A pelvic exam of the vagina and rectum is often used to diagnose posterior vaginal prolapse. The exam may include:
- Bending down as though passing gas. The prolapse may enlarge and become more visible if you bear down.
- Tensing the muscles in the pelvis as though to halt a pee stream. The pelvic muscles' strength is assessed with this test.
To determine your condition, you could complete a questionnaire. Your responses can help your doctor determine how much the bulge impacts your quality of life and how far it reaches into the vagina. Treatment decisions are guided by this knowledge. KD Blossom is a gynecology hospital in Ahmedabad whose experts are adept at recommending treatments for posterior vaginal prolapse.
- An X-ray or an MRI can be used to measure the size of the tissue bulge.
- A test called a defecography determines how well your rectum empties. The process combines an imaging examination, like an MRI or X-ray, with the application of a contrasting chemical.
Treatment
Your prolapse's severity will determine how you are treated. Possible treatment entails:
- Observation: Kegel exercises, which strengthen the pelvic muscles, are one type of basic self-care that may provide comfort if the posterior vaginal prolapse causes minimal or no symptoms.
- Pessary: A silicone device that is inserted into the vagina is called a vaginal pessary. Tissue protrusions are supported by the apparatus. Regular removal of a pessary is necessary for cleaning.
Surgery
There may be a need for prolapse correction surgery if:
- Exercises that strengthen your pelvic floor or employ a pessary are insufficient to control the symptoms of prolapse.
- Together with the prolapsed rectum, other pelvic organs are causing you significant distress. It is possible to perform simultaneous surgery to repair each prolapsed organ.
The excess, stretched tissue that causes the vaginal bulge is frequently removed during surgery. Subsequently, the pelvic tissues are reinforced with stitches. It may be necessary to remove the uterus (hysterectomy) if it is also prolapsed. During a single surgical procedure, multiple types of prolapses can be corrected.
Lifestyle & Home Remedies
Self-care techniques might occasionally reduce prolapse symptoms. You might attempt to:
- To strengthen your pelvic muscles, do some Kegel exercises.
- Consume a diet rich in fiber-rich foods, stay hydrated, and use fiber supplements as needed to prevent constipation.
- When having bowel movements, try not to stoop.
- Steer clear of hard lifting.
- Restrict your coughing.
- Reach and keep a healthy weight.
Kegel Exercises
Kegel exercises improve the muscles of the pelvic floor. Better support for the pelvic organs is provided by a robust pelvic floor. It may help alleviate the symptoms of a bulging vagina caused by posterior vaginal prolapse.
To carry out Kegel exercises:
- Find The Right Muscles: Try pausing your urination midstream the next time you visit the restroom to locate your pelvic floor muscles. You can perform these workouts once you are aware of the locations of these muscles. The exercises can be performed in any posture, though initially, you may find it most comfortable to perform them lying down.
- Perfect Your Technique: To perform Kegel exercises, tense your pelvic muscles as though you were lifting a marble while seated. Try it for three seconds at a time, and after that, unwind for three counts.
- Maintain Your Focus: Concentrate solely on contracting your pelvic floor muscles for optimal outcomes. Take caution not to flex your buttocks, thighs, or abdomen muscles. Do not hold your breath. Breathe freely instead while performing the exercises.
- Repeat Thrice A Day: Try to complete three sets of ten to fifteen reps or more each day.
When taught by a physical therapist or nurse practitioner and reinforced with biofeedback, kegel exercises may be most effective. Monitoring tools are used in biofeedback to inform you when you're engaging the correct muscles in the appropriate sequence.
Conclusion
You may need to consult a lady gynecologist in Ahmedabad if you have posterior vaginal prolapse. A urogynecologist is a medical professional of this kind. You can try making a list of the medicines and supplements you take, as well as the doses. You can ask questions to the specialist such as what the potential risks of the surgery can be, if the condition can come back, and more.
