Causes of prolapse symptoms
Prolapse symptoms occur primarily in women who have given birth, because pregnancy and childbirth can reduce internal stability. The supporting tissues of the vagina and uterus can stretch and become damaged, which worsens with age.
Approximately 50% of women experience prolapse symptoms after pregnancy. However, many women do not experience any symptoms of prolapse. After the age of 45, however, symptoms do emerge in many women as the muscles weaken and damage becomes visible.
Other causes of prolapse symptoms include:
- Heredity
- Naturally weaker muscles
- Intensive physical exertion, such as lifting
- Overweight and smoking
- Constipation and excessive straining
Different types of prolapse and associated symptoms.
There are different types of prolapse with associated symptoms:
Uterine prolapse
This can range from a mild prolapse to a situation where the cervix protrudes from the vagina. Symptoms occur primarily during sex, but early diagnosis prevents serious complications.
Prolapse of the ureter and bladder
Prolapse of the anterior vaginal wall can lead to bladder prolapse, causing urinary tract problems such as bladder infections and incontinence.
Rectal prolapse
This form causes problems with bowel movements due to protrusion of the posterior vaginal wall and the rectum.
Prolapse of the small intestine
This usually causes few symptoms and is often discovered during surgery.
Treatment of prolapse (sagging)
Depending on the type of prolapse, various treatments are possible:
- Therapies such as pelvic physiotherapy, pelvic floor training, and muscle training
- Hormonal treatments to strengthen muscles and connective tissue
- Use of a pessary
- Surgical procedures, including abdominal surgery, laparoscopic surgery, or vaginal surgery
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