Uterine prolapse- Causes, Symptoms and Treatment- Dr.Niveditha Kamaraj
Uterine prolapse occurs when the uterus, a muscular organ held in place by pelvic muscles and ligaments, descends or slips from its normal position due to the stretching or weakening of these supporting structures. Incomplete prolapse occurs when the uterus partially descends into the vagina, while complete prolapse involves the uterus slipping so far down that some tissue protrudes outside the vaginal opening. Dr. Niveditha Kamaraj, top fertility doctor can provide expert guidance, conduct a thorough evaluation, and discuss suitable treatment options tailored to individual needs. If you are experiencing symptoms or have concerns, schedule an appointment with Dr. Niveditha Kamaraj for personalized care and support.
Causes of uterine prolapse
- Childbirth and Vaginal Deliveries: Women who have undergone multiple vaginal births are at a higher risk of uterine prolapse. The strain placed on the pelvic muscles and ligaments during childbirth can lead to the weakening of the supportive structures.
- Aging and Menopause: The natural aging process, coupled with the decline in estrogen levels after menopause, contributes to a loss of muscle tone and elasticity in the pelvic area. This makes the pelvic region more susceptible to uterine prolapse.
- Conditions Inducing Pelvic Pressure: Certain health conditions can increase pressure on the pelvic region, elevating the risk of uterine prolapse. Chronic coughing, often associated with conditions like chronic bronchitis or smoking, can strain pelvic muscles. Obesity adds additional weight, stressing the pelvic organs.
- Constipation: Regular and prolonged constipation can impact the pelvic floor muscles. Straining during bowel movements weakens these muscles over time, compromising their ability to adequately support the uterus.
Symptoms of uterine prolapse
- Pelvic pressure or heaviness: Persistent discomfort in the pelvic region.
- Sexual intercourse issues: Difficulty or discomfort during intimate activities.
- Low back pain: Discomfort in the lower back due to strained pelvic muscles.
- Urine leakage or urges to empty the bladder: Impact on bladder function, causing leakage or sudden urges.
- Bulging uterus and cervix: Noticeable protrusion into the vaginal opening.
- Frequent bladder infections: Increased susceptibility to urinary infections.
- Bleeding in the cervix: Occasional bleeding may be observed.
- Increased vaginal discharge: Changes in pelvic anatomy leading to heightened discharge.
How to diagnose uterine prolapse?
Medical History and Physical Examination:
Your doctor will take a detailed medical history and perform a physical examination of the pelvic area to detect uterine prolapse. Both standing and lying positions may be assessed, and you may be asked to cough or strain to evaluate abdominal pressure.
Diagnostic Imaging – Intravenous Pyelogram (IVP) or Renal Sonography:
In specific situations, such as when there is concern about ureteral blockage due to complete prolapse, an intravenous pyelogram (IVP) or renal sonography may be recommended. This involves injecting dye into your veins, and X-rays track its progression through the bladder.
Ultrasound for Pelvic Issues:
Ultrasound can be employed to rule out other pelvic issues. A wand is passed over your abdomen or inserted into your vagina to create images using sound waves.
Pelvic Magnetic Resonance Imaging (MRI):
Pelvic MRI may be performed if you have multiple prolapsed organs or if surgical planning is required. This advanced imaging technique provides detailed insights into the pelvic structures.
Treatment for uterine prolapse
Conservative Management:
- Pelvic Floor Exercises: Kegel exercises to strengthen pelvic floor muscles.
- Lifestyle Changes: Weight management, avoiding heavy lifting, and treating constipation to reduce strain.
Pessary Use:
- A pessary is a device inserted into the vagina to provide support and lift the uterus. It is a non-surgical option and may be fitted by a healthcare provider.
Hormone Replacement Therapy (HRT):
- Estrogen therapy may be recommended for postmenopausal women to improve tissue strength and support.
Medications:
- Topical creams or hormone therapy may be prescribed to address vaginal atrophy and improve tissue elasticity.
Surgical Interventions:
- Vaginal Repair (Colporrhaphy): Surgical procedure to tighten and repair the tissues supporting the uterus and surrounding structures.
- Hysterectomy: Removal of the uterus may be considered in severe cases or when fertility is not a concern.
Pelvic Floor Rehabilitation:
- Comprehensive programs involving physiotherapy, biofeedback, and behavioral strategies to address pelvic floor dysfunction.
Lifestyle Modifications:
- Advised changes in daily activities, including proper lifting techniques and avoiding prolonged periods of standing or straining.
Regular Follow-up:
- Routine check-ups with a healthcare provider to monitor the condition and adjust the treatment plan as needed.
Consultation with a healthcare professional, such as Dr. Niveditha Kamaraj at Aakash Hospital top Reproductive Clinic in Chennai, is important for a personalized and effective treatment plan. If you are experiencing symptoms of a prolapsed uterus or have concerns about your reproductive health, schedule an appointment with Dr. Niveditha Kamaraj at Aakash Hospital Chennai Reproductive Clinic for a thorough evaluation and personalized care.
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