Causes of uterine prolapse and whether surgery is needed

The causes of uterine prolapse and whether surgical treatment is needed are introduced. Many patients with this disease must feel very uncomfortable. We know the pain that a disease brings us, so we must know the cause of the disease! Many friends who suffer from this disease are very worried about whether they need surgery. In fact, we say that only patients with more serious conditions need it, so let's take a closer look!

1. Causes

The main reasons are damage to the cervix, cardinal cervical ligament and uterosacral ligament caused by delivery and failure of supporting tissues to return to normal after delivery. In addition, most women in the postpartum period like to lie on their backs and are prone to chronic urinary retention. The uterus is prone to become posterior, with the axis of the uterus in the same direction as the axis of the vagina. When the abdominal pressure increases, the uterus will descend along the direction of the vagina and prolapse will occur. Postpartum squatting (such as washing diapers, washing vegetables, etc.) can increase abdominal pressure and cause uterine prolapse. Uterine prolapse in nulliparous women is caused by poor development of the supporting tissues of the reproductive organs.

II. Treatment

Because the operation will have a certain impact on the subsequent vaginal delivery, it is only suitable for severe cases and women who no longer want to have children.

1. Pessary treatment

(1) Indications for pessary: ​​Pessary has long been used to treat uterine prolapse. It can be controlled by the patients themselves, but it is not suitable for patients with severe uterine prolapse and excessive vaginal relaxation.

(2) The size of the pessary should be slightly larger than the genital (pubococcygeus muscle) fissure. The horizontal diameter of the fissure is usually 4 cm at most, so a medium-sized pessary is often used. After a period of time, the pubococcygeus muscle gradually recovers its elasticity, the tissue edema disappears, the weight is reduced, and the uterus will no longer prolapse after the prolapsed part is restored.

(3) The best time to use it is to put it in the morning before work, take it out at night and wash it. It is best not to use during menstruation. The surface of the plastic tray is smooth, it is not easy to deteriorate when exposed to acids and alkalis, and it has little irritation to tissues. After wearing the support, the symptoms disappear and the patient can participate in various activities without pain.

2. Notes

(1) Rest in bed. When sleeping, it is advisable to raise your hips or feet to the height of two bricks.

(2) Do not get out of bed and move around too early after delivery, especially do not engage in heavy physical labor too early.

(3) Avoid standing for long periods of time, squatting, holding your breath, and other actions that increase abdominal pressure.

(4) Maintain smooth bowel and bladder function.

(5) Timely treat diseases that increase abdominal pressure, such as chronic bronchitis and diarrhea.

(6) Breastfeeding should not exceed two years to avoid atrophy of the uterus and its supporting tissues.

(7) Engage in appropriate physical exercise to improve physical fitness.

(8) Increase nutrition and eat more foods that have the effect of replenishing qi and nourishing the kidneys, such as chicken, yam, lotus seeds, dates, etc.

(9) Exercise moderation in sexual intercourse. !

This is the end of the introduction to the causes of uterine prolapse and whether it requires surgical treatment. Many friends are concerned about whether the problem has been solved. In fact, we need to do a lot. When we decide how to treat it, we need to pay attention to many things. So I hope you will remember the introduction I give you here, and I also hope that patients can recover their health as soon as possible.