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Pelvic floor depression is a more common problem than you might think. The symptoms of this condition, especially at the beginning, are often overlooked. So let us look at what should be of concern to us and what modern medicine has to offer us to address this problem.
Symptoms of a prolapse of the pelvic floor
If the organs are not properly positioned in the pelvis, it may be asymptomatic. However, it usually causes ailments in later stages such as a feeling of heaviness in the lower abdomen, pain in the perineum, constipation or stool incontinence of varying degrees, stress urinary incontinence, frequent urination, and a constant feeling of urge to urinate. And pain during intercourse, which may be associated with improper passage of the bladder or rectum through the vaginal wall.
Symptoms usually get worse as the day progresses when we spend a lot of time standing, and they disappear or diminish after a night’s rest. In severe cases, the vagina can come out through the labia like a sock turned inside out. This can lead to abrasions and sores, as well as secondary infections.
Pelvic floor lowering: Who is in danger?
Women are affected three to five times more often than men are. The risk also increases with age, especially after menopause, which is associated with a decrease in estrogen levels, and therefore with a decrease in blood supply to tissues.
According to various experts, chronic constipation is also prone to lowering the pelvic floor, the fact of the birth of children with high body weight naturally, a wrong incision or a serious rupture of the perineum, the presence of at least three natural childbirth, obesity, and prolonged cough. (for example, in emphysema), physical work associated with lifting weights, and – less often – an abnormal structure of the bones of the pelvis and / or spine, damage to the nerves that feed this area, and removal of the uterus.
Pelvic floor lowering: What is the treatment?
Modern medicine knows many ways to relieve unpleasant symptoms. Diagnosis usually requires additional tests, such as rectoscopy, colposcopy, urogynecologic ultrasound, transrectal manometry, and sometimes-dynamic magnetic resonance imaging of the pelvic floor.
Pelvic floor lowering: Healthy exercise and estrogens
If the weakening of the perineal tissue is not too great, conservative treatment can be tried: training of the pelvic floor muscles, electrical stimulation and / or magnetic stimulation, as well as local introduction of estrogens into the vagina (hormones restore the tone of the pelvic tissues).
Pelvic floor lowering: You may need surgery
Vaginal cones, discs, and balls are sometimes used as aids. In advanced cases, surgery may be required.
Pelvic floor lowering: You must stop smoking
However, it should be remembered that surgical correction of the position of the pelvic organs can paradoxically reveal or exacerbate the symptoms of stress urinary incontinence. Normalization of body weight and cessation of smoking can also bring significant improvement (blood supply to tissues improves).
