Outflow means that something bends down towards, or out through, the muzzle. It can be, for example, the abdominal walls, the uterus or both that come down. An appearance is usually not dangerous but can feel uncomfortable and can affect your way of life.

You may have seizures even if you have not left your uterus. The risk of having an appearance increases with age, but you get less symptoms as you get older.

Symptoms of appearance

What symptoms of appearance you get depends on what kind of appearance you have. The most common symptoms are that something bulges in the mouth and that it feels heavy and abrasive in the genital area. You may also have difficulty emptying the bladder or intestine. The hassles often come gradually, but sometimes they come quickly when you have lifted something heavy or been constipated. Then you suddenly notice that something bulges out through the slide opening.

You can have an appearance without having any symptoms. Therefore, during a routine check-up with a gynecologist, you can find out that you have an appearance, even though you have had no problems whatsoever. You do not need any treatment if you have not had any problems. The doctor, on the other hand, can test if you can pinch. You can do squat exercises so it doesn’t get any worse.

Leakage or urine penetration

Many who have an appearance get symptoms in the form of leaks or urine infections.

Urine penetration means you may feel pissed even if you have just pissed, or suddenly become very pissed.

Urinary leakage means that you leak urine.

Symptoms of uterine fibrosis

In the event of a uterus, the uterus sinks into the vagina. Then the uterus pin can penetrate through the mouth orifice. It can feel uncomfortable. It can also be difficult to sit normally.

The uterus pin can be scraped against the underwear if it is outside the vagina. It can lead to ulcers and blood-mixed flow.

The top of the vagina can sometimes descend 0so that the vagina is more or less turned in and out if the uterus has been removed.

Symptoms of urinary bladder or rectum

When it is the bladder or bowel that has sunk, it often bulges out of the muzzle as a soft bun.

When the bladder falls down, the urethra is squeezed together so that the urine is difficult to pass and you can have difficulty emptying the bladder. Many times it is possible to pee in the morning, as the flow has receded during the night. When you have been up and strained then it can be more difficult. You get easier urinary tract infection if you cannot properly empty the bladder

It is almost as common to have urine penetration with or without leakage. You get an easier urinary tract infection if you cannot properly empty the bladder.

Stools often accumulate in the bulge if the rectum bends into the vagina. You may also have difficulty clearing the bowel. As you cruise, it becomes even more difficult as you push the progress through the vagina.

Birth defects in the abdomen can cause similar symptoms

After delivery, tissues in the vagina are affected. You may then have similar symptoms as in the event of an occurrence, even if nothing protrudes outside the mouth. Symptoms improve during the first months after childbirth. You can work out the pelvic floor muscles, it usually provides relief. If the symptoms persist after some six months or are very troublesome, you may need to seek care. 

When and where should I seek care?

If you have one or more of the following symptoms, contact a health center or gynecological clinic:

  • You feel that something bulges like a bun in the muzzle.
  • You are often kiss-needy, even if you have just kissed.
  • You get bleeding that you do not recognize.

It is often not in a hurry. If it is a weekend, you can wait until it is every day. You can contact most receptions by logging in.

If you have one or more of the following symptoms, contact a health care center, a gynecological clinic, or an on-call clinic immediately.

  • You can’t push back the progress.
  • You’re pissed off but can’t pee.

If it is closed at the medical center, gynecological or emergency room, seek care at an emergency room.

What can I do for myself?

There are things you can do to reduce the risk of having an appearance and relieving the symptoms if you have an appearance:

  • Exercising the muscles in the pelvic floor with squeezing exercises can reduce the symptoms and prevent the progression of enlargement. But it is not possible to cure progress with pelvic floor training.
  • If you have pelvic pain it may be due to tense muscles. Then it is not good with squeeze exercises and you need to get another treatment.
  • Avoid lifting heavily. Be sure to pinch your pelvic floor muscles if you need to lift heavy.
  • Eat so that you get good with fiber. This means that you do not become so constipated that you need to squeeze when you go to the toilet.
  • Go to the toilet when you need then the bowel emptying works best.
  • Hold against the diaphragm or abrasive wall if the pouch is lodged in the rectum, making it easier to empty the intestine.
  • Hold up the front wear wall if it curves down a lot as you pee, it will be easier to empty the bladder.

Investigations

When you come to a doctor, usually a gynecologist, for examination, you must first describe your complaints. You are told about how it feels, if you have symptoms from the bladder or intestine and if the intercourse is affected. The doctor then performs a thorough gynecological examination. Then you have to cough and wheeze for the doctor to see how the progression is affected by exertion and if you leak urine at the same time.

The doctor senses the rectum to examine the muscles and the wall between the vagina and rectum.

Often, an ultrasound examination is also done to allow the doctor to assess the uterus, ovaries and possible damage to the muscles of the vagina. An ultrasound can also show if there is urine left in the bladder after you have been peeing. You may also submit a urine sample to check for protein, sugar or bacteria in the urine. If there is a reason, a normal cell sample is also taken from the uterus.

Sometimes more investigations are needed

You can sometimes get a so-called cystoscopy if you have urinary incontinence, or are unable to empty the bladder properly. You may need an x-ray, a urography, or an ultrasound examination of the kidneys if there is any suspicion that the kidneys are affected.

If you poop on you you can study the end muscles of the rectum with pressure measurement and ultrasound.

These examinations are not performed in conjunction with the first physician visit but are planned later. You will then receive information if you need to prepare in any way. The examinations do not hurt but can feel a bit unpleasant.

Treatment of appearance without surgery

You can lift the foreskin by inserting a ring in plastic or silicone into the vagina because the bladder or the uterus has dropped.

Rings are available in different looks and sizes. You get help trying out the right kind at the gynecologist’s office. The ring should not be felt at all if it is just large and properly placed. Along with the ring, you use estrogen cream or abrasive pills to strengthen the mucous membranes and prevent abrasions. The first time you have to go on checks to see that you do not get wounds in the mucous membrane. Most people do not recognize the ring during intercourse, but if the ring feels, you can learn how to remove and insert it yourself.

Treatment if you have brittle mucous membranes

After menopause and during breastfeeding, the mucous membranes of the vagina and abdomen become thinner and less moist. This allows the sliding walls to scratch against each other.

Local treatment with estrogen in the form of cream, a soft silicone ring or pills that are inserted into the vagina can strengthen the mucous membranes and reduce the problems. There are also hormone-free wear creams in pharmacies.

Treatment with surgery

You can be operated on if you have a lot of trouble with your progress. It can be done in several ways. Usually, the operation is performed via the vagina, with local or back anesthesia. Usually, you can leave the hospital on the same day, but sometimes you may need to stay in the hospital a little longer.

The purpose of the operation is to restore what bulges out and thus remove the problems. The gynecologist pushes back what has fallen down and then pulls together and strengthens the walls of the vagina. The uterus can be shortened if the uterus has dropped, or the uterus may need to be removed via the vagina.

Progress is a common reason why women seek medical attention and several thousand are operated every year due to inconvenience. Surgery is one of the most common procedures at a women’s clinic.

Good to quit smoking before surgery

It is good to stop smoking before an operation. The wounds heal faster, blood circulation and fitness improve so you recover faster.

After the surgery

If you have operated the front wall of the slide, it does not usually hurt afterward. After surgery in the back wall of the vagina and the middle yard, it can stretch considerably where the muscles are stitched. The first time you should avoid sitting. After the operation, take it very quiet for the first few weeks.

It is possible to be hospitalized if you have a lot of pain after the procedure, but it is rarely needed.

After surgery, do not expose the pelvic floor to stress or lift. You should avoid having intercourse for about a month for the wounds in the vagina to heal.

How long you need to be on sick leave after the surgery depends on how extensive the operation has been and what kind of work you have, but it is common to be on sick leave between two and six weeks.

Continue to work out your pelvic floor

You should continue with pelvic floor training after surgery, but wait until it no longer hurts. Information about when to start exercising will be given before you leave the hospital. You can see a physiotherapist for advice.

Avoid constipation

After an emergency operation, it is important to avoid constipation. Eat so that you get good with fiber and go to the toilet when you need to.

Side effects and complications after surgery

Most people do not get complications after the operation, but sometimes it can be difficult to urinate afterward and you may also get urinary tract infection that needs to be treated. Some can get wound infections after surgery but it is unusual.

Sometimes the symptoms will be different. For example, those who have not had bladder symptoms before may have urinary incontinence after surgery. Then they may need surgery with a method called TVT, which is an abbreviation of tension-free vaginal tape. This means that you get a support band around the urethra. Sometimes the operation can be done at the same time as the appearance operation, but it is unusual.

Sometimes you may get sore or hard to have slit joint after a surgical operation, especially if the back wall of the sheath has been operated. Talk to your doctor about this so they can help you with treatment.

Unusual side effects and complications

You can get infections of the wounds in the vagina and bloodshed in the operating area. Then you may feel sore, get floats and sometimes fever after a few days. If this is the case, you should contact the health care for examination and treatment. Antibiotics are usually enough. You should also contact the healthcare provider if you have copious bleeding that you feel affected by.

Other unusual complications may be bladder or rectal injury.

Sometimes the trouble comes back

It is not uncommon to have recurrences after surgery, but that does not mean you have to get back the symptoms.

Most often, the appearance comes back from a different part of the vagina than the one that was first operated on. Then you can operate that part as well. You can try doing a ring treatment before doing another surgery.

If the appearance comes back from the same part of the vagina, the tissue can be strengthened with a soft mesh. In a new operation, the mesh is inserted under the skin of the vagina and stabilizes the tissues. It is usually good for treating the outcome. Some people have problems with the skin in the vagina not healing over the net. It is not dangerous but the net can scratch the penis and affect the cohabitation. 

What happens in the body

Not everything is known about what causes the appearance, but it is probably because the connective tissue in the pelvic floor is weakened. It can be hereditary.

In addition to the connective tissue, the muscles of the pelvic floor also serve as support. The risk of having an appearance increases if the muscles or their nerves are damaged by, for example, an illness. The tissues in the pelvic floor naturally become weaker as well as you get older.

Stress increases the risk

In addition to rising age, you are at risk of having an appearance, so is the risk of stressing the pelvic floor. This may, for example, be due to:

  • pregnancy
  • childbirth
  • physically heavy work
  • overweight
  • chronic cough
  • constipation.

Those who have given birth to children through the vagina have a much greater risk of having an appearance than those who have not given birth or have given Caesarean sections. The risk increases with the number of deliveries. The risk also increases if there are injuries during childbirth, such as large breasts in the genital area. 

Pregnancy and birth

Birth does not prevent pregnancy, nor does it pose any risk to the pregnancy

If you have progress and discuss surgery with your doctor, it is important that you tell us if you plan to become pregnant. In that case, it may be advisable to wait with the surgery but it is possible to treat with a ring.

You may need surgery even if you want to have children. Then you need to discuss future ways of giving birth before and after the operation.

Sex and appearance

It is not so common for seizures to cause you to pain during intercourse, but some may experience reduced sensation in the vagina. The bulging of the abdominal wall or uterus is not an obstacle to intercourse because they are soft.

However, you may feel that you do not want to have sex if you have trouble with leakage of urine, gases or poop. You can talk to your doctor about this

Ehtisham Nadeem

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