A disease that is not customary to talk about: prolapse

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It is not customary to discuss your ailments in society, especially if these ailments are diseases of the genital organs. But there is such a gynecological pathology that does not allow a woman to forget about her existence for even an hour, becomes the cause of not only physical suffering, but also psychological experiences, endangering family life.

Often, this disease makes a woman insecure, withdrawn, uncommunicative, and significantly reduces her ability to work. But, despite all these factors, not every woman dares to talk about her problem even to a gynecologist …

Natural female modesty, which prevents the doctor from complaining about her illness, is usually associated with frequent manifestations of this disease in the form of involuntary, uncontrollable urination by herself when laughing, coughing, sneezing, jumping, lifting weights. Other possible symptoms of the disease are gas and fecal incontinence.

The name of this disease is genital prolapse or omission of the walls of the vagina and uterus.

This disease has been known to doctors since ancient times and was familiar to Hippocrates. However, even today, genital prolapse remains one of the most common female diseases.

And if earlier it was believed that the omission of the genital organs is the lot of elderly and old women, today scientists say that this disease has become “younger” and is already found among young people.

According to medical statistics, Genital prolapse is diagnosed by gynecologists in every tenth woman under the age of 30, in 40% of women from 30 to 45 years old, and is detected in every second at an older age.

The omission and prolapse of the vagina and uterus develops when the pelvic muscles and uterine ligaments are unable to hold the genitals in their usual position.

And at the slightest physical stress of a woman, accompanied by a contraction of the abdominal muscles, diaphragm, pelvic muscles, intra-abdominal pressure rises, and the internal genital organs go down.

In severe cases, the cervix, or even the uterus itself, descends to the level of the entrance to the vagina, and sometimes goes beyond it, located literally between the woman’s legs.

Usually in such situations, patients periodically “reset” the prolapsed organ on their own, but as it progresses, this becomes impossible.

In the initial stages of prolapse and prolapse of the genital organs, the woman herself may not be aware of her disease. Only during an examination by a gynecologist will she be able to hear this diagnosis for the first time.

Of course, the process of prolapse of the internal genital organs is not instantaneous, but gradual, but in all 100% of cases it is progressive.

In other words, without proper treatment, this disease cannot go away on its own, this disease cannot disappear, but can only become more pronounced and severe.

Most women with genital prolapse worry about: pulling pains and “heaviness” in the lower abdomen, a feeling of a foreign body in the perineum, discomfort and pain when walking, every second has pain during intercourse.

Going down, the uterus pulls the bladder and rectum located next to it, which is reflected in the disruption of the work of these organs.

A woman complains of difficult or frequent urination, urinary incontinence is noted by 70% of patients with genital prolapse. Every third patient has defecation disorders, most often – constipation or incontinence of gases and feces.

For more than a century, scientists around the world have been dealing with the problem of prolapse and prolapse of the internal genital organs in women, trying to unravel the causes and mechanism of the development of this disease.

But nonetheless, Until today, there is no single theory that fully reveals the nature of this disease.

Since ancient times, doctors have associated the development of genital prolapse with hard physical labor, weight lifting, during which there is an increase in intra-abdominal pressure, which “pushes” the uterus out.

Today, this reason is not disputed, but is no longer recognized as the leading one. Today, in the age of technology and mechanization of physical labor, the frequency of occurrence of this pathology has not become lower, and not every patient in everyday life is faced with physically hard work.

More and more scientists are talking about the role of pregnancy and childbirth in the further development of prolapse and prolapse of the genital organs.The vast majority of women with these diseases have had at least one birth in the past.

At the same time, scientists say that in the formation of genital prolapse, the decisive role is played not so much by the number of births as by their features. The risk of developing the disease increases with a complicated course of pregnancy and childbirth, including surgical aids in childbirth, perineal ruptures, large fetuses, rapid and rapid childbirth.

In the development of genital prolapse in young women who have not given birth or who have one uncomplicated childbirth, the leading role is played by a defect in the structure of the connective tissue that makes up the ligaments, including the ligaments that hold the uterus in a normal position.

This may have a hereditary predisposition. The risk of this pathology in a woman increases if her mother, grandmother and other blood relatives suffered from genital prolapse.

Often, doctors call genital prolapse a kind of hernia, indicating that if the patient has any other hernias, then the possibility of this pathology will be high.

Recently, there are more and more scientific articles about hormonal disorders as a predisposing factor in the development of genital prolapse.

That is why the percentage of women suffering from prolapse and prolapse of the vagina and uterus increases with age and is especially common during and after menopausal changes.

At this time, the level of estrogen in the female body decreases, the blood supply to the genital organs decreases, and the ligamentous apparatus of the uterus undergoes changes, which is now not always able to keep it in its normal position.

The occurrence of prolapse of the genitals is also facilitated by the reduced tone of the muscles that support the uterus and vagina during this period of a woman’s life.

Omission and prolapse of the internal genital organs today does not apply to incurable diseases.

In the initial stages, the situation can be corrected even by ordinary physical exercises to strengthen the muscles of the pelvis.In some cases, special vaginal rings help to keep the genitals from falling out.

However, the most effective way to treat genital prolapse today is considered surgery.

Gynecologists are aware of over 300 different modifications of operations used in the prolapse of the genital organs. Most often they are performed even without an incision on the abdomen, through the vagina.

Treatment, of course, is selected individually, taking into account the age of the patient, the severity of genital prolapse and concomitant diseases, as well as other factors. And although there is some possibility of re-development of the disease after the treatment, in the vast majority of cases it saves the woman from physical suffering and returns to her usual active life in society.


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