Uterine prolapse occurs when pelvic floor muscles and ligaments stretch and weaken, providing inadequate support for the uterus.
The uterus then slips down into or protrudes out of the vagina.
The uterus (womb) is a major female reproductive sex organ in humans. One end, is the cervix which opens into the vagina , while the other is connected to one or both fallopian tubes. It is within the uterus that fetus develops during gestation.
The uterus is normally held in place inside the pelvis with the help of various muscles, tissue, and ligaments. Sometimes, because of childbirth or difficult labor and delivery, these muscles weaken.
As a woman ages and with a natural loss of the hormone estrogen, uterus can collapse into the vaginal canal, causing the condition known as a prolapsed uterus.
Muscle weakness or relaxation may allow the uterus to sag or come completely out of the body to a variable extent.
Uterine prolapse is described in various stages:
• First degree: The cervix droops into the vagina.
• Second degree: The cervix sticks to the opening of the vagina.
• Third degree: The cervix is outside the vagina.
• Fourth degree: The entire uterus is outside the vagina.
Other conditions are usually associated with prolapsed uterus.
• Cystocele: A bulging of the upper front vaginal wall where a part of bladder bulges into the vagina, which may lead to urinary frequency, urgency, retention, and incontinence.
• Enterocele: The bulging of the upper rear vaginal wall where a small bowel portion bulges into the vagina. Standing leads to a pulling sensation and backache and is relieved when lying down.
• Rectocele: The herniation of the lower rear vaginal wall where the rectum bulges into the vagina. This makes bowel movements difficult to the point that the woman may need to push on the inside of the vagina to empty the bowel.Age / Sex groups affected by Uterine Prolapse
Uterine prolapse mainly occurs in post menopausal women .
• Pregnancy or multiple childbirths with normal delivery through the vagina
• Weakness in the pelvic muscles with advancing age
• Weakening and loss of tissue tone after menopause and loss of natural estrogen
• overweight or obese people
• Excess weight lifting
• Chronic constipation
• Pelvic tumor
• Sensation of heaviness or pulling in your pelvis
• Tissue protruding from your vagina
• Urinary difficulties, such as urine leakage or urine retention
• Trouble having a bowel movement
• Low back pain
• Sensing looseness in the tone of your vaginal tissue
• Vaginal bleeding
• Increased vaginal discharge
• painful sexual intercourse
• Renal sonography
• Pelvic exam.
Cases of uterine prolapse of milder form do not show any symptoms.
Vaginal passeries are helpful to treat cases at earlly stage.
•Female urinary tract infections
• Vaginal ulcers in severe prolapse.
• Prolapse of other pelvic organs, e.g. Urinary bladder and rectum.
• Ovaries feel too large.
• Patient complains of bearing down pain.
• Prolapse of wound.
• Eroded spongy cervix.
• Leucorrhoea is foul and excoriating.
• This medicine act as a palliative in scirrhus of uterus.
• Patient complains of sore feeling throughout abdomen,worse by jarring.
• Very well indicated medicine for enlarged uterus and peolapse of uterus.
• Great sensitiveness of vagina.
• Bearing down sensation with urgent desire for stool, as if the organs would escape.
• Bearing pain ceases on rest.
• Pain in ovaries and down thighs.
• Bloated feeling in uterine region.
• Pruritis pudendi.
• Uterine prolapse and retroversion.
• Subacute pelvic peritonitis with right sided pain and backache menorrhagia.
• Cutting pain in uterus relieved after stool.
• Shooting or burning pain in pelvis and bearing down relieved by rubbing.
• Glairy leucorrhoea.
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