Dr.M.K.Mishra ( Consult For Homeopathic Treatment)

UTERUS PROLAPSE



Uterine prolapse is falling or sliding ofthe uterus from its normal position in the pelvic cavity into the vaginalcanal.
The uterus is held in position by adequate ligaments. Besides,it has the support of the muscular structures of vagina and all other localtissues and muscles. Due to laxity of support by muscles, tissues andligaments, the uterus sags downwards.
Prolapse of the uterus may be one of three types, depending onseverity:
First-degree prolapse occurs when the uterus sags downwardinto the upper vagina.
Second-degree prolapse occurs when the cervix is at or nearthe vagina.
Third-degree prolapse  occurs when the  is cervix isoutside the vagina.
Fourth- degree prolapse occurs when the entire uterus isoutside the vagina.


Causes-
Pregnancy and trauma incurred during childbirth, particularlywith large babies or after a difficult labor and delivery, are the main causesof muscle weakness and stretching of supporting tissues leading to uterineprolapse. Loss of muscle tone associated with aging and reduced amounts of circulatingestrogen after menopause also may contribute to uterine prolapse. In rarecircumstances, uterine prolapse may be caused by a tumor in the pelvic cavity.
Genetics also may play a role in strength of supportingtissues. Women of Northern European descent have a higher incidence of uterineprolapse than do women of Asian and African descent.
 

Risk Factors-
Certain factors may increase your risk of uterine prolapse:
One or more pregnancies and vaginal births
Giving birth to a large baby
Increasing age
Frequent heavy lifting
Chronic coughing
Frequent straining during bowel movements
Genetic predisposition to weakness in connective tissue
Some conditions, such as obesity, chronic constipation andchronic obstructive pulmonary disorder (COPD), can place a strain on themuscles and connective tissue in your pelvis and may play a role in thedevelopment of uterine prolapse.


Symptoms-
The major symptoms may be a feeling of heaviness, fullness or"falling out" in the vaginal area. The patient may also complain ofbackache or inability to control urination.
 
In some cases where the cervix and uterus are low in thevaginal canal, the cervix may be seen protruding, giving the patient theimpression that a tumor is bulging out of her vagina.
It is not uncommon for the cervix or vaginal epithelium tobecome damaged or ulcerated, in which case the patient may report pain orvaginal bleeding.
 
There is often discharge from the cervix and vagina whensecondary infection occurs. Patients may also complain of difficulty walkingcomfortably.
 

Diagnosis-
A pelvic examination performed while the woman is bearing down(as if trying to push out a baby) will show how far the uterus comes down.
Uterine prolapse is mild when the cervix drops into the lowerpart of the vagina.
Uterine prolapse is moderate when the cervix drops out of thevaginal opening.
The pelvic exam may reveal that the bladder, front wall of thevagina (cystocele), or rectum and back wall of the vagina (rectocele) areentering the vaginal area. The urethra and bladder may also be positioned lowerin the pelvis than usual.
Ultrasound to rule out other pelvic diseases.
A mass may be noted on pelvic exam if a tumor is causing theprolapse (this is rare).
 

Treatment-
Treatment is not necessary unless the symptoms are bothersome.Most women seek treatment by the time the uterus drops to the opening of thevagina.
Losing weight, stopping smoking and getting proper treatmentfor contributing medical problems, such as lung disease with coughing, may slowthe progression of uterine prolapse.
Uterine prolapse can be treated with a vaginal pessary orsurgery.
 

Prevention-
It is easier to prevent prolapse of uterus than cure it afterits occurrence. The measures to prevent it should include good antenatal carein pregnancy, proper management

and timely intervention during delivery, good postnatal carewith proper rest, correct diet and appropriate exercise so as to strengthen thepelvic musculature.

 
Role of homoeopathy-

Homoeopathic medicines shows good result in treating uterineprolapse upto stage 3. These medicines will help in developing strength to thesupports of uterus.



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