The uterus or the womb is a female procreative organ . It is a pear tree shaped electronic organ , located within the pelvic neighborhood in the female body . It is placed between the rectum ( posteriorly ) and the urinary vesica ( anteriorly ) . Broadly it is divided into 3 parts : Fundus , organic structure and cervix . It is driven by the distaff sex endocrine and it help in several reproductive functions . This includes gestation , working class , flow , implantation , delivery and child parturition . The uterus adapts itself with the changes in a charwoman ’s reproductive spirit . The uterus is supported by the pelvic diaphragm , perineal body and urogenital diaphragm . It is also supported by the peritoneum or the broad ligament of uterus . Excess tune on the uterus can lead to a condition called as uterine prolapse wherein the uterus shifts from its normal position . This can also ensue in a number of complications and hence knowing it in detail and preventing the condition is very authoritative .
What is Uterine Prolapse?
Uterine descensus is a shape characterize by sagging or slipping of the womb from its normal spatial relation into the vagina . The uterus is held in position by a web of muscles and ligament . unnatural stretching and weakening of these muscles can cause uterine prolapse . It is also known by the condition pelvic floor herniation .
Uterine descensus are of 2 types : complete and uncompleted . fill out uterine prolapse is characterised by utter sagging of the uterus with some tissues being outside the vagina . Incomplete uterine prolapse is fond sagging of the uterus .
Uterine prolapse proceeds in the following stage :
Symptoms of Uterine Prolapse
In the initial stages , uterine prolapse may go unnoticed as it is asymptomatic in the former stages . symptom start developing in the temperate or ripe degree . The most commonly encountered symptom of uterine descensus include :
There may be other consideration relate with uterine descensus such as cystocele , enterocele and rectocele .
Prognosis of Uterine Prolapse
In mild instance , a treatment may not be required . Pessaries have yielded good and good results . Surgical direction also has dear prognosis ; however , it may require retreatment and re - operation again .
Causes of Uterine Prolapse
The causes of uterine prolapsus include :
Risk Factors of Uterine Prolapse
The risk of developing uterine descensus increase with ageing as the oestrogen level decreases with get on in women . With declination in oestrogen level , the strength of the pelvic muscular tissue decreases leading to sagging of the uterus . The pelvic muscle may also get damaged with multiple pregnancy and childbirth . The peril also increase with story of multiple vaginal manner of speaking and Wiley Post climacteric . sure physical activities may also go to weakness of the pelvic muscles causing uterine descensus . Other risks divisor include conditions such as corpulency , chronic constipation and chronic coughing . Uterine prolapse is more vernacular among the Caucasian ethnicity .
Complications of Uterine Prolapse
potential tortuousness of uterine prolapse admit ulcer and infection of the cervix and also the vaginal wall . There can be perennial urinary tract transmission with other urinary issue . The peril of grow cystocele , proctocele and enterocele increases with the incidence of uterine prolapse . Uterine prolapse also induce constipation and piles . In young fair sex , it put a threat to child parentage and maternity .
Diagnosis of Uterine Prolapse
Diagnosis of uterine prolapsus is done by an experienced physician or a gynaecologist . A detailed case history is obtained which is then followed with a strong-arm examination . A pelvic examen is performed by the physician either is position down or in standing position . A twist called as the speculum is insert through the vagina to image the vaginal canal and the womb . The patient may be asked to promote down like she is having a gut movement to determine the extent of prolapsus . Supportive subject area may be done for further evaluation such as bloodline work for determining the estrogen and other hormonal level . An ultrasound of the pelvic region is often helpful for further rating . In some casing , endovenous pyelogram or nephritic echogram may be needed .
How is Uterine Prolapse Treated?
In certain cases , no active treatment is warranted for uterine prolapsus . However , if the condition of uterine prolapse is severe , the following handling can be considered based on the inclemency of the precondition .
Prevention of Uterine Prolapse
Uterine prolapsus is a condition which can not be prevented in certain situation . However , the pursual may help in reducing the risk of develop this condition :
Uterine descensus is a condition where the uterus moves downwards towards the vagina due to helplessness in pelvic muscles and ligaments which reserve and substantiate the uterus . base on the extent of sagging , the status can be classified into complete and incomplete uterine descensus and the intervention is determined . It is also more frequent among woman who have a history of multiple pregnancies and child birth . Even immature women can receive this condition ; this can redress through various intervention methods available . However , they might take caution to tone the pelvic muscles before gestation ; extra caution must be taken during and after maternity to preclude recurrence of uterine prolapsus .
