvic area.
Some symptoms of this pathological condition of a woman’s body can be identified:

• The appearance of a feeling of high blood pressure;
• Strong painful sensations in the lower abdomen;
• Disorders of urination;
• The appearance of specific discharge from the vagina.

Prolapse of the anterior and posterior walls of the uterus is often complicated by the fact that it ends in prolapse.

This disease causes a change in the position of the cervix below a certain limit, but the exit of the cervix from the vagina is not observed. If a reproductive organ appears, doctors diagnose prolapse.

Prolapse of the anterior wall often occurs under the influence of the following factors:

• After childbirth with a large fetus;
• At overweight and obesity;
• For a chronic cough;
• After a difficult birth or severe injuries;
• For dysplasia;
• After a long labor.
• Congenital anomalies of the pelvic region;
• After gynecological surgical interventions performed on organs;
• Insufficient estrogen production during menopause.

Anterior wall prolapse is usually determined by a specialist gynecological examination on the armchair.

To diagnose uterine pathology, the doctor asks the woman to push, which makes it possible to determine the displacement of the vaginal walls, rectum and Bladder.

Features of eliminating the disease

Treatment of prolapse of the anterior wall of the uterus is prescribed taking into account the following nuances:

• The degree of progression of the disease and the possibility of organ loss;
• The presence of additional gynecological diseases;
• Restoration of menstruation and maintenance of reproductive function;
• Age of the patient;
• Presence of problems with functioning neighboring organs;
• Possible degree of risk during surgery and the use of anesthesia.

Taking into account all these factors, the specialist chooses the necessary tactics and can prescribe both conservative treatment and surgical intervention.

If, when the anterior wall is displaced, the uterus does not reach the genital slit, and there are no malfunctions in the functioning of neighboring organs, then surgical treatment can be dispensed with:

1. Prescribing therapeutic exercise, the main task of which is to strengthen the pelvic muscles. Kegel gymnastics and the Yunusov complex give positive results.
2. Carrying out gynecological massage.
3. Reception hormonal drugs with estrogens, which helps strengthen the ligamentous apparatus.
4. The patient is transferred to easier work.
5. Using special ointments for insertion into the vagina, which contain hormones.

In case if conservative therapy doesn't bring desired result, then the treatment of prolapse of the neck of the organ is carried out by surgery.

Special exercises

A good result when lowering the anterior wall of the genital organ gives special gymnastics and the Kegel complex. They should be done only after consultation with a specialist, while strictly controlling your breathing. These exercises can be done both on your back and in a position on all fours.

Kegel exercises

Cervical prolapse and prolapse are one of the common problems faced by patients at any age. Mostly this disease is diagnosed after childbirth, as well as in the absence of sports and low body weight. Exercises help improve the tone of the pelvic floor muscles, and treatment with their help is usually prescribed at the first signs of the disease. Treatments using Kegel exercises do not require a large amount of space in the room, and they can be performed almost anywhere.

The Kegel complex consists of the following stages:

1. It is necessary to slowly squeeze and relax the muscles as if the woman wants to stop urinating. At the very beginning, this hold is done for several seconds, after which the muscles relax. Gradually, it is important to learn to keep the muscles in a tense state for a long time.
2. The muscles of the pelvic area and pelvic floor are tensed. To perform this exercise, you should squeeze your pelvic muscles and gradually pull them inward and upward. At the very beginning, such actions must be performed at a slow pace, gradually making them faster and more rhythmic.
3. The pelvic muscles must be learned to relax and tighten, and this must be done very quickly. At the very beginning, such exercises should be done approximately 15-20 times and gradually increase them to 100 or more.

To perform this exercise, you will have to push as you would during childbirth.

When tense, it is necessary to hold this state of the body for a few seconds. At first, such exercises are performed only a few times, and gradually their number is increased to 40-50 times.

Carrying out such a complex allows you to use not only the muscles of the perineum, but also in the area abdominal cavity.

Treatment of prolapse or prolapse of the neck of the organ with the help of the Kegel complex allows not only to relieve a woman from gynecological disease, but also to eliminate problems in sex life.

Contraindications to exercises

Despite the fact that the Kegel complex allows you to achieve positive results when eliminating pathology of the anterior wall of the genital organ, sometimes they will have to be abandoned.
You should not do such exercises in the following cases:

• Progression acute forms inflammation in the pelvic organs;
• Malignant neoplasms;
• Bleeding after operations;
• Vascular pathologies in the pelvic organs and lower extremities.

To obtain the desired result and avoid various complications, it is important to consult with your doctor before starting Kegel exercises.

You need to understand that uterine prolapse is a serious pathology, so you should not self-medicate.

Gymnastics for illness

Special gymnastics is used when the anterior wall of the organ is lowered or when it falls out, and is also recommended to be done in for preventive purposes. Such gymnastics can be performed on all fours or lying on your back.

At home, a woman can do the following exercises in the supine position:

• Raise your legs one at a time without bending them;
• Cycling at a moderate pace for at least 20 revolutions;
• You need to lift your feet off the floor, put them behind your head and try to touch your toes to the floor.
• Raise your straight legs at an angle of 45 degrees and return them back.
• Place your hands under your head and connect your legs to each other. Gently lift the pelvis and stretch the muscles anus.

Such actions must be performed slowly, and be sure to control your breathing. In addition, the ideal time for such physical therapy is the time a few hours before meals.

In the event that cervical prolapse turns into severe form and causes its loss, then such pathology will have to be treated with surgery. Save if necessary reproductive function held radical removal reproductive organ, that is, extirpation. After complete removal of the reproductive organ, physiological problems often arise that affect the acts of urination and defecation.

After your hysterectomy, you can do Kegel exercises, but it is important to empty your bladder before you begin. The following exercise gives a good result: tense the pelvic muscles as if the woman wants to stop urination or release gases from the intestines. Initially after surgery, the patient may not feel muscle compression, but in fact it is present.

Carrying out such a workout requires a completely relaxed state of the abdominal muscles, buttocks and legs, so you should carefully monitor their condition. After surgery, it is recommended to perform such Kegel exercises several times a day.

Therapeutic Kegel exercises should be done daily after childbirth and when removing the reproductive organ. They not only strengthen the pelvic muscles in women, but also help get rid of problems with urination and prevent the development of hemorrhoids.

Prevention of pathology

Prolapse of the anterior and posterior walls of the uterus and its cervix is ​​a dangerous pathological condition female body. In order to prevent its loss, it is important to follow certain preventive measures long before the disease is diagnosed.

From the early childhood it is necessary to follow a rational regime. Positive influence Various exercises that help strengthen the abdominal press have an impact on the condition of a woman’s body. In addition, special importance is attached to the correct management of pregnancy and childbirth.

Most often, uterine prolapse develops after childbirth, so during pregnancy it is recommended:

• Eating right, which will help prevent the birth of a large fetus and rupture of the perineum;
• Adequate nutrition allows you to avoid intestinal problems and prevent prolapse of the reproductive organ.

After childbirth it is necessary to avoid severe physical activity, but it is recommended to do a complex to strengthen the muscles of the pelvic area.

The prolapse of the anterior wall of the genital organ is a complex pathology, but at the initial stage of development it can be cured with the help of special exercises Kegel and therapeutic exercises. If the disease reaches the last stage, treatment is carried out only through surgery.

A deviation such as prolapse of the vaginal walls , most often occurs in women after childbirth. The reason for this may be insufficient physical development. The vagina is connected to the uterus, so vaginal prolapse can cause prolapse without proper treatment.

Prolapse of the walls of the vagina and uterus is a weakening of the pelvic floor muscles, which leads to changes in the normal physiological relationship of the pelvic organs.

There are several reasons that cause this disease: the birth of a child with a large weight, long or difficult labor, multiple births, obesity, various diseases connective tissue, respiratory diseases, which are chronic, in the absence of fixation of the vaginal dome.

Prolapse of the anterior vaginal wall has the following symptoms:

Drawing in the lower abdomen and back Blunt pain;

The feeling that there is foreign body in the vagina;

Difficulty during bowel movements (in 30% of patients);

During sexual intercourse there is a feeling of pain;

Bloody discharge.

Prolapse of the anterior vaginal wall is dangerous disease for the reason that it is associated with the immediate urination, which in this position during urination cannot be completely emptied. Infections develop in residual urine, which can contribute to the development of cystitis.

There is no one universal treatment for this disease. The choice of one or another method is influenced by the patient’s age and the presence of any degree of prolapse.

Eat physiotherapy which can help strengthen muscles. It is especially effective on initial stages diseases when vaginal prolapse does not yet accompany organ prolapse. Its advantage is that it can be done almost anywhere. Exercises should be done in three stages. At the first stage, you need to tense your muscles, as if you were stopping urination, for 5-20 seconds. At the second stage, you need to tense and relax your muscles as quickly as possible. On the third, you need to push moderately, as during childbirth.

Prolapse of the anterior vaginal wall has a conservative treatment - pessaries. This is a plastic device that looks like a ring. A pessary is inserted into the vagina to hold the uterus in place. It is used when there are contraindications to surgical treatment. All manipulations with it are carried out in outpatient setting and do not require anesthesia. When using this treatment method, it is necessary to regularly visit a gynecologist. Periodic disinfection of the pessary is also necessary.

The definitive treatment for prolapse of the vaginal walls is plastic surgery. Correction is possible in two ways. The first is with the help of your own. However, with this method of treating prolapse of the vaginal wall, 40% of women experience relapses within five years. The second is the use of a soft synthetic mesh implant, stretched in the pelvic plane, supporting all pelvic organs.

To prevent prolapse of the anterior vaginal wall, you should avoid raising heavy objects, exercise regularly, carry out postpartum rehabilitation in a timely manner, give up bad habits (in particular, smoking).

It must be remembered that no matter what treatment methods you rely on, the main thing when symptoms of prolapse of the vaginal walls appear is to immediately consult a gynecologist so as not to start the disease before late stages, the treatment of which is much more difficult and longer.

In this case, as in any disease, it is better to prevent than to treat, or to treat in the early stages than to wait surgical intervention and long-term rehabilitation with consequences.

According to medical statistics, after 60 years, more than fifty percent of women have a history of a disease such as uterine prolapse. Symptoms and treatment, reviews of various methods can be found very different. What to do - agree to the operation or trust folk remedies- we'll figure out.

What happens with prolapse

Prolapse of the uterus (prolapse) is pathological condition, in which the bottom of the cervix is ​​in the woman’s body due to weakening of her muscles and ligamentous apparatus shifts. This is manifested by a feeling of discomfort, nagging pain, pathological discharge from the vagina and urination disorder. If the process is started, then uterine prolapse is possible, either partial or complete. Thus, despite the fact that this pathology is quite common, cervical prolapse, symptoms and treatment, reviews of different approaches to which may be different, require careful and serious attention.

Normally, the uterus is located in the pelvis at an equal distance from its walls. At the same time, the bladder is located behind it and in front. Uterine prolapse is most often diagnosed in women whose age exceeds 40 years. The leading factor in the development of this disease is a violation of the coordinated actions of the moving abdominal muscles. These include the anterior wall and pelvic floor. At the same time, their ability to hold organs located in the pelvis (uterus, its appendages, intestinal loops) in a physiologically correct position is reduced.

They are being displaced. Disorders arise as a result of damage. The reason for this may be injuries that a woman received during childbirth, repeated sprains, ruptures of the perineum, heavy lifting, and innervation disorders. All this can cause prolapse of the uterus. Symptoms and treatment in this case will be somewhat different from the pathology that manifests itself in adulthood.

When the pelvic floor muscles weaken, the uterus and its appendages gradually move downward under pressure coming from higher organs. At the same time, its physiological position, in which the uterus rests in front of the bladder and the pubic bones, changes. Subsequently, such displacement leads to the formation of a hernial orifice in front or behind the uterus. Since weakened or damaged muscles are not able to hold the uterus in place, first the anterior vaginal wall is displaced, then the entire organ and its appendages. Often these processes occur unnoticed and take years. This is why so many older women are well aware of what uterine prolapse is, its symptoms and treatment. Almost half of women of this age can leave reviews about it at 65 years old. Often the disease continues for more than one year.

Reasons leading to omission

As with all diseases, there are a number of reasons that cause cervical prolapse. Doctors' reviews describe the symptoms and treatment in some detail. The studies carried out made it possible to identify the most serious causes of the disease.

1. First of all, this is a complicated birth. After them, women are most likely to suffer damage to the muscles located on the pelvic floor. The reason for this may be ruptures of the perineum, the fetus with large mass bodies, obstetric manipulations.
2. Surgical interventions on the genital organs.
3. Congenital malformations of the pelvic region.
4. Neurological disorders causing disruption of the innervation of the diaphragm.
5. Hormone deficiency (especially estrogen) that develops after menopause.
6. Connective tissue dysplasia.

Risk factors

In addition to the above reasons, there are several other factors that increase the possibility that a woman will develop uterine prolapse over time. Symptoms and treatment, reviews and recommendations from doctors about various methods of therapy must be studied if there is a suspicion of the disease. Risk factors include:

• lifting weights and heavy physical labor;
• numerous births;
• obesity;
• heredity;
• tumors in the abdominal cavity;
• increased pressure in the abdominal cavity, resulting from chronic constipation, paroxysmal cough;
• elderly and senile age.

Stages of the disease

In the development of such pathologists as uterine prolapse (symptoms and treatment, reviews of therapy we will study), five stages are distinguished.

1. The vaginal walls are slightly lowered.
2. The walls of the vagina are drooping, and both the bladder and rectum are involved in the process.
3. The cervix descends to the level of the vaginal opening.
4. The cervix is ​​located below the opening of the vagina (incomplete prolapse).
5. The uterus falls out completely, everting the walls of the vagina.

Symptoms

As already mentioned, this pathology most often manifests itself in adulthood, which means uterine prolapse (symptoms) and treatment in the elderly becomes more actual problem than in women under forty years of age. This is also due to the fact that you can independently identify the problem early stages does not seem possible. As a rule, the only sign that may bother a young woman in the early stages of uterine prolapse (prolapse) is a decrease in the quality of sexual contact and constant It's a dull pain lower abdomen. As the disease progresses, the pain becomes acute and is accompanied by lower back pain. Except pain syndrome, the woman is worried about frequent urination and bowel disorders. Externally, the disease manifests itself as swelling and microcracks in the perineum, which are formed due to constant friction and irritation.

As the disease progresses, pelvic dysfunctions join the symptoms. These include urinary incontinence, which can be triggered by sneezing, laughing, or coughing. Intestinal function is disrupted. This may manifest itself as constipation or the development of colitis (inflammation of the large intestine, which is characterized by constipation alternating with diarrhea, abdominal pain, and weakness). Most unpleasant consequences associated with uterine prolapse relate to stool or gas incontinence.

In the last stages of the disease, there is a feeling of prolapse of the uterus into the perineum. Ulceration, inflammation and atrophy of the mucous membrane of the organs that are located in the pelvis appear. Not only the uterus develops, but also the bladder and intestines. However, despite such pronounced external manifestations, the pain is usually not too intense. Rather, the woman suffers from emotional disorder, feeling “disabled.” There are cases where women were embarrassed to seek help for years, thereby aggravating the disease and what could have been corrected conservatively had to be treated with help surgical intervention.

Diagnostics

As a rule, diagnosing uterine prolapse is not difficult. A gynecologist can determine it visually when examining a woman. To do this, she is simply asked to push. The difficulty is that if the disease is in the early stages, it can be difficult to determine “by eye” where exactly the defects are localized - on the back or on the front wall. In this case, a pelvic ultrasound and cystoscopy are performed. In addition, to exclude infection, smears are taken for flora, bacteriological culture, and material for cytology.

Conservative treatment

Like diagnosis, symptoms and treatment are individual for pathologies such as uterine prolapse. Reviews after childbirth may also vary. In some cases, the defects are minor and when straining, the organs do not appear outside the entrance to the vagina, and there are no complaints. In this case, treatment is not carried out at all or a set of special exercises is prescribed.

In case of more advanced pathology and if there are contraindications for surgical intervention, use uterine rings(pessaries). They can be made of silicone and installed in the vagina for a long time. Another type of uterine ring is made of rubber. When using such products, in order to avoid bedsores on the vaginal wall, a woman should remove them at night and reinstall them in the morning. Pessaries can be cup-shaped or ring-shaped. Their choice depends on the degree of prolapse.

To ensure that the ring does not cause discomfort, women who have reached menopause are advised to use a cream containing the hormone estrogen along with it. After the desired size and optimal shape have been selected, the doctor teaches the woman to independently install and remove the ring. The schedule of control visits to the gynecologist is developed individually. Usually, an examination is first scheduled every week, then - if there are no complaints - once every six months.

The use of a uterine ring helps prevent organ prolapse due to pathologies such as uterine prolapse. We have studied the symptoms and treatment, about which you can find a wide variety of reviews. But it should be remembered that only surgical intervention can radically solve the problem.

Surgery

To date, many techniques have been developed to eliminate defects in the supporting structures of the uterus, and when choosing them, not only the stage of the disease, but also the age of the patient is taken into account. Most often, young women planning to have more children undergo fixation of the uterus to ligaments or fascia located in the pelvis. Another method (colporrhaphy) allows you to prevent prolapse of the vaginal walls by excision of “extra” tissue and suturing the legs of the perineal muscles. For women in case complete loss organs recommend hysterectomy. This method allows you to completely solve the problems that arise in the final stages of a pathology such as uterine prolapse. Symptoms and treatment, reviews at 65 years old differ from the characteristics of the disease at more at a young age, often treatment consists of complete removal organ through the vagina. In addition, during this operation the doctor has the opportunity to perform posterior or anterior vaginal plastic surgery or correct an intestinal hernia.

Uterine prolapse - symptoms and treatment. Gymnastics

Back in the forties of the last century, gynecologist A. Kegel developed gymnastics that made it possible to strengthen the muscles of the perineum. These exercises help regulate sexual functions and recover from various disorders. genitourinary system and contribute to the treatment of rectal pathologies. In addition, the complex perfectly helps to correct disorders that occur in the early stages of a pathology such as uterine prolapse (symptoms). And the treatment, reviews of the exercises are called quite effective; with regular implementation of the complex, it begins to quickly bear fruit. Also, these exercises serve as an excellent prevention of blood stagnation in the pelvis and inflammation of the reproductive system. To carry out such gymnastics, you need to perform several steps sequentially.

1. Tighten your muscles as if you want to interrupt the act of urination. Slowly count to three in this position and relax. Repeat 10 times.
2. Tighten and relax the same muscles 10 times as quickly as possible.
3. You need to push (as during childbirth or stool), and not only the perineal muscles will tense, but also some abdominal muscles, as well as the muscles of the anus. Also repeat 10 times.

The complex must be performed at least five times a day. Gradually, adding 5 repetitions of exercises weekly, increase the number of repetitions of each exercise to 30 times. This is not so difficult, because you can do them anywhere - sitting at your desk, at home on the couch or at the stove. Body position (sitting, standing or lying down) also does not affect their effectiveness. However, you need to remember that the result will be noticeable only after a certain time, especially with a disease such as cervical prolapse (symptoms). And it is important to carry out treatment with exercises at least five times a day constantly, without taking breaks. Otherwise, the effect of the exercises will be significantly reduced.

Uterine prolapse, symptoms, treatment with folk remedies

When conservative treatment prolapse, you need to be prepared for the fact that this process will take quite long time. Moreover, to achieve maximum result Traditional medicine should not be neglected. Of course, you can only count on herbal infusions and infusions are not worth it, but against the background of therapy and exercises prescribed by the gynecologist, their use will help to overcome the disease faster.

1. To prepare the decoction you need to prepare 50 g linden color and lemon balm or mint leaves, 70 g of white marmot and 30 g of alder root. Pour a heaped tablespoon of the resulting mixture into one glass of boiling water. After the broth has cooled, take 0.5 cups three times. The duration of treatment is 21 days, then take a break for 14 days. The number of such courses is unlimited.
2. One part of astragalus root is poured with nine parts of vodka and left for 10 days. After this, the tincture is taken one teaspoon after meals in the morning and evening. This can be done either by dissolving it in a small volume of water or simply drinking it. The course is 30 days, then a fourteen-day break is taken, after which the course is repeated. Attention motorists - although the dose of alcohol in the tincture is minimal, you should not drive for at least 40 minutes after taking it.
3. You can combine the two decoctions. Please note that they are prepared separately, but for treatment to be effective they must be taken one after another with an interval of no more than 10 minutes. To prepare the first decoction, 30 g of plantain is poured into 500 ml of water and brought to a boil, then simmered over low heat for 20 minutes. After this, add 3-4 tbsp. spoons of honey and boil for another 10 minutes. Add a tablespoon of celery seeds to the cooled and strained broth and mix well. Take one glass three times a day. You need to wash it down with half a glass of a decoction of the following herbs: burnet, calendula, St. John's wort, agrimony, bedstraw in equal parts. They are poured per tablespoon. herbal mixture liter of water, bring to a boil, cool, filter.

Thus, today it is quite possible to overcome a disease such as uterine prolapse. We tried to consider the symptoms and treatment, reviews, photos as much as possible. One conclusion can be drawn: recovery is a rather long process, but strict adherence to the doctor’s recommendations and patience will help restore the usual quality of life.

It’s a “they don’t talk about it out loud” problem, which worries many, but is voiced by few. Prolapse of the posterior wall of the uterus (as well as the anterior one) is familiar to women firsthand. What it is? What should you do if this difficult diagnosis is written on the card?

Read more about changing the position of the uterine wall

It is no secret that the birth of a child, like pregnancy itself, requires a woman to make impressive sacrifices on the part of her health. Often after the baby is born, the new mother cannot do anything about stretch marks, varicose veins, and diastasis (separation of the abdominal muscles). And, in fact, prolapse of the uterus.

Uterine prolapse or prolapse (also called prolapse) is a diagnosis in which the muscle groups of the pelvic floor have become so weak and the ligaments have become so stretched that they are no longer able to support the uterus as required. Which, in turn, causes it to slide down and begin to protrude from the vagina.

There are two options for the scale of action:

• the uterine cervix was “at the entrance” - partial prolapse;
• when the uterus falls out completely, the prolapse is naturally called total.

A similar misfortune can theoretically happen to anyone, but more often than others, uterine prolapse or prolapse occurs in women who have given birth during the postmenopausal period.

Causes of prolapse of the uterine walls

Before we talk about what to do when the uterine wall prolapses, it is worth knowing why this happened.

The pelvic muscles can weaken for several reasons:

• if there was an injury during pregnancy and childbirth;
• baby is too large or pregnant with twins;
• violations hormonal levels(too low estrogen– the most important female hormone);
• age-related changes (than older woman, the higher the chances of “getting” prolapse);
• weak muscles, “office” lifestyle before pregnancy and the birth of a child;
• excess body weight (difference from normal – more than ten kilos);
• lifestyle associated with lifting too heavy a weight (work, training);
• the presence of a hernia of the bladder and/or vaginal walls;
• gynecological diseases (we are talking about fibroids, cysts, fibroids, which put a lot of pressure on the ligament system and can lead to prolapse of the reproductive organ).

This unenviable opportunity can be moderate and not bother the woman in any way. However, other, much more tragic options are also quite likely.

A little about the symptoms of pathology

Traditionally, a gynecologist reports about prolapse of the uterus or its prolapse, but even before a woman visits a specialist, prolapse can be revealed by several eloquent points:

• a stable feeling of a full stomach and a pressing sensation in the pelvic area;
• pain in lower section back (lower back);
• feeling that something is coming out of the vagina;
• quite painful process of urination;
• it hurts to have sex;
• vaginal bleeding;
• frequent cases of unexpected need to go to the toilet “in a small way”;
• discomfort while walking;
• if the pathology is not treated, soon the patient herself will be able to see the uterus protruding beyond the edge of the vagina, which will inevitably be injured while walking.

There is a category of ladies for whom admitting to this or that discomfort is like execution. But, as they say, “don’t do that.” If there is a problem, it needs to be solved. This is what doctors get paid for. If you notice at least a couple of these symptoms, rush to see a doctor.

What are the dangers of prolapse of the uterine walls?

Prolapse of the posterior wall of the uterus - serious problem. It is better to know the consequences of the impending disaster so that the question “prolapse of the posterior wall of the uterus, what to do” does not arise. And, if eloquent symptoms appeared, the woman immediately consulted a doctor. The consequences of prolapse of the uterine walls are as follows:

• If the walls of the uterus begin to descend, along with them comes the prolapse of the rectum with all the resulting troubles. This is accompanied by constipation. Part of the intestine is compressed. Attempts are also added here, which will only aggravate what is happening. The apogee is the prolapse of part of the intestine, which, naturally, will not end well.
• As the posterior wall of the uterus descends, the vaginal walls also descend. If the disease is advanced, everything that happens is accompanied by wild pain, as well as a violation of the integrity of the organ. Erosion appears. capable of growing all the way to the cervix. Unfortunately, these related problems can greatly complicate the treatment process.
• It is worth noting that what formerly a woman visit the doctor, so much the better. If the disease crosses (literally and figuratively) the entrance to the vagina, self-healing will be impossible. There are no other options other than surgery for such a patient. Unfortunately, the “fallen out” tissues are only cut off. The organ may lose its former sensitivity, which can lead to problems in sexual life. In addition, the tissues of the intimate area are restored very slowly and painfully.
• None of them uterine walls doesn't go down alone. These “unauthorized” shifts put pressure on the urinary tract, causing pain, symptoms of cystitis and other troubles.
• The consequences will also affect the lower pelvic organs. With the prolapse of the uterus, there is a threat of intestinal loops falling into the pelvic area. Which is logical, because there is more space. This is a signal to the body that there is somewhere to move.

Physical activity that will help improve the situation

Exercises for the prolapse of the anterior wall of the uterus are as necessary as air. But first you should know a few things general recommendations, which will make a woman’s life much easier.

After the diagnosis has been confirmed by a specialist, experienced trainers recommend making the following adjustments to your life:

• if a woman has recently given birth, if the birth was complicated, you should definitely visit a specialist to find out if there are any signs of uterine prolapse;
• It is necessary to avoid lifting heavy objects both in everyday life and in training;
• before starting training, it is better to consult a gynecologist to find out what should be done when the anterior wall of the uterus prolapses (you may need to use a special uterine ring);
• if there are deposits of excess fat on the sides and other parts of the body, you need to reduce your weight to normal;
• training the intimate muscles at home will strengthen the walls and pelvic floor, which will help correct the prolapse of the anterior wall of the uterus;
• it is necessary to increase the amount of foods that increase the production of female sex hormone (eating legumes, more carrots, cauliflower, tomatoes, brown rice, whole grain bread, red meat and dairy products);
• try to eat more pure fiber. You can buy it at any pharmacy (this will make it possible to forget about problems with stool and the need to push, exposing yourself additional risk). By the way, constipation is not only an aggravating factor, but also a potential cause of the development of uterine prolapse and prolapse.

Kegel exercises

These intimate workouts can work wonders. And put the “lost” organ in place. Before you begin Kegel exercises, you need to learn how to “breathe with your belly.” This practice will be needed to work exclusively the pelvic muscles, without including the abs or hips. The vaginal muscles should work in isolation.

How to breathe correctly? We lie on our backs, relax and begin to inhale and exhale deeply. One palm is placed on the chest, the other on the stomach. You should try to breathe in such a way that only your abdominal muscles rise and fall. chest keep motionless.

Complex for correction of uterine prolapse:

• Lie on your back, relax, bend your legs, shoulder-width apart. Hands are pressed to the sides. The main task is to squeeze the intimate muscles for one to two seconds, then relax. The press should be absolutely relaxed, breathing should be calm. We continue to do this for five minutes, increasing the speed and strength of the compressions. After five minutes, add push-outs: squeeze, push a little and relax.
• In turn, for one to two seconds you need to retract the muscles of the vagina and anus. The main task is to isolate sensations: you need to learn to distinguish between the sensations of compression and relaxation of these muscle groups. The abdominal muscles should be as relaxed as possible during the exercise. This type of training is called "blinking".

Treatment for prolapse of the posterior wall of the uterus medium degree impossible without these exercises. They are the kind that can be done anywhere, anytime. In the car, watching your favorite TV series, standing in line at the grocery store, etc. They perfectly correct prolapse of the uterine walls and help avoid a visit to the surgeon.

How is uterine wall prolapse treated?

Treatment for prolapse of the uterine walls depends on how advanced the disease is. If you managed to “catch” the pathology in time, then therapeutic exercises, uterine massage (done by an experienced gynecologist) and wearing a special bandage are quite capable of putting the organ in place.

If the prolapse of the uterine walls is out of control, you will need to solve the problem surgically. Fortunately, this is not the case now abdominal surgery, but a completely gentle laparoscopy method that doesn’t even leave scars. Repeated “force majeure” is excluded in such a situation.

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Vaginal prolapse or vaginal prolapse is an abnormal condition in the female reproductive system, which mainly occurs in women who have given birth after the age of fifty due to a weakening of the pelvic floor, but it can also occur in women aged 30 to 45 years (forty cases out of a hundred) , as well as up to thirty years (ten cases out of a hundred). Vaginal prolapse is not always associated with the birth process; in three percent of cases, the abnormal condition develops in young and nulliparous girls.

Causes or mechanism of vaginal prolapse.
Prolapse of the vaginal walls (prolapse) is expressed in changes in anatomical location pelvic organs against the background of weakening of the abdominal and pelvic floor muscles. Why is this happening? Due to increased pressure inside the abdominal region, the elasticity of the ligaments is gradually lost, which is why they are unable to maintain the internal organs (in particular the bladder, uterus, rectum) in the required physiological position. Hence, the increase in organ pressure gradually leads to loss of muscle tone of the perineum and prolapse of vaginal tissue.

Many factors can contribute to the development of this condition, including:

• Congenital anomaly of connective tissue development.
• Promotion intra-abdominal pressure(constipation in chronic form, frequent ARVI, accompanied by cough).
• The development of complications during childbirth (long labor, perineal trauma, large fetus, use of obstetric forceps during childbirth).
• Sudden weight loss due to obesity.
• Tumor changes in the genital organs.
• Hard physical labor.
• An operation to remove the uterus when the vaginal dome was not fixed.
• Changes in the body that occur with age (loss of tissue elasticity (after 60 years)).
• Number of births (after the birth of the second child, the risk of prolapse of the vaginal walls increases significantly).

The course of the disease is characterized by a slow pace at the beginning and rapid progression in the future, often accompanied by inflammatory diseases.

During the development of the disease, either the anterior or posterior wall of the vagina can undergo prolapse, or both at the same time. IN clinical practice Most often, prolapse of the anterior wall occurs, which is inevitably accompanied by prolapse of the bladder and urethra. When the posterior vaginal wall prolapses, there is a high risk of rectal prolapse or rectal prolapse.

Degrees of vaginal prolapse.

• The first degree is prolapse of the posterior, anterior or both walls of the vagina, while the vulva itself does not extend beyond the boundaries of the entrance.
• The second degree is partial prolapse of the anterior wall of the vagina with part of the bladder (cystocele) or the posterior wall with part of the rectum (rectocele), accompanied by bulging of the walls outward.
• The third degree is complete prolapse of the vaginal walls, mainly accompanied by uterine prolapse.

Signs of prolapse and prolapse of the vaginal walls.
In the early stages of development, the disease does not manifest itself in any way. The first alarm bells signaling illness are pain during sexual intercourse and weakening of sensations during this process. Further, heaviness and pressure in the vulva may be felt, as inflammation progresses, swelling of the genital fissure, discomfort during urination, incontinence (urine, stool and gases), nagging pain in the abdomen, lumbar region.

Prolapse of the anterior vaginal wall most often manifests itself in the form of the development of chronic cystitis against the background of stagnation of urine, and the posterior wall - in the form of constipation and a feeling of the presence of a foreign object in the vulva.

A complication of prolapse of any of the vaginal walls is often prolapse and then prolapse of the uterus, which manifests itself in the form of excessive sanguineous or bloody discharge.

Diagnosis of prolapse and prolapse of the vaginal walls.
Detection of the disease is not difficult; when examined in a gynecological chair, the walls of the vagina and cervix protruding from the genital tract are noticeable. The doctor adjusts them and then assesses the condition of the pelvic floor muscles. In this case, additional consultation with a urologist and proctologist is required.

Prolapse of the vaginal walls and pregnancy.
Pregnancy with this state possible, but the degree of development of the disease should be taken into account. The first degree of the disease allows you to give birth without prior surgery. In this case, strengthening exercises will help pelvic muscles and the press. With a progressive degree of the disease, surgical intervention and recovery are necessary, only then can you become pregnant. Otherwise, prolapse of the vagina is fraught with prolapse of the uterus.

And one more nuance, after the operation you will no longer be able to give birth on your own; a caesarean section is indicated.

Treatment of prolapse of the vaginal walls.
Prolapse of the vaginal walls, if diagnosed early, can be eliminated conservatively; in more advanced and complicated cases, surgical intervention is performed. Timely treatment significantly reduces the risk of complications.

Conservative therapy.
Therapy is indicated for minor prolapse of the vaginal walls and is expressed in the use of a set of exercises, the purpose of which is to increase muscle tone pelvic floor, including Kegel exercises (compression and relaxation of the perineal muscles), physical therapy exercises. At the same time, therapy is prescribed for the general strengthening of the body, while nutrition is not the least important (no heavy foods that can cause constipation and complicate the problem).

During menopause, women are prescribed hormone replacement therapy to improve blood circulation and strengthen the muscles and ligaments of the pelvic organs.

If surgery is contraindicated for a woman for any reason, to prevent complete prolapse of the uterus, the patient is fitted with uterine rings (pessaries) - a device for supporting internal organs is inserted into the vulva. The pessary is selected for each patient individually, after which regular monitoring by a gynecologist is indicated to exclude the development serious complications(purulent and ulcerative processes, irritation and swelling of the mucous membrane, ingrowth of the pessary into the cervix or vulva). To prevent these phenomena, the doctor prescribes douching and washing the vagina. If weakness of the vaginal muscles does not allow insertion of a pessary, then a hysterophore is used - a device that holds the uterus by means of a pessary connected to a bandage attached to the waist.

Gymnastics (set of exercises) for prolapse of the vaginal walls early stage(can be used as a disease prevention).

Exercises while standing on all fours:

• While inhaling, we raise the straightened right hand And left leg, while exhaling, lower it. Do six repetitions. Then do the same thing, only with the left hand and right foot.
• As we inhale, we lower our head and draw in the muscles of the perineum; on the way out, we relax, raise our head and bend in the lower back. Do ten repetitions.
• Bend your elbows and alternately raise your right and left legs. Do twelve repetitions with each leg.

Exercises while lying on your back.

• Arms along the body, legs straightened and joined together. Slowly, while exhaling, we raise our legs, while inhaling, we spread them apart, while we exhale, we close them, and while inhaling, we return to the starting position. Do eight repetitions.
• Hands under your head, feet together. Raise the pelvis while simultaneously retracting the muscles of the anus. Do ten repetitions slowly.
• At an average pace we make a “bicycle” of twenty revolutions.
• Raise straight legs one by one. Do eight times with each leg.
• We lift our legs off the floor, put them behind our heads, and stretch our toes to the floor. Do six approaches at a slow pace.
• Raise your straight legs (together) at an angle of 45° to the floor and return back. Perform slowly eight times.
• Bend your knees (foot on the floor, arms under your head) and spread them slightly. Raise your pelvis from the floor, spread your knees wide and pull the anus muscles inward. Do ten approaches.

Exercises should be performed slowly and monitor your breathing. Do it two hours before meals or two hours later. Class time is not limited. Kegel exercises.

• We strain the pelvic muscles in steps, from low effort to maximum, each position should be fixed for several seconds. We relax in the same way.
• Hold urination for 10-20 seconds.
• Moderate straining (as during childbirth).

Surgery for prolapse and prolapse of the vaginal walls (vaginal wall plastic surgery).
After examining the patient with the participation of a proctologist and urologist, the doctor prescribes treatment, taking into account the severity of the pathology, the degree of prolapse, the patient’s age and individual characteristics her body. Generally recommended surgery with plastic elements. Basically, this is colpoplasty, which involves suturing the vaginal walls. There are two types of colpoplasty:

• Colporrhaphy - removal of “excess” tissue from the vaginal walls and stitching them together during prolapse and prolapse; the operation is aimed at restoring the anatomical location of the organs by strengthening the pelvic floor muscles. Can be front or back.
• Colpoperineorrhaphy is a reduction of the posterior wall of the vagina (against the background of overstretching after childbirth) by suturing it and tightening the perineal muscles.

Surgical intervention is carried out using general anesthesia. The choice of surgical technique is determined by the surgeon, taking into account visual and video colposcopic examination, analysis of the condition of the tissues of the walls of the vulva and the presence of concomitant diseases of the pelvic organs. Postoperative period.
After assessing the patient’s general condition after the intervention, the doctor discharges her, usually on the second day after the intervention. To prevent the development of complications and accelerate recovery period It is necessary to strictly follow all the doctor’s recommendations, namely:

• During the first five days, treat the perineum with an antiseptic.
• Take antibiotics prescribed by your doctor.
• For two weeks, to avoid overstraining the operated muscles, sitting is prohibited.
• In the first week, it is recommended to eat liquid or semi-liquid foods to prevent the development of constipation.
• Eliminate physical activity, including sports, for at least a month.
• Resume sex life It is recommended no earlier than five weeks after surgery.

Modern equipment and microsurgery capabilities allow the operation to be performed with minimal trauma. After the intervention there are no visible marks or scars left on the body. Prevention of prolapse of the vaginal walls.

• Correct suturing of ruptures or cuts of the perineum during childbirth.
• Mandatory physical education before, during and after childbirth.
• Do exercises to strengthen the pelvic floor muscles during pregnancy and after childbirth.
• Learn to urinate in portions, squeezing the stream several times during one urination.
• Protect yourself from carrying heavy objects.
• Balanced nutrition, including during pregnancy.
• Gentle conservative management of childbirth and prevention of maternal injuries.
• Learn to pull your vulva up while walking.

Treatment of prolapse of the vaginal walls with folk remedies.
Treatment with traditional medicine can only be effective at an early stage and in combination with other treatment methods prescribed by a doctor, including exercises.

Quince can be brewed and drunk as tea; it gives tone to the muscles of the uterus. Per 100 g dried fruits and a liter of water, brew using a water bath.

An alcoholic tincture of astragalus root is also considered effective means traditional medicine against this disease. Take nine parts of vodka for some of the chopped roots. Keep the mixture for two weeks in a cool, dark place. Then strain. Take three times before the main meal (breakfast, lunch, dinner), with big amount water. The treatment course includes thirty days; if necessary, the course can be repeated after two weeks.

Mix 50 g of linden blossom and lemon balm, add 70 g of white damask and 10 g of alder root. Grind the mixture. Take two tablespoons, brew 200 ml of boiling water and leave until completely cool. Take half a glass three times a day before meals. The course of treatment is twenty-one days; after a two-week break, the course can be repeated.

Datura is effective as a remedy for sitz baths in cases of partial prolapse. Pour 20 g of herb into seven liters of boiling water and keep in a water bath for fifteen minutes. After this, the infusion should be cooled to 38 degrees. Use for a sitz bath, lasting no more than ten minutes.

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Discomfortable sensations in the vagina due to tension or contraction of the anterior wall of the abdominal cavity force a woman to consult a gynecologist. Sometimes this can occur at rest, as well as during sexual intercourse.

Similar unpleasant symptoms may be caused by prolapse of the vaginal walls (vaginal prolapse). This is a serious disease that requires careful diagnosis and comprehensive treatment.

Causes of prolapse of the anterior (posterior) vaginal wall

There are many factors that can contribute to the occurrence of this pathology, and these include:

• prolapse of the posterior (anterior) wall of the vagina after a difficult birth, or as a result of ruptures and other injuries received during the birth process;
• pathology of microcirculation processes of lymph and blood in the pelvic area;
• dysplasia (systemic deficiency) of connective tissue;
• systematic lifting of significant weights by a woman;
• obesity;
• physical inactivity, insufficiently active lifestyle;
• disturbance or decrease in estrogen production;
• bronchial asthma, bronchitis or constipation - these diseases contribute to increased intra-abdominal pressure.

Degree of development of pathology

Experts divide vaginal prolapse into three degrees, which differ in the severity of the pathology:

• first degree - moderate drooping of the walls (both or one), caused by the pressure of organs that have shifted downwards;
• with grade 2 prolapse of the vaginal walls, the pressure on them from the uterus or other internal organs increases several times. This is often accompanied by the presence of the body of the uterus in the vagina, and the pharynx of the cervix almost in the vestibule;
• third degree of prolapse, the most severe - eversion of the vaginal walls outward and even prolapse of the uterus.

In addition, vaginal prolapse can be caused by displacement of specific pelvic organs. So, they divide:

• cystocele - prolapse of the anterior wall of the vagina, under the pressure of a pathologically displaced bladder. It occurs due to weakened muscles or stretched ligaments that hold it in place;
• rectocele - prolapse of the posterior wall of the vagina, experiencing intestinal pressure.

Symptoms of vaginal prolapse

Prolapse of the vaginal walls does not occur on its own - it is a symptom general change the location of other internal organs in this area - they create pressure on the walls of the vagina.

The woman herself feels some of the symptoms of this pathology, but accurate diagnosis determined by a specialist doctor during a detailed examination.

This is often accompanied by uterine hypertrophy, polyps cervical canal, pseudo-erosions. As a result of this, dryness of the vaginal mucosa, its thickening or thinning, appears.

Upon examination, it often turns out that microcirculation is impaired due to sclerotic changes in the lymphatic and blood vessels.

Already in the first stages of the disease, women feel painful impulses in the lower back and lower abdomen. have difficulty with active movements, her ability to work is noticeably reduced.

Tissue irritation, itching, and severe dryness of the mucous membrane appear. This often leads to the appearance of erosions (ulcers) in the vaginal area. Sex during vaginal prolapse brings pain.

Organ prolapse provokes frequent urination, urinary incontinence, and sometimes a reverse reaction occurs - urinary retention.

Almost always, vaginal prolapse is accompanied by intestinal dysfunction - constipation occurs, uncontrolled gas secretion, and hemorrhoids, cases of fecal incontinence have been reported.

Treatment

When treating prolapse of the vaginal walls, the following can be used: surgical methods, and conservative.

Conservative methods

These include the installation of a pessary. This internal organ support device, made of silicone or plastic, is inserted into the vagina. TO similar procedure They resort infrequently, only when absolutely necessary.

The device is selected individually for each patient. Women who have it installed are under constant supervision of a specialist, as complications are possible:

• irritation and swelling of the vaginal mucosa;
• ulcerative and purulent processes;
• ingrowth of an installed pessary into the tissue of the cervix or vagina.

To prevent these phenomena, the doctor prescribes douching, rinsing, and it is possible to change the device model.

Such treatment is allowed only for moderate prolapse of the vaginal walls. If this is not possible due to weakness of the vaginal muscles, a hysterophore is used. This device helps hold the uterus in place using a pessary connected to a band that is attached to the waist.

Such methods are a typical palliative, which almost never leads to a complete recovery. Therefore, surgical intervention is most often the most effective, except in cases where it is clearly contraindicated.

Surgical methods

The method of surgical intervention is chosen by a specialist depending on the degree of development of the pathology, the age of the patient and the individual characteristics of her body.

• colpoperineorrhaphy - this operation is performed on back wall vagina, with prolapse of the rectum into the vagina. It is sutured and levatoroplasty is performed, which ensures retention of organs in the pelvic cavity;
• an operation is performed on the anterior wall of the vagina to raise and secure the bladder during its descent, and to relieve the vagina from its excess pressure;
• Median colporrhaphy is performed for vaginal prolapse. A similar operation is recommended for women who have left reproductive age when the use of other radical methods. The operation is quite easy to tolerate and in most cases has favorable results;
• Colpoperineocleisis (incomplete closure of the vagina) is also performed on elderly patients. The operation narrows the vaginal cavity, forming a dense septum that absorbs excess pressure from the abdominal cavity;
• The method of vaginal-vesical interposition is used for combined prolapse of the anterior wall of the vagina, uterus and bladder. During the operation, the round ligaments are shortened and fixed, which will create support for the organs fixed in their normal position. After this operation, pregnancy is excluded. In general, the technique gives good results without complications;
• if vaginal prolapse is directly related to the displacement of the uterus, then, depending on the indications, operations are performed to secure this organ in the abdominal cavity (ventrosuspension or ventrofixation), partial resection followed by plastic surgery (“Manchester” operation) or even complete amputation.

Gymnastics or Kegel exercises for vaginal prolapse

Gymnastic exercises have a good effect on vaginal prolapse. When performing them, you must be sure to monitor your breathing.

Perform the exercises while lying on your back or standing on all fours.

Exercises while lying on your back

• the familiar “bicycle” exercise is done slowly 15-20 times;
• put your hands behind your head, keep your legs together and slowly lift them 10-12 times, while squeezing the muscles of the anus;
• lift straight legs in turn 12 times each;
• Stretch your arms along your torso, keep both legs together. You need to raise your legs as you exhale, as you inhale they spread apart, as you exhale they move, and as you inhale they lower to the floor. The exercise is performed slowly 6 - 8 times;
• bend your knees and spread them apart, placing your feet on the floor. Place your hands behind your head. The pelvis is lifted off the floor, spreading the knees as far as possible and squeezing the anus muscles. This exercise is repeated ten times.

Exercises while standing on all fours

• As you inhale, you need to lower your head, stretch your right arm up, and lift your left leg and stretch it back, lower your leg and arm as you exhale. The same is done with the right leg and left arm. Repeat the exercise 6 times;
• the head is lowered down while inhaling while simultaneously contracting the muscles of the perineum. Next, relax the muscles as you exhale, raise your head and bend your spine. You need to do this exercise 10 times;
• lean on your elbows, alternately lift your left and right legs up. The exercise is repeated 12-14 times.

Kegel exercises

There is a well-known set of Kegel exercises that allows you to strengthen the muscle walls of the pelvic area. They are simple and accessible to every woman at any time of the day:

• the so-called Kegel lift. The pelvic muscles are tensed in stages, from small efforts to maximum, making sure to fix each position for several seconds. Relaxation is carried out in the same order;
• delaying urination for 10–20 seconds – this will not cause harm, but will help strengthen muscles and ligaments;
• moderate straining - as during labor;
• Regular performance of such exercises will become a reliable assistant for a woman in counteracting the extremely unpleasant syndrome of prolapse of the vaginal walls.

It is therapeutic exercises that become the main means of helping to completely get rid of such pathology without resorting to surgical intervention.

After giving birth I used vaginal cones. There was urinary incontinence. After two weeks the problem was practically resolved. Thanks to the doctor for recommending such an excellent remedy.

I was given a pessary during pregnancy. It helped a lot to carry the baby.

I had the same problem during pregnancy. After childbirth, terrible urinary incontinence. In general, I had to undergo surgery. Now, I heard there are vaginal cones that are designed for training the pelvic floor muscles. My friend uses them to keep herself in good shape. They say it helps bring the baby to the required period and facilitates the birth process. Only pregnant women cannot do exercises; they need to do it before giving birth.

I was given a pessary during pregnancy. It helped a lot to carry the baby.

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