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plen 01506 333 129 Mon - Sat: 8.30 - 17.00
Broom House, Quarrywood Court, Livingston EH54 6AX

Prolapse of the reproductive organ – treatment with pessaries and physiotherapy

Lowering and prolapse of the reproductive organ is a condition that most often affects women after childbirth and during menopause. Natural childbirth causes stretching and weakening of the pelvic floor (Kegel) muscles. However, during menopause, the level of female sex hormones (estrogens) drops drastically. In both cases, the muscles become flabby, weak and inflexible. Lowering of the pelvic floor organs is assessed on a 4-point scale. Thanks to this, you can choose the right treatment. If the problem is not severe, physiotherapy and the use of special discs (pessaries) are enough.

Prolapse (lowering) of the reproductive organ is divided into 4 degrees:

I degree – lowering of the uterus or vagina does not occur and does not exceed the vestibule of the vagina.

I stopień – obniżenie macicy lub pochwy nie dochodzi i nie przekracza przedsionka pochwy.

II degree – lowering of the uterus or vagina reaches the vestibule of the vagina.

II stopień – obniżenie macicy lub pochwy dochodzi do przedsionka pochwy.

III degree – lowering the uterus or vagina exceeds the vestibule of the vagina.

III stopień – obniżenie macicy lub pochwy przekracza przedsionek pochwy.

IV degree – partial or complete prolapse of the reproductive organ.

IV stopień – częściowe lub całkowite wypadanie narządu rodnego.

Prolapse of the reproductive organs – symptoms

Vaginal and/or uterine prolapse is accompanied by the following symptoms:

  • Noticeable pressure in the vagina during intercourse and physical exertion,
  • Feeling of fullness and discomfort in the pelvis,
  • Problems with defecation,
  • Urinary incontinence, or more often difficulty urinating,
  • Noticeable pain in the pelvis when coughing, sneezing, movement,
  • Inability or problem to put on a tampon,
  • Felt and/or noticeable “coming out of something” from the vagina.

Causes of prolapse of the reproductive organ:

  • Natural childbirth – the more births by the forces of nature, the greater the risk of prolapse of reproductive organs. Uterine prolapse after childbirth is more often observed in the case when the birth weight of the child exceeds 4 kg. Natural childbirth weakens the pelvic floor muscles. There are also cases of vaginal prolapse in women who have never given birth to children;
  • Age – with age, muscles weaken and the risk of vaginal and uterine prolapse increases;
  • Menopause – hormonal changes, and in particular a decrease in estrogen, can also weaken the pelvic floor muscles;
  • Obesity;
  • Chronic constipation;
  • Hard physical work;
  • Practicing exercise sports;
  • Cigarette smoking, associated cough

Prolapse of the reproductive organ – treatment

In the case of I and II degree of vaginal prolapse, the patient is recommended non-surgical treatment. The most commonly used discs (pessaries) and physiotherapy. In the case of III and IV degree of prolapse of the reproductive organ, surgery is sometimes necessary, although pessaries can often be used as a temporary correction.

Pessary

The most popular is the use of pessaries, that is, special discs that support the walls of the vagina. They are often used also in the case of urinary incontinence, which is also one of the symptoms of prolapse of the reproductive organ.

What are the benefits of using pessaries:

  • High efficiency – pessarotherapy eliminates vaginal and uterine prolapse in up to 90% of women;
  • Speed of action – after the first application of the disc, the patient feels a clear improvement;
  • Availability of the method – pessaries are available in the gynaecological office, pharmacies, medical stores and online stores;
  • Non-invasive method – discs are one of the least invasive methods of treating reproductive organ prolapse;
  • Low cost of treatment – among all available treatments, this one is the cheapest;
  • Comfort of use – the patient does not feel discomfort and can normally perform daily duties;
  • Pessaries stop the progression of the disease.

Physiotherapy

In the treatment of reproductive organ prolapse, physiotherapy is also used. The physiotherapist interviews the patient and assesses the scale of the problem. In this case, the treatment is based on training, the task of which will be to relieve the pelvic floor muscles. It is not only about Kegel muscle training, but also about maintaining proper body posture, proper bending and lifting weights. The physiotherapist will tell you what daily habits need to be changed and recommend exercises to do yourself at home. The effect of physiotherapy is to relieve and strengthen the muscles as well as stabilize and suspend the pelvic structures.

Prolapse of the reproductive organ – prevention

In addition to the treatment itself, prevention is also important so as not to aggravate the problem. If a woman suspects prolapse of the reproductive organ, she should first go to a gynecologist. The doctor will assess the condition of the reproductive organs and determine a treatment plan with the patient. In the case of prolapse of the reproductive organs, the most important thing is to change your lifestyle: avoiding lifting weights, taking care of proper weight, strengthening the pelvic floor muscles.

If you would like to talk to one of our doctors about prolapse of the reproductive organ, please contact reception to make an appointment.

 

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