Livmoderprolaps

Livmoderprolaps, also known as uterine prolapse, is a medical condition where the uterus descends from its normal position in the pelvis into the vagina. This occurs when the pelvic floor muscles and ligaments that support the uterus weaken and can no longer hold it in place. Several factors can contribute to this weakening, including childbirth, especially multiple or difficult deliveries, aging, menopause which leads to reduced estrogen levels and thus weaker tissues, chronic straining from conditions like persistent coughing or constipation, and obesity.

Symptoms of uterine prolapse can vary in severity. Mild cases may have no noticeable symptoms. However, as the prolapse progresses, individuals might experience a feeling of heaviness or fullness in the pelvic area, a bulge or lump in the vagina, lower back pain, and urinary problems such as incontinence, difficulty emptying the bladder, or frequent urinary tract infections. Sexual intercourse may also become uncomfortable.

Diagnosis typically involves a physical examination, including a pelvic exam, to assess the extent of the prolapse. In some cases, imaging tests like an ultrasound or MRI might be used. Treatment options depend on the severity of the prolapse and the patient's symptoms and overall health. For mild cases, lifestyle changes such as weight loss and managing constipation, along with pelvic floor exercises (Kegels), may be recommended. Pessaries, which are devices inserted into the vagina to support the uterus, are another non-surgical option. More severe prolapses often require surgical intervention to repair the pelvic floor and reposition the uterus.