How to treat uterine prolapse?

Once a patient has the problem of uterine prolapse, she will often experience uncomfortable symptoms to varying degrees. At this time, the patient often feels colder. There may even be varying degrees of dull pain in the lower back. Moreover, primary uterine prolapse does not require treatment and can be recovered by resting. Uterine diseases are common in our lives. How to treat uterine prolapse?

① Pay attention to bed rest. When sleeping, it is advisable to raise the hips or feet, and raise the height of two bricks. ② Do not get out of bed too early after delivery, especially do not participate in heavy physical labor too early. ③ Avoid standing or squatting for a long time, holding your breath and other actions that increase abdominal pressure. ④ Keep urination and defecation unobstructed. ⑤ Timely treat chronic tracheitis, diarrhea and other diseases that increase abdominal pressure. ⑥ The breastfeeding period should not exceed two years to avoid atrophy of the uterus and its supporting tissues. ⑦ Exercise appropriately to improve physical fitness. ⑧ Increase nutrition and eat more foods that have the effect of replenishing qi and kidney, such as chicken, yam, lentils, lotus seeds, Euryale ferox, loach, mussels, leeks, jujubes, etc. ⑨ Moderate sexual intercourse.

Non-surgical treatment can use a pessary to hold the prolapsed tissue and relieve symptoms. There are many types of pessaries, and the size should be considered when choosing one. Generally, pessaries are available in three sizes: large, medium, and small, and must be worn in advance. After placement, it should not fall off when abdominal pressure increases, and there should be no discomfort caused by distension.

When using a pessary, you should make sure to have a physical examination before using it. It is usually put in in the morning, taken out before going to bed, washed and dried before use. The elderly should not take it out every day, at least once every 2-3 days. For those who are first put in, check it every 1, 3, 6 months, and check it once a year if there is no discomfort. After a long time, the pelvic floor muscles will recover, and the pessary should be changed to a smaller size. Before putting in the pessary, you should urinate and defecate first. If you feel dry when putting in the pessary, you can use clean water or lubricant. After putting in the pessary, if the leucorrhea increases, you can take a potassium permanganate solution for a sitz bath every night. Use a pessary during menstruation and after 3 months of pregnancy. The pessary also needs to be disinfected regularly, either by washing with soapy water or soaking in a 1:5000 potassium permanganate solution for 10 minutes.

Pessaries should not be used in patients with severe perineal lacerations, genital tract inflammation, prolapsed uterus that cannot be returned to the vagina, excessive cervical elongation or suspected cancer, urinary fistula or fecal fistula, puerperium, pelvic tumors or combined ascites.

Uterine prolapse once required further active treatment. And at this time, it is not just medication that can be used for treatment. And further treatment with the use of pessary. Of course, physical therapy is actually recommended and can often be used to further treat mild uterine prolapse. At this time, you can do levator ani muscle exercises.