What is a dropped uterus?

Looking uterus, also known as a prolamed uterus or an uterine prolapse, is a state where the woman's uterus is moved down and the vagina is still. The causes of the abandoned uterus include childbirth and damage to the pelvic floor during labor, impaired nerve transmission to pelvic floor muscles, genital atrophy, lack of estrogen or hypoestrogenism, and other health conditions that increase intraabdominal pressure or reduce collagen elasticity. This condition can cause impaired function and is usually treated surgically. Levator muscles and endopelvic fascia are also called pelvic floor because they support the contents of the pelvis and abdomen. A woman with a dropped uterus has a weakening of this support system and a defect in the upper part of the vagina, leading to vaginal Eversino and the fall or descent of the uterus through the vaginal channel.

There are different causes of dropped uterus. Women who have gave birth several times are exposed to an increased risk because of birth releaseis or tears the levator muscles, endopelvic fascia or perineal body. The problem with the pudendal nerve and the related nerves can cause impaired nerve transmission, leading to the weakness of the pelvic floor and subsequent uterine prolapse. Women who have chronic lung disease leading to excessive cough, constipation and obesity may also suffer from a dropped uterus due to increased intraabdominal pressure that weakens the pelvic floor. The connective tissue disease, such as the Marfan syndrome, is also predestined by women to a dropped uterus.

The need for a dropped uterus is usually dependent on the degree of prolapse. In the first -stage prolapse, the uterus descends into a thorn vagina, but it is not visible externally, while in the second degree prolapse, the uterine suppositor is already near or outside the vagina. The third stage or overall prolapse is a condition in which the whole uterus is already outside the vagina. While minimal or prolapse of the first grade uterus may not cause symptoms, the effects of the second or third degree of a dropped uterus include vaginal PLine, back pain, spotlight, ulceration, pain or problems during sexual intercourse and urinary or faecal incontinence or retention. Women who have a slight prolapse of the uterus without symptoms do not need treatment.

Important considerations include the patient's age, desire for conception, degree of prolapse, severity of symptoms, other health conditions, presence or absence of nerve problems, previous surgical history and patient selection. If the patient decides to maintain its reproductive function, ultrasonic imaging and endometrial biopsy are recommended. Pelvic exercises, wagza registers for supporting equipment such as pessaries and local estrogen, are considered to be a conservative medical treatment. Severe cases are best treated with surgical procedures such as collectomy, colpocleisis, abdominal sacral colpopexia, sacral uterus, satospinous ligament, suspension ilococcygeus fascia and uterine ligament fixation. PAP is recommended before surgery.