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Kegels Exercises

Kegels Exercises are pelvic floor exercises that attempt to strengthen the muscles of the pelvic floor (PC Muscle). These exercises improve the urethra and rectal sphincter functions. Dr. Arnold Kegel developed a set of exercises to aid women in strengthening their pelvic muscles, especially after childbirth. These exercises are now increasingly recommended for women who suffer from urinary incontinence.


Conditioned pelvic muscles can help in easier childbirth. The toned musculature of the pelvic region can make for an easier vaginal delivery. You can prevent prolapse of pelvic organs. A uterine prolapse can occur when the ligaments that hold the uterus to the wall of the pelvis become weak. This can lead to discomfort and incontinence. Kegel exercises strengthen the inner walls of the vagina and increase the blood flow to the genital area.

Vulvitis

Vulvitis or vulvovaginitis is a condition where the vulval opening becomes inflamed. It can occur due to poor hygiene, UTI, allergy or vaginitis and mycotic infections. Symptoms of vulvitis include burning, itching, redness and swelling in the vulva and vaginal opening. Acute vulvitis is characterized by edema of the vulva and pruritis. There is acute pain and burning. On the other hand, chronic vulvitis has lesser symptoms. It can be causes by allergies, fungal or bacterial infection, low estrogen levels or genital warts. Cold compress can give relief from acute vulvitis. Cortisone ointments can reduce the itching. Avoid tight clothes and materials like nylon and polyester. Oral antihistamines can give relief. Corticosteroids are prescribed for inflammation and pruritus.


Vulvar vestibulitis is another similar condition that is characterized by urinary frequency, Dyspareunia and rawness and burning. Women suffer vestibular redness and itching. Severe pain is felt during exercising and intercourse. On the other hand, vaginismus is painful sexual intercourse. This mostly happens due to inadequate sexual arousal. Usually women suffering vaginismus are offered sexual therapy and suggested Kegels exercises.


Uterine Prolapse

The uterus lies in the pelvic cavity supported by connective tissue and pubococcygeus muscle. Uterine Prolapse is a condition where the uterus slides from its normal position into the vaginal cavity. This can be attributed to loss of muscle tone or weakening of the muscles holding the uterus against the pelvic wall. Uterine prolapse can occur due to aging or childbirth trauma on account of large babies or difficult labor. Other causes for uterine prolapse include pelvic tumor, obesity and chronic constipation. Lack of exercise and tight corsets can lead to uterine prolapse. Lack of adequate rest in the post pregnancy stage or heavy manual work can lead to uterine prolapse.


A woman suffering from uterine prolapse suffers lower back pain. There is a feeling of bearing down or heaviness in the pelvis. There may be increased frequency in urination and pain during sexual intercourse. A woman might suffer discomfort in the lower abdomen and heavy menstrual periods. Difficulty in passing stools, hemorrhoids and urinary tract infection might be noticed due to complications owing to uterine prolapse. A pelvic examination reveals any uterine Prolapse or protrusion of the cervix into the lower part of the vagina.


Treatment Options : In severe cases, reconstructive surgery restores the uterus to its correct position and then strengthens the pelvic floor. Sacral Colpopexy Sacrocolpopexy is a surgical procedure for reconstructing the pelvic organ.

Treatment for uterine prolapse depends on the degree of prolapse and the woman's age and general health condition. Vaginal pessaries may be able to hold the uterus in place for mild uterine prolapse. But there may be side-effects such as irritating and foul smelling discharge and ulcerations. Kegels exercises can go a long way in strengthening the pelvic floor muscles. Hormone therapy such as estrogen replacement can prevent further weakening of the pelvic muscles. Hysterectomy is the surgical option to treat uterine prolapse. Uterine prolapse can be prevented with good antenatal care and proper rest and following correct lifting techniques.


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Collection of Pages - Last revised Date: June 24, 2019