What Are the Symptoms of PTSD in Women?

Female reproductive organ damage refers to the pelvic floor muscles, fascia and uterine ligaments that maintain the normal position of the female reproductive organs in the pelvic cavity. Due to damage and relaxation, the support function is weak, causing the uterus and its adjacent bladder and rectum to go down. Shift.

Female reproductive organ trauma

Female Genital Trauma Introduction

Female reproductive organ injuries include perineal laceration, urinary fistula, fecal fistula, uterine prolapse, ovarian rupture, and vaginal prolapse.

Female genital trauma is clinically divided into uterine prolapse, anterior vaginal wall prolapse, and posterior vaginal wall prolapse. When a female reproductive organ is in communication with its adjacent urinary or intestinal tract due to injury, a urinary fistula or fecal fistula is formed.

Perineal lacerations, or complete perineal lacerations, include vaginal opening lacerations, perineal lacerations, and lacerations of the anal sphincter. In severe cases, the lacerations can extend to the rectal wall, causing stool and gas incontinence. Most of the causes are due to improper handling of childbirth and occasional trauma. Due to the vigorous implementation of the new method of midwifery, the birth attendants properly protected the perineum, which greatly reduced the incidence of third degree lacerations in the perineum. Occurred occasionally in large hospitals in the city.

Causes of female reproductive organ trauma

Female reproductive organ trauma often has delayed labor, prolonged second stage of labor, dystocia, a history of midwifery, and long-term increase in abdominal pressure, weakness, malnutrition, and premature post-partum manual labor. In observing the birth process, it is important to correctly estimate the size of the fetus, understand the position of the fetus and the exposed part, and prevent sudden births. For a woman with a narrow posterior occipital position and a narrow exit, a large lateral incision must be made when assisting delivery with forceps. If necessary, a bilateral incision can be made to protect the perineum. The perineum is cut in the middle, which has its superiority in the hands of skilled people; but when the operation technique is unskilled and the perineum is not well protected, it may cause the wound in the middle of the perineum to continue to tear back, resulting in degree It is worth noting the laceration.

Female reproductive organ trauma symptoms

Female reproductive organ trauma prolapse of anterior vagina

1.Symptoms

Those who are mild are asymptomatic. In severe cases, he reported that a block had prolapsed from the vagina, accompanied by a falling sensation and backache.

Signs

According to the degree of bulging or prolapse of the anterior wall of the vagina during the examination, it is clinically divided into 3 degrees.

The bladder with a degree of bulging protruded downward along with the anterior vaginal wall and was still located in the vagina.

The anterior wall of the vagina with degree bulging was exposed outside the vaginal opening.

degree bulging anterior wall of the vagina all prolapsed outside the vaginal opening.

Female genital trauma posterior vaginal wall prolapse

1.Symptoms

The mild ones are mostly asymptomatic, the severe ones may have a falling sensation, backache and difficulty in defecation, and sometimes it is necessary to push the bulging back wall of the vagina with fingers to defecate.

Signs

Examination showed that the mucosa in the posterior wall of the vagina was bulging and the vagina was loose. The swelling increases when you hold your breath. When the anus is diagnosed, the fingertips can enter the blind bag protruding to the vagina. Patients are often accompanied by old perineal lacerations. Clinical index: similar to prolapse of the anterior vagina.

Female genital trauma uterine prolapse

1.Symptoms

Mild patients generally have no discomfort, and patients with moderate to high levels often have varying degrees of lumbosacral pain or sensation of fall; symptoms are noticeable when standing too long, after exertion, or when abdominal pressure increases, which are alleviated after bed rest.

Severe uterine prolapse, often accompanied by difficulty urinating or defecation, or constipation, or enuresis, or the presence of residual urine and tension urinary incontinence, prone to cystitis.

Signs

Unpromising uterine prolapse is often accompanied by rectal and bladder prolapse, vaginal mucosa thickening, cervical hypertrophy and prolongation.

According to the degree of uterine descent when the patient held the supine breath while being held down during the examination, our country divides the uterine prolapse into 3 degrees.

I degree: light: the outer opening of the cervix is less than 4cm from the hymen edge, but not heavy; the heavy: the outer opening of the cervix has reached the hymen edge but does not exceed the edge, and the cervix can be seen at the vaginal opening.

Degree : Mild: The cervix has come out of the vaginal opening, but the uterine body is still inside the vagina; Heavy: The cervix and some cervix have been taken out of the vaginal opening.

degree: All the cervix and uterine body prolapse outside the vaginal opening.

Fourth, genital tract fistula

(1) Urine leakage is the main symptom of this disease.

(2) Vulvar dermatitis,

(3) Urinary tract infection,

(4) amenorrhea,

(5) Complex and huge bladder urethral vaginal fistula,

Five, fecal fistula

Mainly manifested as vaginal leakage of feces and exhaust. For those with large fistulas, the formed feces can be excreted through the vagina, and they continue to flow out when they are thin and cannot be controlled.

Female reproductive organ trauma treatment

(1) The extent of the lesion is small and the condition is not serious. Conservative treatment such as local compression, hemostasis, anti-inflammatory and rest can be used, waiting for natural recovery.

(2) Large lesions, severe trauma, or suspected complication of other organ injuries, should be immediately surgically explored, hemostatic and repaired.

(3) Pay attention to rest, increase nutrition, strengthen exercise and apply antibiotics to prevent secondary infections.

Diagnosis of female reproductive organ trauma

(A) Tearing during childbirth

Perineal lacerations occur in the second stage of labor. When the fetal head is crowned, the midwife may notice a tear in the perineum. Immediately after delivery, a third degree laceration was found and sutured, and the wound healing was generally good.

(Two) old lacerations

During the examination, a finger was inserted into the anus, and the patient was instructed to contract inwardly by holding the stool. At this time, the anal finger did not feel the contraction of the sphincter, and it was seen from the side of the anus due to the tearing of the broken end of the muscle. A small depression, a circular muscle stump can be found at the tear. ^[1]