[Love Wants Sex Series 323]If uterine prolapse interferes with daily life, surgery is required

(Kuala Lumpur) “If uterine prolapse does not cause physical discomfort or disrupt daily life, then it only needs to be tracked and observed. On the contrary, appropriate treatment must be given.”

Mild patients doing Kegel exercises

Obstetrics and Infertility Consultant Dr. Huang Guochong pointed out that slight uterine prolapse is the first and second degree of prolapse as mentioned in the previous issue, and the cervix has just slipped out of the upper or middle end of the vagina. This type of uterine prolapse only needs to be improved by doing Kegel Exercises and avoiding repeated heavy lifting.

“If these two types of patients have chronic cough or constipation, they must also be treated, otherwise the uterus will continue to prolapse.”

“As for the third and fourth degrees of prolapse, the uterus has slipped out close to the vaginal opening or outside. Since it is so serious, it needs to be treated.”

He pointed out that this kind of severe uterine prolapse mostly occurs in menopausal women over 60 years old. Their lack of estrogen leads to vaginal dryness, and the vaginal muscles, pelvic floor muscles and ligaments will also be loose. Plus the sagging uterus will definitely get in the way of daily life.

So, what treatment should be given to such women?

He said that if a woman over 60 years old is healthy and suitable for surgery, he would recommend removing the uterus and ovaries, that is, removing the prolapsed uterus and ovaries together, because the ovaries at this age have no function, and in the future they will be removed. There is a 1% possibility of lesions, such as ovarian cancer and other problems.

“Surgery is a one-stop solution to the problem. You can use vaginal surgery, minimally invasive surgery or laparoscopic surgery to remove the entire uterus. When doing this type of surgery, the doctor will also repair the front and back walls of the vagina, which is trustworthy. Returns the bladder to prevent future drops and helps with voiding problems due to inability to empty or prolapse of the urethra.”

Avoid repeated heavy lifting after surgery

He pointed out a very important reminder that women must avoid repeated heavy lifting after surgery, otherwise, there will still be problems that may cause uterine prolapse in the future.

“Constipation and chronic cough, is an important treatment,

Because it can cause uterine prolapse,

If there is a sagging problem again,

Then a second surgery is necessary.

It is worth mentioning that after the operation, it is more helpful to the sex life.“

non-surgical therapy

Vaginal ring for slight sagging

Another non-surgical treatment for uterine prolapse is the use of vaginal rings.

A vaginal ring is a silicone or plastic ring that is inserted into the vagina to support the entire cervix.

Huang Guochong pointed out that the vaginal ring is suitable for mild second or third degrees, especially for those patients who do not want to undergo surgery.

Take it out and clean it every two months

“There are also patients who originally wanted surgery due to third and fourth degrees of uterine prolapse, but they are not suitable due to physical health problems. They can also use vaginal rings to support the uterus.”

He pointed out that the only “bad” thing about the vaginal ring is that every two or three months, you have to go to the doctor to take it out, clean it and reinsert it. During the cleaning process, the doctor will also recommend cleaning the vagina, because the vaginal ring is a foreign object after all, and it can also cause vaginal inflammation, so it must be dealt with.

“Young patients who want to get pregnant again can do uterine preservation surgery, which is to fix the uterus in place through surgery. During the operation, the doctor will use a mesh material, or Mesh, to embed vaginal tissue on the coccyx. Doctors do less of the first type of surgery now, because young women rarely have severe uterine prolapse, and there are new vaginal rings that can solve her problems.

If it is only a slight problem of uterine prolapse and urethral incontinence, there is something called “vaginal repair instrument” on the market that can help solve the above problems. This type of device is a device that produces some ultrasound or radio waves after a small stick is implanted in the vagina, which can help urinary incontinence.

The only problem with this device is that the treatment must be repeated in 6 to 9 months, it is not like surgery to solve the problem once and for all.

Urethral incontinence cannot be cured

Although the vaginal surgery mentioned above can completely solve the problem of uterine prolapse, it cannot completely cure urinary incontinence.

Another relatively new non-surgical treatment of urethral incontinence is a special chair. Patients only need to sit on the chair for 20 to 30 minutes to reduce the problem of urethral incontinence. Muscles and ligaments.

As for how to avoid the risk of uterine prolapse, there are four key points, including:

First/Constipation must be prevented, drink plenty of water, eat more fruits and vegetables, beans, whole grains and other high-fiber foods;

Second/avoid lifting heavy objects;

Third/To control cough, chronic cough or bronchitis, you must find a doctor to solve this problem. If you don’t smoke, you may cough less;

Fourth/to avoid weight gain, you can ask a doctor to help you deal with weight problems.

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