How Helpful Are Kegel’s Exercises Against Uterine Prolapse?
Uterine prolapse is the displacement of the walls of the vagina and uterus into the lumen of the vagina and beyond. It can happen due to multiple causes, from childbirth to hormonal imbalance, and can manifest in different degrees of severity. The condition occurs due to the weakening of the pelvic ligaments and is often accompanied by urinary incontinence that develops if the condition is not addressed.
This gynecological disease has several stages of development. It proceeds slowly and with almost no symptoms at an early stage, so it is usually noticed in later stages. If you notice any symptoms from the list below, you should consult a gynecologist.
• Pain during intercourse.
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Feeling of a foreign body in the uterus, and heaviness in the lower abdomen.
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The appearance of urological problems: difficulty urinating or urinary incontinence.
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The sensation of a foreign body in the perineum when walking.
Kegel exercises, a technique designed to strengthen the pelvic muscles, were invented in the late 1940s by Dr. Arnold Kegel, an American professor of gynecology. They are known to strengthen the pelvic floor muscles and are a good prevention measure. But will they help if the problem is already there? This depends on its severity - in some cases, only a pelvic floor reconstruction will help solve the problem. However, they can be helpful in the early stages of uterine prolapse and don’t let it progress.
Who Can Really Benefit from Pelvic Floor Muscle Training?
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Women with mild stress urinary incontinence, are characterized by the release of a few drops of urine when coughing, sneezing, jumping, and running. If the urinary incontinence is more pronounced, the chances that these exercises will actually help is practically reduced to zero.
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Women with overactive bladder (OAB) and with so-called urge incontinence, when you can’t hold the urine inside during the urge. OAB is a situation where a woman often goes to the toilet, she has an uncontrollable urge, which may even be accompanied by loss of urine on the way to the toilet (but not necessarily). The mechanism of action of pelvic floor muscle training in this case, is based on somatic visceral integration. It means that the functioning of the bladder changes in response to stimulation of the reflexogenic zones located in the muscles of the urogenital diaphragm.
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Women who are undergoing rehabilitation after childbirth and want to recover faster, feel their muscles again, and solve the problem of urinary incontinence (in a mild form). They can start exercising four to five months after giving birth. Primary healing processes should be finished, and all discharges should stop.
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Women with early forms of pelvic organ prolapse. These are the initial manifestations of prolapse of the uterus, bladder, and to a lesser extent, the rectum.
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