What are the ways to restore normal function in cases of uterine prolapse?
Uterine prolapse, also known as uterine descent, requires treatment methods tailored to the severity of the condition. Recovery can generally be achieved through persistent pelvic floor muscle training, adjusting daily posture, using a pessary, undergoing physical therapy, or surgical intervention. If in doubt, it is recommended to seek medical advice early. Detailed analysis is as follows:
1. Persistent pelvic floor muscle training: Repeatedly performing Kegel exercises—contracting and relaxing the anal muscles—can enhance pelvic floor muscle tone and support, improving symptoms of mild prolapse. This requires daily, regular practice and long-term commitment.
2. Adjusting daily posture: Avoid prolonged standing, sitting, or lifting heavy objects while bending over, to reduce abdominal pressure and strain on pelvic floor tissues. Maintain an upright chest and engaged core when standing, and keep the spine straight while sitting.
3. Using a uterine pessary: A medical device inserted into the vagina to support the uterus and maintain its normal position. It is suitable for moderate prolapse or individuals who are not candidates for surgery. Proper insertion, regular cleaning, and periodic follow-up adjustments are required.
4. Undergoing physical therapy: Professional treatments such as electrical stimulation and biofeedback can activate pelvic floor muscle contractions and promote tissue repair. These therapies should be administered under supervision at a healthcare facility.
5. Surgical treatment: For severe prolapse or cases unresponsive to conservative management, surgical options such as pelvic floor reconstruction or hysterectomy may be performed to repair damaged pelvic structures and restore the uterus to its normal position.
The recovery plan should be customized based on the degree of prolapse—conservative approaches are preferred for mild cases, while surgical evaluation should be timely for severe cases. Daily measures include weight management and avoiding conditions that increase intra-abdominal pressure, such as constipation and chronic coughing. Immediate medical evaluation is necessary if symptoms worsen, such as increased prolapse or abnormal urination.