A prolapsed womb can be referred to as a sort of prolapse of the female genitalia and is also known as pelvic organ prolapses. The treatment for a uterine prolapse may be the Manchester procedure or Hysteropexy which spares the uterus and hysterectomy. The female womb is usually held in its position by a collection of ligaments and muscles.
Prolapse takes place once the ligaments that support the uterus turn weak so as to prevent the uterus from staying in its appropriate place. This is when it slides down from the usual position.
Some of the ligaments that help maintain the position of the uterus are the surrounding ligaments of the uterus, broad ligament, suspensitory ovarian ligament and the uterosacral ligaments.
The last plays a vital role in ensuring the maintenance and balance of the uterus. A widespread reason for uterine prolapse is suffering in childbirth, especially for difficult or multiple births.
Around 50% women who have kids tend to develop some sort of pelvic prolapse. It is also common with elderly women, usually after their menopause. The condition may be surgically corrected.
Complications Associated with a Prolapsed Womb
Some of the complications of a uterine prolapse may include:
If the case of uterine prolapse is severe, a portion of the lining of the vagina can be displaced with the collapsed uterus which protrudes outside your body and rubs on your underwear. This chafing can cause vaginal sores or ulcers which can even become infected.
Prolapse of Associated Pelvic Organs
Women with a prolapsed womb may also experience a prolapse of other pelvic areas like the rectum and bladder. The latter, also known as a cystocele, bulges outside the vagina that may lead to urinary problems and enhanced risks of infections of the urinary tract. Weak connective tissues on the rectum can lead to a rectocele or prolapsed rectum which can cause problems in bowel movement.
Treatment for a Prolapsed Womb
Diagnosis of a uterine prolapse following a medical examination by a doctor may be corrected with several treatment options. While some treatments should be implemented by the physician, others can be routinely attempted by the patient. The methods of treatment include the following:
1. Kegel Exercises
These exercises include naturally relaxing and tensing the muscles of the vaginal area by controlling the act of holding the urine back. The muscles should be held tight a few seconds before they are released. Repeat for 10 times.
Check with your physician to estimate whether you require a pessary, a circular device which is inserted underneath the uterine bottom to maintain the position of the prolapsed womb.
Assess the advantages and disadvantages of estrogen replacement therapy which can further slow down the weakening of the pelvic muscles. ERT often saves patients from additional drastic treatments.
You may also consider surgical management. The nature of surgery depends on the type and extent of the prolapse and the requirement of coital, menstrual and reproductive functions. You may even resort to surgical elimination of the uterus or hysterectomy.
5. Sling Operation and Utero/Cervicopexy
A surgically placed sling can prevent uterine prolapse. A prolapse may develop in a young patient as a result of a weak support system. In these operations, the supporting ligamentary structures are strengthened by body tissues or nylon tapes. Another way of conducting these operations is through laparoscopy.
6. Weight Loss
If it is possible, lose weight. It is important to pursue a healthy diet and be on a regular exercise regime. Any kind of obesity can add to uterine prolapse.
7. Appropriate Lifting Methods
You should practice appropriate methods of lifting as incorrect postures can strain the pelvic muscles, leading to a prolapse.
8. Expectant Management
The symptoms of a prolapsed womb can be discovered in a regular gynecological examination. These patients may not display any prolapse symptoms and can be suggested practicing Kegel or buttock squeezing exercises. The support can be strengthened in post menopausal women with the use of estrogen cream.
9. Fothergill or Manchester Repair
This is a solution for patients with uterine prolapse and who intend to retain their uterus. In this process, the ligaments are repositioned to offer the required support to the uterus.