Dr. Vandana Gulati

Homeopathy Treatment for Prolapse of Uterus

Prolapse of Uterus is the descent of the uterus from its normal position in the vagina. A Prolapsed Uterus refers to a collapsed uterus, or descended uterus, or other change in the position of the uterus in relation to the surrounding structures within the pelvis. The pelvis contains many soft tissue structures vital to normal body functions, supported primarily by the diaphragms, layers of muscles, fibrous coverings called fasciae, and various ligaments and tendons. These soft tissues of the pelvis derive their ultimate support from the bony pelvis. Prolapsed produces a sensation of pelvic discomfort, aggravated in the upright position.  Prolapsed uterus is also known as Pelvic relaxation or Pelvic floor hernia.

 

This condition occur more commonly in older women who have had multiple vaginal births, they are seen also in younger women recently delivered.

 

Caucasian women more commonly affected; African Americans and Asians affected less often

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Types of Prolapsed Uterus

A Prolapsed Uterus may be of three types, depending on the severity

 

  • First Degree Prolpase occurs when the uterus sags downward into the upper vagina.
  • Second Degree prolapse occurs when the cervix is at or near the outside of the vagina
  • Third degree Proplase (Sometimes referred to as Total Prolapse) occurs when the entire uterus extends outside the vagina.

TPrimary Causes of Prolapse of uterus are:

  • Childbirth – May injure supportive structures in the pelvis.
  • Menopause – Causes estrogen levels to decrease. This drop in estrogen can cause the weakening of pelvic tissues. Conditions leading to increased pressure in the abdomen such as chronic cough (with bronchitis and asthma), straining (with constipation), pelvic tumors (rare), or an accumulation of fluid in the abdomen
  • Obesity
  • Normal aging
  • Radical surgery in the pelvic area leading to loss of external support

Symptoms of Prolapse of uterus are:-

  • A bulge in your vagina that ranges in size from quite small to very large
  • Discomfort or pressure in your pelvis or vagina
  • Difficulty having a bowel movement
  • Trouble emptying your bladder
  • Pain while intercourse
  • Lower back pain
  • Increased discomfort with long periods of standing
  • Improved discomfort with lying down
  • A feeling as if “sitting on a small ball”

Other conditions associated with Prolapsed Uterus

  • Cystocele: A herniation (or bulging) of the upper front vaginal wall where a part of bladder bulges into the vagina, which may lead to urinary frequency, urgency, retention, and incontinence.

 

  • Enterocele: The herniation of the upper rear vaginal wall where a small bowel portion bulges into the vagina. Standing leads to a pulling sensation and backache and is relieved when you lie down.

 

  • Rectocele: The herniation of the lower rear vaginal wall where the rectum bulges into the vagina. This makes bowel movements difficult to the point that you may need to push on the inside of your vagina to empty your bowel.

How is Prolapsed Uterus diagnosed?

A pelvic examination with the woman bearing down will show how far the uterus comes down. Uterine prolapse is mild when the cervix drops into the lower part of the vagina. Uterine prolapse is moderate when the cervix drops out of the vaginal opening.

 

The pelvic exam may show protrusion of the bladder and front wall of the vagina (cystocele) or rectum and back wall of the vagina (rectocele) into the vaginal space. The ovaries and bladder may also be positioned lower in the pelvis than usual.

 

Specific conditions, such as ureteral obstruction due to complete prolapse, may need an intravenous pyelogram (IVP) or renal sonography. Dye is injected into your vein, and a series of x-rays are taken to view its progress through your bladder.

 

Ultrasound may be used to rule out other pelvic problems. In this test, a wand is passed over your abdomen or inserted into your vagina to create images with sound waves.

Complications arising out of prolapsed uterus

  • Ulceration and infection of the vaginal walls may occur in severe cases of uterine prolapse.
  • Urinary tract infections and other urinary symptoms may occur because of a cystocele.
  • Constipation and hemorrhoids may occur because of a rectocele.

Conventional/allopathic treatment of Prolapsed Uterus and its side-effects.

In the conventional system treatment is not considered necessary unless the symptoms are bothersome unlike the homeopathic treatment which gives best results in the initial stages or first degree prolapse and can stop the further progress into second and third degree prolapse.

 

HRT (hormone replacement therapy) and its side effects- Estrogen hormone is given in the form of suppository ovules, cream or pessary and is inserted in the vagina.

 

Side-effects are:-

 

  • Endometrial cancer if the estrogen therapy is not combined with progestin.
  • Mood swings
  • Severe bleeding.
  • This makes the hormone producing glands more sluggish as the body starts depending on externally introduced hormones.

 

Pessary and its side effects-A vaginal pessary is an object inserted into the vagina to hold the uterus in place. It may be a temporary or permanent form of treatment. Vaginal pessaries are fitted for each individual woman. If your prolapse is severe, a pessary may not work.

 

Side-effects are:-

 

  • Pessaries can cause moderate to severe irritation
  • Abnormal smelling discharge
  • The pessary may rub on and irritate the vaginal wall (mucosa), and in some cases may damage the vagina.
  • Pessaries may interfere with normal sexual intercourse by limiting the depth of penetration.
  •  

SurgeryIn some cases where pessaries fail, the only option in the conventional/allopathic treatment is surgery. There are several types of surgery to treat a severe prolapse of the uterus, including hysterectomy (surgical removal of the uterus) and suspending the uterus. Some women may require treatment again in the future for recurrent prolapse of the vaginal walls even after surgery.

 

Complications arising of Prolapse surgery

 

  • Failure of the procedure to keep the pelvic organs supported.
  • Other complications are those of any major surgery such as wound infection, blood clot to the lung, anesthetic complications, lung or bladder infections,
  • Injuries to adjacent organs such as the rectum, bowel, bladder urethra (tube from the bladder to the outside) or ureter (tube from the kidney to the bladder).

Side-effects are:-

 

  • Psychological loss to the patient
  • Surgically-induced menopause
  • Damage to surrounding organs
  • Sudden onset of hot flashes,
  • Loss of libido or desire for sex
  • Vaginal dryness
  • Hormonal imbalances-weight gain, malaise, acne, unwanted hair growth, deeper voice.
  • Osteoporosis
  • Sleep disruption, insomnia, night sweats.

Homeopathy and prolapsed uterus

Chronic and complicated diseases can easily be treated by the magical doses of homeopathic medicines.

 

There are special homeopathic medicines which help in treating various female disorders/diseases including prolapsed uterus.

 

 The most recent approach in treating Prolapsed Uterus is addressing the overall symptoms of this disease and prescribing a remedy capable of normalizing unfavorable responses to aggravating factors (cough, constipation, hormonal etc). Homeopathy is a treatment which cures patient and leaves no side effects.

 

Research shows the high efficacy of homeopathic medicines on prolapsed uterus.

 

Thus a female can save herself from an embarrassing situation of prolapse and can continue with her professional and personal activities very easily.

How homeopathy works on prolapsed uterus?

Action of homeopathic medicines on the supportive structures of the pelvis-Homeopathic medicines act on the soft tissue structures vital to normal body functions, layers of muscles, fibrous coverings called fasciae, and various ligaments and tendons and thus strengthen the supportive structures of the pelvis which help keeping the uterus at a right place.

 

After menopause weakening of pelvic tissues due to the drop in the estrogen levels can effectively be taken care of by homeopathic treatment.

 

Actions on the injured tissues during childbirth-During child birth the supportive structures of the pelvis get injured. There are specific homeopathic medicines to combat injury of supportive tissues hence preventing prolapse of uterus. Homeopathic medicines work by increasing body’s own healing abilities and healing time is greatly diminished.

 

Action of homeopathic medicines on the various aggravating/risk factors– The various risk factors like chronic cough, constipation, pelvic tumors, obesity can effectively be taken care of with homeopathic medicines thus preventing the further risk of developing prolapse of uterus.

 

Action of homeopathic medicines on hormonal imbalances- The hormonal imbalances are seen after menopause and are usually present in obese females. Properly selected homeopathic remedy has the capacity to correct hormonal imbalances by its action on the various glands. Homeopathic medicines stimulate the glands to produce the required amount of hormones thus curing the problem from the root.

 

Action of homeopathic medicines on patients using pessaries– The pessary inserted in the vagina to support the uterus may result in the irritation and abnormal smelling discharge which can be dealt effectively by homeopathic treatment. The vaginal injury caused by a pessary can be taken care of by proper homeopathic medicines.

 

Action of homeopathic medicines after surgery- If surgery is the last option and cannot be prevented, then it is highly recommended to continue the homeopathic treatment to avoid post surgical complications

 

Early Diagnoses and Homeopathic treatment rules out the option of surgery- Surgery can be avoided if a patient comes in the early stages (first and second degree prolapse) of the disease. The homeopathic medicines control the further progress of the disease and prevent the complications like urinary tract infections, ulcerations of vagina etc. So homeopathy saves a female from a surgical trauma which is physical, mental as well as financial.

Preventive Measures

  • One can strengthen the pelvic muscles by performing Kegel exercises to avoid Propalpse Uterus. It can be done by tightening pelvic muscles, as if trying to stop the flow of urine. This exercise strengthens the pelvic diaphragm and provides some support.
  • Maintain a healthy weight.
  • Avoid beverages that contain caffeine—they can increase the urge to urinate.
  • Do not lift heavy objects—they can put pressure on your pelvic muscles.