How to treat postpartum anterior vaginal wall bulging

Having a baby is a very important thing, but it is very easy to have various abnormal conditions after childbirth. For example, postpartum anterior vaginal wall swelling is a typical symptom. Although the child is healthy, it has a significant impact on women's health, especially their sexual life. So, how to treat postpartum anterior vaginal wall prolapse? Let’s take a closer look below.

(1) Pessary: ​​An ancient treatment method suitable for varying degrees of vaginal prolapse. A pessary with a diameter larger than the transverse diameter of the urogenital hiatus can support the uterus and vaginal walls and keep it in the vagina without falling out. It is made of silicone rubber plastic and other materials. It has many shapes, the most commonly used ones are ring-shaped and trumpet-shaped (Figure 4), or spherical pessary (Figure 5).

Choose a pessary of appropriate size. The first time you use a pessary, it should be placed under the guidance of a physician. Use it during the day, take it out at night, wash it and set it aside. If left unremoved for long periods of time, the pessary may become incarcerated and may even cause urinary fistula or fecal fistula. It is not suitable for patients with cervical and vaginal wall inflammation, genital tract ulcers, and severe prolapse that cannot be reduced. It should be discontinued during menstruation and pregnancy, and reviewed every 3 months after use.

(2) Pelvic floor muscle (levator ani muscle) exercise: suitable for those with mild vaginal prolapse. Instruct the patient to perform anal contraction exercises, forcefully contracting and relaxing the pelvic floor muscles for 10 to 15 minutes each time, 2 to 3 times a day. This therapy can be performed in conjunction with taking the traditional Chinese medicine Bu Zhong Yi Qi Tang.

(3) Improve overall condition: Treat and eliminate chronic diseases that increase abdominal pressure, such as cough and constipation. Postmenopausal women should take appropriate estrogen supplements to avoid excessive fatigue and rest to improve and reduce the degree of vaginal prolapse.

The above is an introduction to the treatment of postpartum anterior vaginal wall prolapse. I hope it will be helpful to patients. The situation of anterior vaginal wall swelling after childbirth is quite special. Many women are unwilling to go to a regular hospital for treatment due to its special location. This can easily aggravate the condition. It is imperative to go to a regular hospital for diagnosis and treatment in time to avoid more serious consequences.