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Prolaps Uteri (Turun Rahim): Gejala, Penyebab dan Cara Mengobati

Uterine Prolapse: Symptoms, Causes and Treatment

Uterine prolapse is a condition in which the uterus protrudes towards the vagina, often causing discomfort, pain, and increasing the risk of complications and infection. How to recognize the symptoms and treat this condition? Check out the explanation below.

Symptoms of Uterine Prolapse

In mild uterine prolapse, the symptoms may not always be obvious. However, when the uterus shifts further, symptoms such as:

  • Sensation of the pelvis feeling heavy, full, pressured, or pulled.
  • Feeling of tissue protruding from the vaginal opening.
  • The sensation of sitting on a small ball.
  • Friction between vaginal tissue and underwear.
  • Pain or discomfort in the pelvis or lower back.
  • Urinary problems, including difficulty urinating, incontinence, frequent urination, or difficulty resisting the urge to urinate.
  • Constipation that requires vaginal pressure to defecate.
  • Sexual disorders, such as vaginal looseness or pain during sexual intercourse.
  • Difficulty inserting a tampon into the vagina.

These symptoms can worsen when standing or walking for a long time, or when coughing and sneezing because gravity presses on the pelvic muscles.

Causes of Uterine Prolapse

Uterine prolapse or prolapse of the uterus, can be caused by a number of factors including:

  • The process of giving birth through the birth canal.
  • Age at first birth. Women who give birth at an older age are at higher risk of experiencing damage to the pelvic muscles.
  • Difficult labor or injury during delivery.
  • The birth of a baby with a large weight.
  • Being overweight or obese.
  • Decreased muscle tone due to menopause.
  • Problems with chronic constipation or straining during bowel movements.
  • Chronic cough or bronchitis, often related to smoking.
  • Excessive lifting of heavy objects.
  • Have history of pelvic surgery.

How to Treat Uterine Prolapse

To overcome the descent of crossbreeds, treatment will be adjusted to the level of severity. In cases of mild descent that shows no symptoms or only mild symptoms, the doctor will recommend independent treatment that can be done at home.

The aim of this self-care is to relieve symptoms and prevent the condition from getting worse. This self-care involves steps such as:

  • Lose weight
  • Overcoming the problem of constipation or constipation
  • Do Kegel exercises to strengthen your pelvic muscles

In certain situations, your doctor may recommend installing a vaginal support ring (pessary) to support tissue that may protrude. Pessaries are also a good option for patients who cannot undergo surgery. While using the pessary, it is necessary to maintain cleanliness regularly.

However, in cases of more severe descent, the doctor will recommend surgery, including:

  • Surgery to correct the position of the uterus, where the supporting tissue of the uterus can be replaced with tissue from the patient's body, a donor, or synthetic material.
  • Hysterectomy, namely the operation to remove the uterus.

It is important to remember that although surgery can be effective in treating procreation, it may not be recommended for women who plan to have children in the future. Pregnancy and childbirth can put heavy pressure on the pelvic muscles and have the potential to damage the position of the uterus that has been repaired through surgery.

Even though the symptoms of uterine prolapse are not life-threatening, they will cause discomfort and disruption in a woman's quality of life. At mild levels of severity, this condition can be treated by strengthening the pelvic muscles and improving lifestyle. But in more severe cases, medical treatment such as the installation of a vaginal pessary or surgery may be necessary.


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