when uterus falls...

Uterine prolapse remains a significant cause of morbidity and impairment of quality of life. Uterine prolapse can be triggered by difficult, prolonged labor, and delivery,frequent pregnancies, inadequate obstetric care, and carrying heavy weight.
Birth of large babies are the main causes of muscle weakness leading to uterine prolapse.Loss of muscle tone associated with aging and reduced amounts of hormones estrogen after menopause also contribute to uterine prolapse. Although numerous risk factors are involved, high-impact occupational or recreational activities and increasing age are most often implicated. A smoker's cough is prone to make a woman more likely to develop a prolapse, as is being overweight.
Uterine prolapse can lead to significant emotional, physical and sexual complications. Countries where fertility is high and women carry heavy loads on their backs,one out of ten women are estimated to suffer from the condition. Uterine prolapse can limit a woman’s mobility, making her physically incapable to perform routine household chores or reluctant to have sex. Many women who suffer from it are deserted by their husbands and becomes pariah in their own communities.
Sometimes called, a ‘fallen womb’, uterine prolapse is an invigorating condition in which the weakening of supporting pelvic connective tissue and the muscles allows the uterus to descend into the vaginal canal. The bladder or rectum may be pulled downward along with the uterus,causing bladder and bowel control problems.This can add to a marked reduction in the quality of life.
The substantial psychosocial consequences of urinary incontinence stress the need for more public health and medical attention. Mild cases of uterine prolapse sometimes don't cause any symptoms.However, most women do have symptoms,the most common being a sensation of'something coming down below. Leakage of urine, which can be worse with heavy lifting, coughing, laughing or sneezing.Moist discharge that soils your undergarments often. A prolapse that is more advanced can cause chronic back pains, painful sexual intercourse and urinary incontinence. In severe cases of uterine prolapse, you may develop sores in your vagina where the fallen uterus rubs against your thin skin lining your vaginal walls.Bulge of moist pink tissue from the vagina is exposed outside of your body and may be irritated and cause itching or small sores that can bleed.Infection is a possibility.

The best option is to prevent the prolapse in the first place. Performing pelvic floor exercises on a daily basis to strengthen the muscles of the pelvic floor is recommended. These can be done anywhere and at any time by simply tightening the pelvic floor muscles, as if trying to stop the urine flow.
Although Some women find relief by doing special control exercises (Kegels) to strengthen pelvic muscles,or by taking hormones or by using a pessary to hold the uterus in place.
Once the prolapse is established, it is much more difficult to control symptoms with exercises.
Advanced, severe or complete prolapse usually requires pessary support or surgical treatment.As an option, women with uterine prolapse are opting for the placement of mesh or uterine devices to support the uterus. Because these alternative forms of treatment allow for future pregnancies, they are feasible options to women with uterine prolapse of child bearing age. When not of child bearing age, and when symptoms are significant, a hysterectomy may be the only viable option in treating uterine prolapse and remedy the associated complications.
The primary management of severe uterine prolapse is surgical. A hysterectomy is recommended in more serious cases of uterine prolapse. The procedure that is chosen depends on the woman's age, severity of the symptoms, medical history, desire for future fertility and desire to be able to have sex. The goals are to restore normal anatomy, relieve symptoms, restore normal bowel and bladder function, and restore the ability to have sex.Educating women concerning the possible complications involved with hysterectomy may ease patients' preoperative anxiety and ultimately improve outcomes.
Elderly women or those who don't want to or are unfit to undergo surgical repair may be content to have a ring pessary inserted. It will keep the uterus and the bladder in place without them being able to feel it. The ring is usually changed or removed and washed and replaced every four to six months.
The major problem about prolapse is primarily due to the lack of awareness. Vaginal prolapse cannot be prevented in every case.However, you may be able to decrease your risk of uterine prolapse if you perform Kegel exercises regularly, avoid heavy lifting, and maintain a healthy weight.

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