Uterine prolapse in Iran – Symptoms and causes 2023

Uterine prolapse in Iran

Uterine prolapse in Iran occurs when pelvic floor muscles and ligaments stretch and weaken, providing inadequate support for the uterus. The uterus then descends into the vaginal canal.

This condition can affect women of any age but often affects postmenopausal women who’ve had one or more vaginal deliveries.

Symptoms – Uterine prolapse in Iran

In some cases, uterine prolapse can be asymptomatic. However, when symptoms occur, they may include:

• – A sensation of heaviness or pulling in the pelvis
• – A feeling as if you’re sitting on a small ball or as if something is falling out of your vagina
• – Tissue protruding from your vagina
• – Uncomfortable sexual intercourse
• – Recurrent urinary tract infections
• – Difficulty in urination or bowel movements
• – Lower back pain
• – Increased vaginal discharge

These symptoms might worsen with long periods of standing or sitting, due to the effect of gravity on your pelvic organs.

Causes

Uterine prolapse results from the weakening of pelvic muscles and supportive tissues. Factors that can contribute to this weakening include:

– Pregnancy and childbirth: These are the most common causes of uterine prolapse. Vaginal delivery can weaken muscles needed for support, and the more times a woman gives birth vaginally, the higher the risk.

– Aging and menopause: Declining estrogen levels during menopause can lead to a weakening of the pelvic muscles.

– Obesity: Excess body weight puts a strain on the pelvic muscles, contributing to the risk of prolapse.

– Chronic constipation or chronic cough: Straining related to these conditions can damage pelvic muscles.

– Heredity: Some women may inherit a predisposition to weak pelvic muscle support.

– Major surgery in the pelvic area: Surgery can sometimes lead to a weakening of support structures.

Prevention and Treatment Uterine prolapse in Iran

Preventive measures include avoiding heavy lifting, maintaining a healthy weight, treating and preventing constipation, and doing Kegel exercises regularly to strengthen pelvic muscles.

Various treatment strategies can help manage symptoms of uterine prolapse. These include lifestyle changes, pelvic floor physiotherapy, the use of a pessary (a device inserted into the vagina that supports the structures), and in more severe cases, surgery.

Always consult with a healthcare provider for diagnosis and treatment options if you are experiencing symptoms of uterine prolapse.

Uterine prolapse surgery procedure

Uterine prolapse surgery in Iran is a procedure used to repair the prolapse of the uterus, which occurs when the uterus slips down into the vaginal canal due to weakened pelvic muscles and ligaments. The type of surgery recommended will depend on the severity of the prolapse and other individual factors. Here are some common types of surgery used to treat uterine prolapse:

1. Vaginal hysterectomy: This is a surgical procedure that involves the removal of the uterus through the vagina. It can be used to treat uterine prolapse and may be recommended for women who are not planning to have any more children. Recovery time for this procedure can vary depending on the extent of the surgery and individual factors.

2. Uterine suspension: This is a procedure that involves the use of sutures or mesh to support the uterus and hold it in place. The sutures or mesh are attached to the pelvic bone or ligaments to provide support. Recovery time for this procedure can vary depending on the extent of the surgery and individual factors.

3. Sacrocolpopexy: This is a procedure that involves the use of mesh to support the vagina and hold the uterus in place. The mesh is attached to the sacrum and the top of the vagina to provide support. Recovery time for this procedure can vary depending on the extent of the surgery and individual factors.

4. Laparoscopic or robotic-assisted surgery: These are minimally invasive surgical techniques that use small incisions and specialized instruments to perform surgery. Laparoscopic or robotic-assisted surgery may be an option for some women with uterine prolapse, depending on the extent of the prolapse and other individual factors. Recovery time for these procedures is typically shorter than for open surgery.

After uterine prolapse surgery, wound care and post-operative care will be important for proper healing and recovery. The doctor will provide specific instructions for wound care and activity restrictions, which may include avoiding heavy lifting and sexual activity for a certain period of time. It’s important to follow these instructions closely to ensure proper healing and reduce the risk of complications.

 

Complications Uterine prolapse

Uterine prolapse occurs when the uterus descends from its normal position into the vaginal canal or outside the body. Complications associated with uterine prolapse can include:

1. Urinary problems: Uterine prolapse can cause urinary incontinence, difficulty urinating, or urinary tract infections.

2. Bowel problems: Uterine prolapse can also cause bowel problems like constipation or fecal incontinence.

3. Sexual problems: Uterine prolapse can affect sexual function, causing discomfort or pain during intercourse.

4. Pain and discomfort: Uterine prolapse can cause pain and discomfort in the pelvis, lower back, and legs.

5. Ulcers or sores: In severe cases, the prolapsed uterus can protrude outside the body, leading to the formation of ulcers or sores.

6. Infection: The exposed tissue of the prolapsed uterus can become infected, leading to inflammation and pain.

7. Emotional distress: Uterine prolapse can cause emotional distress due to the embarrassment and discomfort associated with the condition.

pelvic floor exercises.

Pelvic floor exercises, also known as Kegel exercises, are a type of exercise that can help strengthen the muscles of the pelvic floor. These exercises involve repeatedly contracting and relaxing the muscles that support the pelvic organs, including the bladder, uterus, and rectum.

Pelvic floor exercises can be helpful for both men and women, and can be done in a variety of positions, including sitting, standing, or lying down. The exercises involve squeezing the muscles in the pelvic area and holding the contraction for a few seconds before relaxing. The number of repetitions and the length of time the muscles are held can be gradually increased over time as the muscles become stronger.

Pelvic floor exercises can be particularly helpful for women who have experienced uterine prolapse, as they can help to strengthen the muscles that support the uterus and prevent further prolapse. They can also be helpful for women who experience urinary incontinence or other pelvic floor problems.

It is important to learn how to do pelvic floor exercises correctly, as improper technique can be ineffective or even harmful. A healthcare provider, such as a physical therapist specializing in pelvic floor health, can provide guidance on proper technique and design a personalized exercise program.