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This disease is common in women over the age of 50, but it can also affect women in their 30s. Women who have had multiple deliveries, have "heavy" babies, and women who need suction cups or forceps due to dystocia. In addition, people with constipation, asthma, cough and long-term lifting of heavy objects have an increased risk of developing this disease. A small number of women with congenitally weak pelvic floor muscles should pay attention even if they have not given birth.<\/p>\n
Common symptoms of uterine prolapse include protruding lumps or heavy discomfort in the genitalia, lower back pain or pain in intercourse, or feeling unable to urinate, and some patients leak urine when coughing. If the rectum also falls out, you will feel that the stool is not clean. Symptoms are relieved when lying down or in the morning, and more obvious when standing or at night. Some patients may mistake it for gynecological cancer, such as cervical cancer or vaginal cancer, and make a false alarm.<\/p>\n
Although it is not cancer, prolapse of the uterus will cause discomfort and backflow of urine, leading to decreased kidney function, and even kidney failure in severe cases. If you have any doubts, you should seek medical advice as soon as possible.<\/p>\n
Depending on the location and severity of the prolapse, the doctor will recommend non-surgical or surgical treatment. The former uses a vaginal support to temporarily support the prolapsed organs. It is suitable for women who want to preserve the uterus to give birth in the future, or those whose physical condition is not suitable for surgery. The vaginal support needs to be replaced regularly, and long-term wearing may also crush the vagina, cause bleeding and affect sexual intercourse.<\/p>\n
Surgical treatment is mainly transvaginal hysterectomy, coupled with pelvic floor repair. After evaluation, a small number of patients can choose repair operations that can preserve the uterus, such as Manchester repair, but such operations are not recommended for subsequent pregnancy.<\/p>\n
Since the remaining organs of the patient may still prolapse after the operation, it is necessary to improve their living habits at the same time, such as avoiding lifting heavy objects, preventing constipation and long-term coughing, etc. Bear in mind that uterine sagging will not heal on its own. With age, body function will gradually decline, and the effectiveness of treatment will also deteriorate with the severity of uterine sagging.<\/p>\n
Dr. Chan Wing Yin, Vivian<\/p>\n