What is pelvic floor hernia?

In general, pelvic floor hernia may be caused by factors such as constipation, childbirth, obesity, perimenopause, and chronic coughing. If discomfort occurs, it is recommended to seek medical attention promptly. Specific analysis is as follows:

1. Constipation

Individuals with long-term constipation may strain excessively during difficult bowel movements, which can cause the intestines to press against the posterior vaginal wall and pelvic floor fascia, potentially leading to pelvic floor hernia. It is recommended to adjust dietary habits and increase intake of dietary fiber to alleviate constipation.

2. Childbirth

During delivery, a woman's uterosacral ligaments and cardinal ligaments may experience repeated stretching, possibly causing degeneration of the upper vaginal fascial support structures, which may gradually progress to pelvic floor hernia. It is recommended to undergo pelvic floor muscle rehabilitation training postpartum, including Kegel exercises, to strengthen the supportive function of the pelvic floor muscles.

3. Obesity

Excessive food intake combined with lack of physical activity may lead to obesity, increasing the burden on pelvic floor muscles and potentially causing muscle damage and fascial laxity, thereby contributing to pelvic floor hernia. Symptoms may include knee pain and back pain. It is recommended, under physician guidance, to use medications such as orlistat capsules, metformin hydrochloride tablets, and metformin-glibenclamide capsules for weight management.

4. Perimenopause

With aging, especially during perimenopause, declining estrogen levels may weaken the supportive capacity of pelvic floor muscles and fascia, increasing the risk of pelvic floor hernia. This may be accompanied by symptoms such as insomnia and mood swings. It is recommended, under physician guidance, to use medications such as progesterone injection, compound norethisterone tablets, and levonorgestrel tablets for treatment.

5. Chronic Cough

Viral infections may trigger chronic coughing, exerting additional pressure on the pelvic floor muscles and tissues. Over time, this may damage the pelvic floor fascia and increase the likelihood of developing pelvic floor hernia. Common accompanying symptoms include sputum production and shortness of breath. It is recommended, under physician guidance, to use medications such as compound licorice oral solution, Ji Zhi syrup, and Chuanbei Pipa Lu for management.