Pelvic Floor Exercise Prevention, Healthy Nutrition, and Exercise – A vaginal and uterine reduction occurs when the muscles and ligaments of the internal genital holding apparatus lose their elasticity and are no longer able to hold them in their anatomically correct position.
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Causes of a vaginal and uterine depression
There are usually several factors involved in the development of a vaginal and uterine depression. These include:
- The Natural Aging Process: With age, the vaginal and uterine retention apparatus loses some of its elasticity. At the latest after the onset of menopause, a – often only slight – vaginal and uterine prolapse is evident in almost all women.
- Pregnancy and vaginal birth: Each pregnancy and every vaginal birth burdens the pelvic floor and the other muscles and ligaments in the abdomen. During pregnancy, this burden is noticeable, for example, by a sometimes very painful pulling on the mother ligaments. Especially with extensive children or multiple births, it comes during pregnancy and childbirth to strong strains of the ligaments.
- Heavy physical work, especially the regular lifting of heavy loads
- Strong overweight, chronic constipation, chronic cough
- Location anomalies of the uterus
- Also, the surgical removal of the uterus (hysterectomy) can lead to a divorce. After the procedure, the so-called vaginal blind remains. If it has not been adequately secured in the pelvis during the operation, it can later sink down by the action of gravity.
Women with congenital connective tissue weakness, in combination with severe stress on the pelvic floor, are at unusually high risk of having vaginal or uterine prolapse. Also, weak developing abdominal muscles are considered to increase risk, as they also help to keep the uterus and vagina in place.
Degrees of expression and symptoms
Physicians distinguish between four different degrees of uterine prolapse: A first-degree uterine depression is only very slightly pronounced. She is often not noticed by the affected women. In a second degree depression, the uterus descends to the vagina, at the third degree it is visible in the vagina. A fourth degree uterine prolapse is a complete prolapse (uterine and vaginal prolapse).
The symptoms of vaginal and uterine erosion depend on the severity of the disease. Typical signs of uterine erosion are:
- Tension and pressure in the abdomen
- Abdominal and lower back pain, which mainly after physical exertion
- Foreign body sensation in the vagina
- Frequent urgency and bladder weakness.
Bladder problems caused by uterine erosion are always evident when the uterus has sunk enough to press the bladder. If the anterior vaginal wall also sinks, a bladder prolapse occurs, the so-called cystocele. Very pronounced cystoceles often result in stress incontinence: urine is involuntarily lost during sneezing, coughing and physical exertion.
In some cases, bladder emptying disorders occur and the accumulated residual urine can lead to urinary tract infections. A lowering of the posterior vaginal wall also pushes the rectum into the deep (rectocele), which can result in persistent blockages. However, this symptom is less common than cystoceles. Severe pain can occur if the reduction burdens old scars or adhesions.
In a complete uterine prolapse, the cervix exits. The destruction of the vaginal flora causes vaginal inflammation and pressure ulcers due to the influence of pressure and friction on the cervix. Affected women suffer from partly bloody discharge and naturally also in pain.
Diagnosis and therapy
A vaginal or uterine prolapse diagnosed the gynecologist during the normal gynecological examination. The degree of depression becomes visible after deployment of the vagina with the speculum. Cysto- and rectocele can be felt manually.
Depending on the extent of uterine erosion and the individual symptoms, further examinations, such as an ultrasound of the kidneys to exclude urinary retention, may follow.
The treatment of vaginal and uterine depression can be conservative as well as by surgery. You should do something preventive before it comes to a reduction. The type of therapy depends on how far the reduction has progressed, whether the patient still wants children, how old she is and whether she can cope with an operation.
Regular pelvic floor training can well treat light forms and often also form back. Also, there is the therapy with special balls or electrostimulation. After the menopause – the final absence of the menstrual period during menopause – the doctor will often treat vaginal and uterine eradication locally with estrogen-containing suppositories or creams.
In severe subsidence, there are only a few alternatives to surgery. The doctor performs a so-called vaginal surgery – thus surgically tightens the vaginal wall – brings back uterus, bladder and rectum in their place and fixes them there.
By shortening the bands, they can take over their hold function again. In women who have completed their family planning, the doctor will often recommend removal of the uterus in the event of a severe reduction. The vaginal blinding sac is then fixed in the pelvic cavity to prevent later vaginal prolapse.
Unfortunately, these operations do not last forever. Therefore, pelvic floor training is still important.
Prevention through pelvic floor training, healthy eating, sport
Prevention can be a method of vaginal and uterine erosion by various methods. Doctors advise women suffering from a congenital or acquired connective tissue weakness to undergo regular pelvic floor training, which should be started as soon as possible before the first symptoms and symptoms of depression appear.
What are the consequences of having a lower uterus for future pregnancies?
Even more pronounced vaginal and uterine depression do not stand in the way of (re) pregnancy. However, increased stress on muscles, ligaments, and pelvic floor during pregnancy may increase symptoms, especially bladder weakness and urinary incontinence.
The risk of premature birth does not increase as a result. Even with birth complications from the reduction is not expected – a loose pelvic floor is not an obstacle to the birth and makes it even easier. Nevertheless, affected women during pregnancy should pay particular attention to a regular pelvic floor training.
In general, every pregnancy and every birth strain the pelvic floor and the supporting apparatus of the uterus. Even with no known connective tissue during pregnancy Sport important prenatal exercises and pelvic floor training.
During birth, a timely episiotomy can ensure that the pelvic floor is not overstressed. The postnatal exercises after birth – for all women, but particularly for existing weaknesses of the connective tissue and the pelvic floor – important.
- A lowering of the vagina and uterus can occur when the holding apparatus of the internal genitalia loses its elasticity. As a result, the uterus and vagina descend deep into the pelvis.
- Mild vaginal and uterine hypotension often causes a doctor must treat no discomfort, more pronounced forms.
- A later pregnancy and childbirth do not stand in the way of a lowering of the uterus, and there are no risks for mother and child.
- Targeted pelvic floor training, a healthy and balanced diet as well as regular exercise are important for the prevention as well as the therapy of slight subsidence.
- During pregnancy and postpartum, pregnancy exercises, pelvic floor exercises, and postnatal exercises help to prevent permanent overstretching of muscles and connective tissue.