Materiały źródłowe

• #1 Uterine Prolapse: Stages, Symptoms, Treatment & Surgery

  https://my.clevelandclinic.org/health/diseases/16030-uterine-prolapse

  Some factors like having multiple vaginal births or experiencing menopause cant be avoided. […] There are ways to reduce your risk of developing a prolapse. A few lifestyle tips that can reduce your risk of prolapse include: Maintain a healthy weight and exercise regularly. Do Kegel exercises to strengthen your pelvic floor muscles. Stop smoking. This reduces the risk of developing a chronic cough, which can put extra strain on your pelvic muscles. Using proper lifting techniques when carrying heavy objects. Avoid becoming constipated or straining to poop. […] There are several tips for lifting heavy objects that can help you avoid injury, including: Dont try to lift objects that are oddly shaped or too heavy for you to lift alone. Also, avoid lifting heavy objects above waist level. Before you lift an object, make sure you have firm footing. To pick up an object thats lower than the level of your waist, keep your back straight, and bend at your knees and hips. Dont bend forward at your waist with your knees straight. Stand with a wide stance close to the object youre trying to pick up, and keep your feet firm on the ground. Tighten your stomach muscles and lift the object using your leg muscles. Straighten your knees in a steady motion. Dont jerk the object up to your body. Stand completely upright without twisting. Always move your feet forward when lifting an object. If youre lifting an object from a table, slide it to the edge of the table so you can hold it close to your body. Bend your knees so youre close to the object. Use your legs to lift the object and come to a standing position. Hold packages close to your body with your arms bent. Keep your stomach muscles tight. Take small steps and go slowly. To lower the object, place your feet as you did to lift, tighten your stomach muscles and bend your hips and knees.

• #2 Uterine prolapse and associated factors among reproductive-age women in south-west Ethiopia: A community-based cross-sectional study | PLOS One

  https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0262077

  Uterine prolapse is an important but neglected public health problem that causes maternal morbidity and mortality in women of reproductive age in low- and middle-income countries, including Ethiopia. […] Uterine prolapse (UP), also known as pelvic organ prolapse (POP) and genital prolapse, describes the descent of the uterus from its normal anatomical confines to positions within or outside the vaginal introitus. […] UP is, therefore, an important but one of the most neglected public health problems in LMICs, including Ethiopia, where there is little literature regarding its prevalence. […] The high numbers of women potentially affected by UP and the paucity of locally generated evidence on the magnitude and associated factors of UP to design appropriate prevention strategies, here we assessed the prevalence of and factors associated with uterine prolapse in women of reproductive age in Ethiopia. […] We recommend that the health system link primary health care to hospital-set for uterine prolapse treatment programs. Health institution delivery should be encouraged by the local government. Early marriage and unwanted pregnancy need to be prevented through appropriate strategies.

• #3 Pelvic Organ and Uterine Prolapse Symptoms and Treatment | Beaufort Memorial

  https://www.bmhsc.org/services/womens-health/obstetrics-gynecology/gynecological-conditions-and-treatments/pelvic-organ-and-uterine-prolapse

  Uterin Prolapse Symptom […] Some women don’t know they have uterine prolapse until it’s diagnosed during their annual checkup. But the following symptoms are typical: […] The symptoms of uterine prolapse typically get worse if left untreated. Treatment depends on the severity of the condition. If your prolapse is mild or asymptomatic, your doctor might suggest these remedies: […] Exercise: A physical therapist can teach you to retrain your pelvic floor muscles. Biofeedback therapy can also help. […] Lifestyle changes: Whenever possible, manage your risk factors. Lose weight, stop smoking (to control chronic cough) and control constipation with treatments and/or lifestyle changes. […] Vaginal pessary: This device, a plastic or rubber ring that supports the uterus, is a nonsurgical treatment option for mild to moderate cases of prolapse.

• #4 Uterovaginal Prolapse Canberra | Prolapse Treatment Canberra ACT

  https://www.omargailani.com.au/uterovaginal-prolapse/

  Although utero-vaginal prolapse is not always preventable, there are certain measures that can be taken to help reduce the risk of developing utero-vaginal prolapse or prevent it from getting worse. […] These include: […] Perform Kegel exercises to strengthen your pelvic floor muscles especially during pregnancy and after childbirth […] Do not bear down when giving birth until your cervix is completely dilated […] Take hormone replacement therapy after menopause […] Avoid constipation and straining with bowel movements, after delivery […] Avoid heavy lifting, prolonged standing, and chronic cough […] Perform pelvic floor exercises on a regular basis.

• #5 Prevention – Voices for PFD

  https://www.voicesforpfd.org/pelvic-organ-prolapse/prevention/

  Currently we don’t know what causes the prolapse, but it is probably caused by a combination of things. Because there are likely multiple causes, there is no single way to prevent these problems. […] A woman cannot change her genetic risk, which influences the strength of her connective tissue, however, women can make lifestyle choices to help reduce their risk of developing POP. […] Pelvic muscle exercises (Kegels) strengthen or retrain the nerves and muscles of the pelvic floor. Regular daily exercising of the pelvic muscles can be helpful. Although pelvic floor exercises may not correct the prolapse, they may help control symptoms and limit the worsening of prolapse. […] To decrease your risk, try to avoid activities that increase pressure inside the abdomen and on the pelvic floor.

• #6 Prevention and management of pelvic organ prolapse

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4166938/

  Pelvic organ prolapse is a highly prevalent condition in the female population, which impairs the health-related quality of life of affected individuals. Despite the lack of robust evidence, selective modification of obstetric events or other risk factors could play a central role in the prevention of prolapse. […] While the value of pelvic floor muscle training as a preventive treatment remains uncertain, it has an essential role in the conservative management of prolapse. […] Vaginal childbirth is probably the most important factor in the aetiology of pelvic organ prolapse. However, the concept of a planned caesarean section for the prevention of pelvic floor dysfunction is controversial, due to the risks associated with caesarean section and the obvious resource implications for health care systems.

• #7 Prevention – Voices for PFD

  https://www.voicesforpfd.org/pelvic-organ-prolapse/prevention/

  Currently we don’t know what causes the prolapse, but it is probably caused by a combination of things. Because there are likely multiple causes, there is no single way to prevent these problems. […] A woman cannot change her genetic risk, which influences the strength of her connective tissue, however, women can make lifestyle choices to help reduce their risk of developing POP. […] Pelvic muscle exercises (Kegels) strengthen or retrain the nerves and muscles of the pelvic floor. Regular daily exercising of the pelvic muscles can be helpful. Although pelvic floor exercises may not correct the prolapse, they may help control symptoms and limit the worsening of prolapse. […] To decrease your risk, try to avoid activities that increase pressure inside the abdomen and on the pelvic floor.

• #8 Uterine prolapse – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/uterine-prolapse/diagnosis-treatment/drc-20353464

  Pessaries come in many shapes and sizes. The device fits into the vagina and provides support to vaginal tissues displaced by pelvic organ prolapse. A health care provider can fit a pessary and help provide information about which type would work best. […] Self-care measures might provide relief from symptoms or help prevent the prolapse from getting worse. Self-care measures include performing exercises to strengthen pelvic muscles. These are called Kegel exercises. You might also benefit from losing weight and treating constipation. […] Kegel exercises can strengthen pelvic floor muscles. A strong pelvic floor provides better support for pelvic organs. This might relieve symptoms that can happen with uterine prolapse. […] Depending on how severe uterine prolapse is, self-care measures might provide relief from symptoms. You might try to: Strengthen the muscles that support pelvic structures, Eat high-fiber foods and drink lots of fluids to avoid constipation, Avoid bearing down during bowel movements, Avoid heavy lifting, Control coughing, Lose weight if you’re overweight, Quit smoking.

• #9 Prevention – Voices for PFD

  https://www.voicesforpfd.org/pelvic-organ-prolapse/prevention/

  Currently we don’t know what causes the prolapse, but it is probably caused by a combination of things. Because there are likely multiple causes, there is no single way to prevent these problems. […] A woman cannot change her genetic risk, which influences the strength of her connective tissue, however, women can make lifestyle choices to help reduce their risk of developing POP. […] Pelvic muscle exercises (Kegels) strengthen or retrain the nerves and muscles of the pelvic floor. Regular daily exercising of the pelvic muscles can be helpful. Although pelvic floor exercises may not correct the prolapse, they may help control symptoms and limit the worsening of prolapse. […] To decrease your risk, try to avoid activities that increase pressure inside the abdomen and on the pelvic floor.

• #10

  https://www.beaumont.org/conditions/uterine-prolapse

  Symptoms of uterine prolapse can get worse as time goes on and the pelvic floor continues to lose muscle tone. You can manage mild uterine prolapse symptoms and slow the advance of the condition with the following measures: […] Kegel exercises strengthen the pelvic muscles, maintaining muscle tone and providing you with some relief from symptoms. Squeeze the muscles you use to stop urine flow for five seconds, then release for five, performing three sets of 10 exercises each day. Eventually your muscles will strengthen to allow 10-second intervals. […] Proper nutrition and exercise can help manage symptoms of uterine prolapse by putting less stress on the pelvic muscles and keeping as much tone as possible. […] Heavy lifting can aggravate symptoms of uterine prolapse and strain supportive pelvic structures.

• #11 Pelvic Organ Prolapse | Women | Continence Health Australia (formerly the Continence Foundation of Australia)

  https://www.continence.org.au/who-it-affects/women/prolapse

  What can be done to prevent prolapse? […] Ways to help prevent prolapse […] As prolapse is due to weak pelvic tissues and pelvic floor muscles, all women need to keep their pelvic floor muscles strong – no matter what their age. […] Pelvic floor muscles, just like any other muscles, can be strengthened with the correct exercises. It is important to have your pelvic floor muscle training technique checked by an expert such as a Pelvic Floor Health Physiotherapist or a Nurse Continence Specialist.

• #12 Prevention – Voices for PFD

  https://www.voicesforpfd.org/pelvic-organ-prolapse/prevention/

  Overweight women are at a significantly increased risk of developing prolapse. […] Smoking increases your risk of POP. If you smoke, quit. […] A diet with plenty of fiber and fluids helps to maintain regular bowel function. Constipation increases your risk for POP. […] Chronic straining and constipation increase your chance of developing prolapse. This is especially true for posterior vaginal wall prolapse. […] Physical activity helps maintain normal weight, as well as regular good bowel function. Pelvic floor muscle exercises (Kegels) improve the strength of the pelvic floor and limit the likelihood of developing prolapse. Strong muscles are important for general health, especially as you age. […] Chronic cough increases abdominal and pelvic pressure—see a doctor to discuss treatment options. Persistent constipation also requires further evaluation and treatment.

• #13 Can Pelvic Prolapse be Prevented?: Darin Swainston, MD, FACOG: OB/GYNs

  https://www.lasvegasgynsurgery.com/blog/can-pelvic-prolapse-be-prevented

  Overweight and obesity are strongly associated with pelvic prolapse. Carrying extra weight contributes to the problem because it increases the pressure inside your abdomen. […] You can further lower your risk of pelvic prolapse by making these lifestyle changes. […] A chronic smokers cough places tremendous pressure on your pelvic floor muscles, so taking steps to eliminate an ongoing, constant cough is an important way to prevent pelvic prolapse. […] Repeatedly lifting heavy objects weakens pelvic floor muscles. If your pelvic muscles are already weak, suddenly lifting one heavy item may contribute to prolapse.

• #14 Uterine prolapse – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/uterine-prolapse/symptoms-causes/syc-20353458

  To reduce the risk of uterine prolapse, try to: […] Prevent constipation. Drink plenty of fluids and eat high-fiber foods, such as fruits, vegetables, beans and whole-grains. […] Avoid heavy lifting. If you have to lift something heavy, do it correctly. Correct lifting uses the legs instead of the waist or back. […] Control coughing. Get treatment for a chronic cough or bronchitis. Don’t smoke. […] Avoid weight gain. Talk with your doctor about your ideal weight and get advice on how to lose weight, if you need to.

• #15 Prevention and management of pelvic organ prolapse

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4166938/

  Weight loss with diet or bariatric surgery has also been suggested as a preventive measure. The few published cohort studies with short-term follow-up have shown that weight reduction is associated with subjective improvement in prolapse symptoms but no objective change was seen in examination using the pelvic organ prolapse quantification (POP-Q) system.

• #16 Prevention – Voices for PFD

  https://www.voicesforpfd.org/pelvic-organ-prolapse/prevention/

  Overweight women are at a significantly increased risk of developing prolapse. […] Smoking increases your risk of POP. If you smoke, quit. […] A diet with plenty of fiber and fluids helps to maintain regular bowel function. Constipation increases your risk for POP. […] Chronic straining and constipation increase your chance of developing prolapse. This is especially true for posterior vaginal wall prolapse. […] Physical activity helps maintain normal weight, as well as regular good bowel function. Pelvic floor muscle exercises (Kegels) improve the strength of the pelvic floor and limit the likelihood of developing prolapse. Strong muscles are important for general health, especially as you age. […] Chronic cough increases abdominal and pelvic pressure—see a doctor to discuss treatment options. Persistent constipation also requires further evaluation and treatment.

• #17 Prevention of Pelvic Organ Prolapse – Women’s Pelvic Health, Incontinence Treatment

  https://www.pelvichealth.com/prevention-of-pelvic-organ-prolapse

  Because vaginal and uterine prolapse has several different causes, there is no single way to prevent these problems. Currently, a woman cannot change her genetic risk profile which influences the strength of her connective tissue. She can however make wise choices that influence those risks which are modifiable. […] In general, avoiding increased pressure inside the abdomen and on the pelvic floor is wise. This can be done by: […] Maintaining a normal weight or losing weight if overweight. Overweight women are at a significantly increased risk of developing prolapse. […] Constipation and chronic straining during bowel movement increase a womens chance of developing prolapse, especially a rectocele. A diet with plenty of fiber and fluids, as well as regular exercise is important for maintaining regular bowel function. If constipation persists despite these measures, further evaluation and treatment is recommended.

• #18 Prolapsed uterus | Better Health Channel

  https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/prolapsed-uterus

  Some women are at increased risk of uterine prolapse. Simple preventive measures include: […] pregnancy pelvic floor exercises throughout pregnancy […] vaginal childbirth post-partum pelvic floor exercises […] post-menopause oestrogen cream to boost flagging hormone levels, and pelvic floor exercises […] obesity loss of excess abdominal fat with dietary modifications and regular exercise […] chronic constipation its ideal if you have big, soft, formed stools. Usually, eating lots of fruit, vegetables and fibre, and drinking plenty of water will help. Avoid straining when using your bowels. Manage chronic constipation in consultation with your doctor […] other conditions treat underlying disorders (such as asthma and chronic bronchitis) in consultation with your doctor.

• #19 Uterine prolapse – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/uterine-prolapse/diagnosis-treatment/drc-20353464

  Pessaries come in many shapes and sizes. The device fits into the vagina and provides support to vaginal tissues displaced by pelvic organ prolapse. A health care provider can fit a pessary and help provide information about which type would work best. […] Self-care measures might provide relief from symptoms or help prevent the prolapse from getting worse. Self-care measures include performing exercises to strengthen pelvic muscles. These are called Kegel exercises. You might also benefit from losing weight and treating constipation. […] Kegel exercises can strengthen pelvic floor muscles. A strong pelvic floor provides better support for pelvic organs. This might relieve symptoms that can happen with uterine prolapse. […] Depending on how severe uterine prolapse is, self-care measures might provide relief from symptoms. You might try to: Strengthen the muscles that support pelvic structures, Eat high-fiber foods and drink lots of fluids to avoid constipation, Avoid bearing down during bowel movements, Avoid heavy lifting, Control coughing, Lose weight if you’re overweight, Quit smoking.

• #20 Pelvic Organ Prolapse: Types, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/24046-pelvic-organ-prolapse

  Many causes of POP are out of your control. But you can put healthy habits into place to reduce your risk. […] Do pelvic floor exercises daily. Having muscle control in your pelvic floor provides stronger support for your organs. […] Maintain a healthy weight. Talk to your provider about what a healthy weight means for you. […] Prevent constipation. Chronic constipation can strain your pelvic floor muscles. Choosing high-fiber foods and drinking plenty of fluids can help prevent constipation. […] Don’t smoke. Smoking can lead to chronic coughing, which can put undue pressure on your abdominal cavity and strain your pelvic floor muscles. […] Protect your pelvic floor when you lift. Get help lifting heavy objects. When lifting alone, bend your hips and knees to squat while keeping your back as straight as possible. Don’t twist your torso while you’re lifting. Correctly positioning your body prevents injury to your lower back and protects your pelvic floor, too.

• #21 Uterine Prolapse: Stages, Symptoms, Treatment & Surgery

  https://my.clevelandclinic.org/health/diseases/16030-uterine-prolapse

  Some factors like having multiple vaginal births or experiencing menopause cant be avoided. […] There are ways to reduce your risk of developing a prolapse. A few lifestyle tips that can reduce your risk of prolapse include: Maintain a healthy weight and exercise regularly. Do Kegel exercises to strengthen your pelvic floor muscles. Stop smoking. This reduces the risk of developing a chronic cough, which can put extra strain on your pelvic muscles. Using proper lifting techniques when carrying heavy objects. Avoid becoming constipated or straining to poop. […] There are several tips for lifting heavy objects that can help you avoid injury, including: Dont try to lift objects that are oddly shaped or too heavy for you to lift alone. Also, avoid lifting heavy objects above waist level. Before you lift an object, make sure you have firm footing. To pick up an object thats lower than the level of your waist, keep your back straight, and bend at your knees and hips. Dont bend forward at your waist with your knees straight. Stand with a wide stance close to the object youre trying to pick up, and keep your feet firm on the ground. Tighten your stomach muscles and lift the object using your leg muscles. Straighten your knees in a steady motion. Dont jerk the object up to your body. Stand completely upright without twisting. Always move your feet forward when lifting an object. If youre lifting an object from a table, slide it to the edge of the table so you can hold it close to your body. Bend your knees so youre close to the object. Use your legs to lift the object and come to a standing position. Hold packages close to your body with your arms bent. Keep your stomach muscles tight. Take small steps and go slowly. To lower the object, place your feet as you did to lift, tighten your stomach muscles and bend your hips and knees.

• #22 Uterine Prolapse – Symptoms, Causes, Diagnosis and Treatment | MedPark Hospital

  https://www.medparkhospital.com/en-US/disease-and-treatment/uterine-prolapse

  Uterine prolapse treatments are usually effective and satisfactory, but a recurrence can happen, especially when the condition is severe, you are younger than 60, and being overweight. […] Keep a healthy weight, as extra weight can stretch your pelvic floor muscles. […] Exercise and do Kegel exercise regularly. […] Practice proper lifting techniques for heavy objects. […] Quit smoking. A chronic cough can put pressure on your pelvic muscles. […] Do not strain when pooping, and avoid constipation. […] Do not lift heavy objects alone or above your waist level. […] Stand firm with a wide stance. Keep your back straight. Bend your knees and hips to lift the object. Never bend forward with your waist. […] Tighten your abdomen and lift with your lower body. Stand upright with no twisting. […] If you want to put down the object, stand firm with a wide leg stance, contract your stomach muscles, and slowly bend your hips and knees.

• #23 Pelvic Organ Prolapse: Types, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/24046-pelvic-organ-prolapse

  Many causes of POP are out of your control. But you can put healthy habits into place to reduce your risk. […] Do pelvic floor exercises daily. Having muscle control in your pelvic floor provides stronger support for your organs. […] Maintain a healthy weight. Talk to your provider about what a healthy weight means for you. […] Prevent constipation. Chronic constipation can strain your pelvic floor muscles. Choosing high-fiber foods and drinking plenty of fluids can help prevent constipation. […] Don’t smoke. Smoking can lead to chronic coughing, which can put undue pressure on your abdominal cavity and strain your pelvic floor muscles. […] Protect your pelvic floor when you lift. Get help lifting heavy objects. When lifting alone, bend your hips and knees to squat while keeping your back as straight as possible. Don’t twist your torso while you’re lifting. Correctly positioning your body prevents injury to your lower back and protects your pelvic floor, too.

• #24 Prevention of Pelvic Organ Prolapse – Women’s Pelvic Health, Incontinence Treatment

  https://www.pelvichealth.com/prevention-of-pelvic-organ-prolapse

  Seek medical attention to evaluate and treat a chronic cough which increases abdominal and pelvic pressure. […] Avoid heavy lifting and learn how to lift safely by using leg and arm muscles as much as possible. […] Dont smoke or kick the habit! […] Avoid repetitive strenuous activities. […] Learn and perform pelvic floor muscle exercises (Kegel) regularly to improve the strength of the pelvic floor, and limit the likelihood of developing prolapse. Once prolapse has developed pelvic floor exercises will not correct the prolapse, but they may limit the development of worsening prolapse and may diminish some of the symptoms. […] Be sure to have regular pelvic exams to check for early signs of prolapse. Ask your doctor if they are measuring your prolapse in a systematic way this will enable them to notice subtle changes over time. The most commonly used system of measure for prolapse is called the pelvic organ prolapse quantification or POP-Q system.

• #25 Prevention – Voices for PFD

  https://www.voicesforpfd.org/pelvic-organ-prolapse/prevention/

  Overweight women are at a significantly increased risk of developing prolapse. […] Smoking increases your risk of POP. If you smoke, quit. […] A diet with plenty of fiber and fluids helps to maintain regular bowel function. Constipation increases your risk for POP. […] Chronic straining and constipation increase your chance of developing prolapse. This is especially true for posterior vaginal wall prolapse. […] Physical activity helps maintain normal weight, as well as regular good bowel function. Pelvic floor muscle exercises (Kegels) improve the strength of the pelvic floor and limit the likelihood of developing prolapse. Strong muscles are important for general health, especially as you age. […] Chronic cough increases abdominal and pelvic pressure—see a doctor to discuss treatment options. Persistent constipation also requires further evaluation and treatment.

• #26 Azthena logo with the word Azthena

  https://www.news-medical.net/health/Preventing-Pelvic-Organ-Prolapse.aspx

  Many studies have focused on identifying the risk factors and mechanism of pelvic organ prolapse. Without finding these factors, prevention is difficult. […] Giving birth vaginally is the most important predisposing factor in pelvic organ prolapse, but can obviously not be avoided in all women. However, women with a high risk of prolapse may be offered an elective Caesarean section. […] There are several methods that can help to reduce pressure on the pelvic floor and thus decrease the risk of pelvic organ prolapse. […] For example, regular pelvic floor exercises (Kegels exercises, with or without biofeedback) have been supposed to prevent prolapse by strengthening the muscular supports of the pelvis. […] Other recommendation to reduce the pressure of the pelvic floor include: Losing weight if required, or keeping to a healthy weight, Preventing straining at stools by including adequate fiber in your diet, through plenty of fresh fruits and vegetables, as well as whole grains, Using the right lifting techniques to avoid putting strain on your pelvic muscles while lifting heavy things, Quitting smoking which weakens the muscles, and induces chronic cough.

• #27 Prevention and management of pelvic organ prolapse

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4166938/

  Pelvic floor muscle training (PFMT) has been proposed as a measure to prevent pelvic organ prolapse. However, a recently published study, comparing a nurse-led intervention (pelvic floor muscle training and bladder training) at 5, 7, and 9 months after delivery to standard care, showed that the prevalence of prolapse symptoms or objectively measured pelvic organ prolapse did not differ between the groups at the 12-year follow-up. […] As pelvic organ prolapse has been associated with urogenital atrophy, it is possible that oestrogens, alone or in conjunction with other measures, may prevent its development by improving the strength of weakened supporting ligaments, muscles and vaginal mucosa. […] Modification of other risk factors could also reduce the risk of pelvic organ prolapse. Reduction of straining and intra-abdominal pressure could help prevent the development of prolapse.

• #28 Azthena logo with the word Azthena

  https://www.news-medical.net/health/Preventing-Pelvic-Organ-Prolapse.aspx

  A vaginal hysterectomy with a McCall culdoplasty to buttress the vault of the vagina is one procedure which can reduce the incidence of this condition. Using a vaginal vault support procedure when repairing a prolapse vaginally could prevent its recurrence to some extent. […] The role of estrogens has been tested in preventing pelvic floor weakening as a result of urogenital atrophy following the onset of peri- and post-menopausal hormonal reductions.

• #29 Uterine and bladder prolapse Guide: Causes, Symptoms and Treatment Options

  https://www.drugs.com/health-guide/uterine-and-bladder-prolapse.html

  You can take some simple steps to limit stress on the pelvic support system, especially if you have given birth. Limit heavy lifting and avoid unnecessary straining to have bowel movements. Avoid smoking so that you have a lower risk of chronic cough. Maintain a normal body weight through diet and exercise. […] Estrogen supplements after menopause have been credited with helping to maintain strong pelvic muscles and ligaments, but there is no strong evidence that hormone replacement medicine after menopause prevents or treats a bladder or uterine prolapse. There are known health risks associated with hormone replacement. If you are interested in taking hormone replacement medication, you should review the pros and cons of this treatment with your physician.

• #30 Prevention and management of pelvic organ prolapse

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4166938/

  Pelvic organ prolapse is a highly prevalent condition in the female population, which impairs the health-related quality of life of affected individuals. Despite the lack of robust evidence, selective modification of obstetric events or other risk factors could play a central role in the prevention of prolapse. […] While the value of pelvic floor muscle training as a preventive treatment remains uncertain, it has an essential role in the conservative management of prolapse. […] Vaginal childbirth is probably the most important factor in the aetiology of pelvic organ prolapse. However, the concept of a planned caesarean section for the prevention of pelvic floor dysfunction is controversial, due to the risks associated with caesarean section and the obvious resource implications for health care systems.

• #31 Pelvic organ prolapse – a review

  https://www.racgp.org.au/afp/2015/july/pelvic-organ-prolapse-a-review

  Some aetiological factors for FPOP, such as obesity or genetic factors, are difficult or impossible to modify. Levator trauma, however, allows for two approaches, either avoiding vaginal childbirth through caesarean section or modifying it to reduce trauma. […] The use of forceps, the primary risk factor for levator avulsion, is entirely avoided in some countries and institutions, demonstrating that this risk factor is eminently modifiable. […] Odds ratios for levator avulsion in forceps relative to vacuum are 3.4 to 11.4, suggesting a large potential for prevention of pelvic floor trauma and FPOP, with the added benefit of less anal sphincter tears and anal incontinence. […] Primary prevention is feasible through modification of obstetric management. The main modifiable risk factor for pelvic floor trauma and later pelvic organ prolapse is forceps, whereas vacuum is not associated with increased risk. […] Avoidance of forceps (risk reduction by about 20-40%) […] Avoidance of vaginal delivery (risk reduction by 60-80%).

• #32 Prevention and management of pelvic organ prolapse

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4166938/

  Pelvic organ prolapse is a highly prevalent condition in the female population, which impairs the health-related quality of life of affected individuals. Despite the lack of robust evidence, selective modification of obstetric events or other risk factors could play a central role in the prevention of prolapse. […] While the value of pelvic floor muscle training as a preventive treatment remains uncertain, it has an essential role in the conservative management of prolapse. […] Vaginal childbirth is probably the most important factor in the aetiology of pelvic organ prolapse. However, the concept of a planned caesarean section for the prevention of pelvic floor dysfunction is controversial, due to the risks associated with caesarean section and the obvious resource implications for health care systems.

• #33 Understanding Vaginal Prolapse After Birth – Australian Birth Stories

  https://australianbirthstories.com/postpartum/prolapse-after-birth-understanding-the-causes-symptoms-and-treatment-options/

  Pelvic organ prolapse is treatable and the best thing you can do in pre-conception or pregnancy is to see a women’s health physio. Everyone’s pelvic floor is different, hence the exercises that work for one woman may be detrimental to the next. Personalised care and guidance from a professional is the best way to prevent and/or treat prolapse. […] Statistics show that instrumental births and a long second stage (pushing stage) are significant contributors to pelvic organ prolapse. The methods to prevent vaginal tearing are similar to those that prevent prolapse; stay active and birth in an upright position with perineal support from your midwife as your baby crowns. If you can, avoid an epidural and instrumental birth as both are associated with prolapse.

• #34 Pelvic Organ Prolapse | AAFP

  https://www.aafp.org/pubs/afp/issues/2017/0801/p179.html

  Most women should be offered a pessary as first-line treatment for pelvic organ prolapse. […] Do not exclude pessaries as a treatment option for pelvic organ prolapse. […] Pessaries are an option for all stages of prolapse, and they may prevent progression of prolapse and avert or delay the need for surgery. […] Lifestyle modifications such as smoking cessation and avoidance of heavy lifting and constipation may reduce symptoms. […] Pelvic floor muscle training exercises (Kegel), the systematic contraction of the levator ani muscles, may improve pelvic function. […] Pessaries may be supportive or space occupying. […] More than 85% of patients who choose treatment with a pessary are successfully fit with one. […] Patients should return one to two weeks after their pessary fitting to assess satisfaction with the device and symptom improvement. […] The most common complications of pessary use are vaginal discharge, irritation, ulceration, bleeding, pain, and odor. […] Women with vaginal bleeding and an intact uterus and no obvious ulceration require further evaluation for endometrial pathology.

• #35 Uterine prolapse – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/uterine-prolapse/diagnosis-treatment/drc-20353464

  Pessaries come in many shapes and sizes. The device fits into the vagina and provides support to vaginal tissues displaced by pelvic organ prolapse. A health care provider can fit a pessary and help provide information about which type would work best. […] Self-care measures might provide relief from symptoms or help prevent the prolapse from getting worse. Self-care measures include performing exercises to strengthen pelvic muscles. These are called Kegel exercises. You might also benefit from losing weight and treating constipation. […] Kegel exercises can strengthen pelvic floor muscles. A strong pelvic floor provides better support for pelvic organs. This might relieve symptoms that can happen with uterine prolapse. […] Depending on how severe uterine prolapse is, self-care measures might provide relief from symptoms. You might try to: Strengthen the muscles that support pelvic structures, Eat high-fiber foods and drink lots of fluids to avoid constipation, Avoid bearing down during bowel movements, Avoid heavy lifting, Control coughing, Lose weight if you’re overweight, Quit smoking.

• #36 Treatment of Uterine Prolapse in Germany | ️Best Hospitals, Doctors, Prices | Booking Health™

  https://bookinghealth.com/disease/uterine-prolapse/germany

  Gynecologic pessaries can be used to support the pelvic organs. They are usually the first treatment option for women with grade 1-2 prolapse. Pessaries are devices made of medical silicone that are placed inside the vagina. They hold the organs in an anatomically proper position. Pessaries eliminate most of the symptoms of prolapse and also slow down the progression of the disease. […] Many patients prefer to have their treatment at German hospitals. They have state-of-the-art equipment. German hospitals employ doctors who are considered among the best in the world. You can count on the treatment of uterine prolapse in Germany to be minimally traumatic, safe, and reliable.

• #37

  https://atriumhealth.org/medical-services/prevention-wellness/womens-health/urogynecology-and-pelvic-surgery/pelvic-organ-prolapse

  Kegel exercises or physical therapy can help strengthen the pelvic muscles. This is helpful with urinary incontinence and may delay the development of prolapse. […] However, it is unlikely that exercises alone will repair significant vaginal prolapse. […] Pessaries are removable rubber or silicone devices that can be placed in the vagina to hold the organs in place. Once appropriately fitted, a pessary can be removed and cleaned on a regular basis by the patient for as long as she would like. […] Therefore, we recommend pessaries for young woman who may want to have more children, women who have a medical condition that makes surgery inadvisable, or for women who’d like to postpone surgery for some period of time perhaps to take care of an ill family member or when it may be more convenient for her schedule.

• #38 7 Ways to Prevent Pelvic Floor Prolapse

  https://www.lompocvmc.com/blogs/2023/may/7-ways-to-prevent-pelvic-floor-prolapse/

  Pelvic floor prolapse affects nearly 3% of women in the United States. […] Many of the risk factors for pelvic floor prolapse can be prevented meaning you can reduce your risk for this condition by changing certain behaviors. […] The key to reducing your risk for pelvic floor prolapse is understanding what causes it, and making the necessary lifestyle changes to reduce your risk. […] Kegels are one of the best exercises you can do to strengthen your pelvic floor. […] In addition to increasing your risk for pelvic floor prolapse, a sedentary lifestyle can lead to a wide range of other conditions including diabetes, heart disease, and cancer. […] Obesity is one of the top risk factors for pelvic floor prolapse, therefore, losing excess weight and maintaining a healthy weight can reduce your risk.

• #39

  https://www.nhs.uk/conditions/pelvic-organ-prolapse/treatment/

  If you do not have any symptoms or the prolapse is mild, making some lifestyle changes may help and could stop the prolapse getting worse. […] They can also help reduce your risk of getting a prolapse in the first place. […] Losing weight if you’re overweight, eating a high-fibre diet to avoid constipation, and avoiding lifting heavy objects are recommended lifestyle changes.

• #40

  https://www.beaumont.org/conditions/uterine-prolapse

  Symptoms of uterine prolapse can get worse as time goes on and the pelvic floor continues to lose muscle tone. You can manage mild uterine prolapse symptoms and slow the advance of the condition with the following measures: […] Kegel exercises strengthen the pelvic muscles, maintaining muscle tone and providing you with some relief from symptoms. Squeeze the muscles you use to stop urine flow for five seconds, then release for five, performing three sets of 10 exercises each day. Eventually your muscles will strengthen to allow 10-second intervals. […] Proper nutrition and exercise can help manage symptoms of uterine prolapse by putting less stress on the pelvic muscles and keeping as much tone as possible. […] Heavy lifting can aggravate symptoms of uterine prolapse and strain supportive pelvic structures.

• #41 Uterine prolapse prevention in Eastern Nepal: the perspectives of women and health care professionals

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3422110/

  Uterine prolapse is a major reproductive health issue in Nepal. There is a wide range of literature available on the causes and risk factors of uterine prolapse and on the ways to prevent and treat it. […] The main recommendation that can be drawn from this study is that research on the effectiveness of early treatments, such as ring pessaries and exercise, should be conducted. Furthermore, the involvement of other target groups (husbands, adolescents, and mothers-in-law) needs to be increased in order to make it easier for women to adapt low-risk behaviors. Finally, uterine prolapse prevention should be better integrated in national reproductive health services. Enforcing transparency, monitoring systems, and collaborations are important factors that should be considered as well. […] Preventing uterine prolapse requires awareness raising and behavior changes at the individual, family, and community levels (primary prevention).

• #42 Effect of Nursing Intervention Package on Prevention of Uterine Prolapse among Pregnant Women in Third Trimester

  https://jnsbu.journals.ekb.eg/article_215663.html

  Uterine prolapse occurs when the uterus descends towards or through the opening of the vagina below its normal anatomical position. […] Aim of study: Was to evaluate effect of nursing intervention package on prevention of uterine prolapse among pregnant women in third trimester. […] There was a highly statistical improvement in the study group than control group regarding the total level of knowledge, practice and attitude about prevention of uterine prolapse post- test. […] Recommendation: Develop awareness programs for the pregnant women to improve their knowledge, practice and attitude about uterine prolapse.

• #43 Uterine prolapse prevention in Eastern Nepal: the perspectives of women and health care professionals

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3422110/

  Uterine prolapse is a major reproductive health issue in Nepal. There is a wide range of literature available on the causes and risk factors of uterine prolapse and on the ways to prevent and treat it. […] The main recommendation that can be drawn from this study is that research on the effectiveness of early treatments, such as ring pessaries and exercise, should be conducted. Furthermore, the involvement of other target groups (husbands, adolescents, and mothers-in-law) needs to be increased in order to make it easier for women to adapt low-risk behaviors. Finally, uterine prolapse prevention should be better integrated in national reproductive health services. Enforcing transparency, monitoring systems, and collaborations are important factors that should be considered as well. […] Preventing uterine prolapse requires awareness raising and behavior changes at the individual, family, and community levels (primary prevention).

• #44 Uterine prolapse prevention in Eastern Nepal: the perspectives of women and health care professionals

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3422110/

  There are different ways to treat a prolapse and to prevent it from worsening. First and second degree prolapse can be stopped/treated through the use of ring pessaries, often in combination with pelvic floor exercises (secondary prevention). […] Health professionals call for more research on both ring pessaries and exercises to prove their effectiveness to aid in future policy decisions and to improve the counseling of women and their families. […] Overall, health professionals learn about the importance of early prevention through information and awareness campaigns. Surgical treatments are expensive and can only reach a limited number of people. Health professionals mention overloaded staff in mobile health camps and the quality of these mass surgeries is yet to be seen. However, it is preventive activities and not treatment that can eliminate new cases. […] Health professionals and service providers know the importance of prevention, but they are confronted with a low-income country with an unstable political situation and lack of resources.

• #45 Pelvic Organ Prolapse | University of Iowa Health Care

  https://uihc.org/services/pelvic-organ-prolapse

  If your prolapse is severe, your providers might recommend surgery. […] UI Health Care specialists offer a wide range of surgical treatments for prolapse. […] The UI Health Care urogynecology team includes nationally renowned researchers. They are working on innovative ways to prevent and treat pelvic organ prolapse.

• #46 Pelvic organ prolapse cure closer – Hudson Institute of Medical Research

  https://www.hudson.org.au/news/pelvic-organ-prolapse-cure-comes-closer/

  New ways to prevent and cure pelvic organ prolapse (POP) are a big step closer, thanks to major funding for pioneering research at Hudson Institute. […] Their project aims to transform the field of female pelvic floor health on two fronts: prevention and cure of POP. […] They propose that 3D printed (3DP) grafts can improve pelvic reconstructive surgery outcomes and nanostructured hydrogels can reverse birth induced injury and prevent POP in the future, using 3D printing, nanotechnology and cellular bioprinting to advance Australian health outcomes, practice and policy. […] A key to their research is the use of 3D printing, nanotechnology and cellular bioprinting in POP surgery, which is where the other award recipient, Dr Kallyanashis Paul, comes in. […] His research proposes a paradigm shift in pelvic reconstructive practice by introducing absorbable 3D bioprinted grafts boosted with a patients own cells, aiming to drastically reduce the post-surgical immune response and prevent adverse reactions. […] Pelvic floor exercises: also known as Kegel exercises, these can help strengthen the pelvic floor muscles and improve symptoms of pelvic organ prolapse.

• #47 Pelvic organ prolapse cure closer – Hudson Institute of Medical Research

  https://www.hudson.org.au/news/pelvic-organ-prolapse-cure-comes-closer/

  New ways to prevent and cure pelvic organ prolapse (POP) are a big step closer, thanks to major funding for pioneering research at Hudson Institute. […] Their project aims to transform the field of female pelvic floor health on two fronts: prevention and cure of POP. […] They propose that 3D printed (3DP) grafts can improve pelvic reconstructive surgery outcomes and nanostructured hydrogels can reverse birth induced injury and prevent POP in the future, using 3D printing, nanotechnology and cellular bioprinting to advance Australian health outcomes, practice and policy. […] A key to their research is the use of 3D printing, nanotechnology and cellular bioprinting in POP surgery, which is where the other award recipient, Dr Kallyanashis Paul, comes in. […] His research proposes a paradigm shift in pelvic reconstructive practice by introducing absorbable 3D bioprinted grafts boosted with a patients own cells, aiming to drastically reduce the post-surgical immune response and prevent adverse reactions. […] Pelvic floor exercises: also known as Kegel exercises, these can help strengthen the pelvic floor muscles and improve symptoms of pelvic organ prolapse.

• #48 Uterine prolapse – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/uterine-prolapse/symptoms-causes/syc-20353458

  To reduce the risk of uterine prolapse, try to: […] Prevent constipation. Drink plenty of fluids and eat high-fiber foods, such as fruits, vegetables, beans and whole-grains. […] Avoid heavy lifting. If you have to lift something heavy, do it correctly. Correct lifting uses the legs instead of the waist or back. […] Control coughing. Get treatment for a chronic cough or bronchitis. Don’t smoke. […] Avoid weight gain. Talk with your doctor about your ideal weight and get advice on how to lose weight, if you need to.

• #49 Uterine Prolapse: Stages, Causes, Symptoms, and Treatment,

  https://www.webmd.com/women/prolapsed-uterus

  You can’t change all the factors that lead to uterine prolapse, but you can lower your risk if you: […] Maintain a healthy weight. Talk with your doctor if you need help to avoid weight gain or lose pounds. […] Avoid constipation. Straining to poop can weaken your pelvic muscles. So, eat foods with plenty of fiber, such as fruits, vegetables, beans, and whole grains. And drink plenty of water. […] Do Kegel exercises. If you are not sure you are doing Kegels right, talk to your health care provider. […] Avoid heavy lifting or straining. Lift objects using your leg muscles, not your back. […] Don’t smoke. Smokers often develop chronic coughs, which can weaken pelvic muscles. If you want to quit and need help, talk to your doctor.

• #50 Prevention of Pelvic Organ Prolapse – Women’s Pelvic Health, Incontinence Treatment

  https://www.pelvichealth.com/prevention-of-pelvic-organ-prolapse

  Because vaginal and uterine prolapse has several different causes, there is no single way to prevent these problems. Currently, a woman cannot change her genetic risk profile which influences the strength of her connective tissue. She can however make wise choices that influence those risks which are modifiable. […] In general, avoiding increased pressure inside the abdomen and on the pelvic floor is wise. This can be done by: […] Maintaining a normal weight or losing weight if overweight. Overweight women are at a significantly increased risk of developing prolapse. […] Constipation and chronic straining during bowel movement increase a womens chance of developing prolapse, especially a rectocele. A diet with plenty of fiber and fluids, as well as regular exercise is important for maintaining regular bowel function. If constipation persists despite these measures, further evaluation and treatment is recommended.

• #51 Prevention of Pelvic Organ Prolapse – Women’s Pelvic Health, Incontinence Treatment

  https://www.pelvichealth.com/prevention-of-pelvic-organ-prolapse

  Seek medical attention to evaluate and treat a chronic cough which increases abdominal and pelvic pressure. […] Avoid heavy lifting and learn how to lift safely by using leg and arm muscles as much as possible. […] Dont smoke or kick the habit! […] Avoid repetitive strenuous activities. […] Learn and perform pelvic floor muscle exercises (Kegel) regularly to improve the strength of the pelvic floor, and limit the likelihood of developing prolapse. Once prolapse has developed pelvic floor exercises will not correct the prolapse, but they may limit the development of worsening prolapse and may diminish some of the symptoms. […] Be sure to have regular pelvic exams to check for early signs of prolapse. Ask your doctor if they are measuring your prolapse in a systematic way this will enable them to notice subtle changes over time. The most commonly used system of measure for prolapse is called the pelvic organ prolapse quantification or POP-Q system.

• #52 Uterine prolapse prevention in Eastern Nepal: the perspectives of wome | IJWH

  https://www.dovepress.com/uterine-prolapse-prevention-in-eastern-nepal-the-perspectives-of-women-peer-reviewed-fulltext-article-IJWH

  Uterine prolapse is a major reproductive health issue in Nepal. There is a wide range of literature available on the causes and risk factors of uterine prolapse and on the ways to prevent and treat it. […] The main recommendation that can be drawn from this study is that research on the effectiveness of early treatments, such as ring pessaries and exercise, should be conducted. Furthermore, the involvement of other target groups (husbands, adolescents, and mothers-in-law) needs to be increased in order to make it easier for women to adapt low-risk behaviors. Finally, uterine prolapse prevention should be better integrated in national reproductive health services. Enforcing transparency, monitoring systems, and collaborations are important factors that should be considered as well.

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