Prolapse
Also called ′′ organ descent ", a prolapse is an organ fall down. It occurs in women and may involve one or more organs: bladder, rectum, uterus and urethra.
It can be more or less serious and evolving over time.
Painful or severely diminished sensations
In the case of prolapse, women often fear their partner’s reaction: they prefer to give up foreplay, such as cunnilingus. And when organ descent is about the womb, sexual intercourse can become extremely painful.
′′ Vaginal farts ′′ also have their part in desire disorders, women are ashamed of the noises made by their sex during reports. This phenomenon is due to ′′ vaginal relaxation Vagina diameter, normally from 20 mm to 30 mm. The woman’s sensations during penetration are severely decreased, with the penises being too ’ off ’ and therefore little in contact with the vaginal walls.
The anxiety of urinary leak during reports
Urinary incontinence is one of the consequences of relaxing the perineum. Leaks occur during sneezing, crazy laughing, running… but can also happen during romantic chat. When urinary incontinence occurs at the time of penetration, during coital incontinence, or during orgasm (orgasmic incontinence), the woman has legitimate anxiety: all her sexuality is upset. Anal orgasmic incontinence, on the other hand, is extremely rare but equally disabled.
Causes of prolapse
Prolapse is caused by a release of the perineum and / or loss of elasticity of the pelvic floor. Ligaments and muscles normally hold the organs, but when they are released or damaged, they do not perform their function and the organs located in the pelvic region are no longer supported: they go down.
Who is touched? What are the risk factors?
A recent study found that up to 40 % of women aged 45 have more or less severe prolapse. For 10 % of women, organ descent causes a real inconvenience in everyday life.
The most affected by prolapse are women:
Menopausal: decreasing estrogen leads to relaxing perineum muscles
Who have experienced one or more difficult births (use of forceps)
Who have had many children (risk increases with each pregnancy)
Who have undergone surgery in the pelvic area
Who stay up long and / or must carry long loads repeatedly
Whose mother suffered from prolapse (hereditary factor)
Obese or heavy overweight
Contagion
Prolapse is not contagious.
The main symptoms
The symptoms of prolapse are:
Feeling gravity while walking
Inconvenience in the pool
Urinary leaks in effort (laughing, coughing, etc.) )))
Anal or annal incontinence (depending on the organ affected)
In advanced cases: the womb descends so low that it is visible from outside
Diagnostics
In very advanced cases, prolapse is detectable by the patient herself. For less severe prolapse, a simple gynecological exam usually makes it possible to diagnose it. Various tests can then be carried out to determine where the observed prolapse is. We distinguish 3 stadiums:
Prolapse is internal, localized in the vagina
The prolapse is close to the vulva
The prolapse is exteriorized: it is visible out of the vagina
Possible risks of complications
The main complications of prolapse are: organ exteriorisation reaches, sometimes fatal renal failure (in the case of the bladder), ulcers when organs are exteriorized.
Finally, prolapse, even in its benign forms without requiring treatment, can lead to a decline in sexual pleasure.
Prolapse treatment
For light prolapse cases, there is just a regular monitoring and regular practice of perineum strengthening exercises. Maintaining a healthy weight also prevents prolapse from worsening.
In postmenopausal women, hormone taking can reduce prolapse evolution.
Finally, when organ descent is severe, there is usually a surgical procedure to install a perineal support prosthesis. The elderly may consider removing the uterus and ovaries.
Prolapse prevention
There is no method to prevent prolapse from becoming 100 % but some measures are beneficial:
Maintain a healthy weight
Doing perineum rehab exercises after every pregnancy
Treating abs ′′ swelling ′′ mostly due to constipation
Taking hormonal treatment during menopause