Vaginal prolapse or prolapse usually occurs during a woman's reproductive years and is a progressive disease.

The prevalence of this pathology is quite high: more than 30% of women over 45 suffer from some degree of vaginal prolapse. In addition to aesthetic discomfort, such women disrupt the normal functioning of the genital organs, as well as some structures of the urinary and digestive systems.

In connection with such relevance of this gynecological problem, it is necessary to know the causes of prolapse, its symptoms, methods of treatment and prevention.

The structure of the vagina

Before getting acquainted with the causes and main manifestations of vaginal prolapse, it is necessary to briefly dwell on its anatomy.

The length of the vagina is on average 7–12 cm. It looks like a well-expanded tube. At the top, this “tube” tightly covers the cervix, and at the bottom it ends with the so-called vestibule of the vagina. There are three layers in the structure of the vagina:

1. Interior. It is represented by a mucous membrane that forms numerous folds with a transverse direction. This structure allows the vagina to change its size (for example, during childbirth or during sexual intercourse).
2. Average. Formed by muscle fibers with different directions.
3. Outer.

In the vagina, the anterior and posterior walls are distinguished, connected to each other.

front wall

It is somewhat shorter than the back. In the upper part of the vagina, in contact with the cervix, it forms the anterior uterine fornix.

In the upper third, the anterior wall borders on the bladder, and on the rest of the length, on the urethra.

Back wall

Outside, at the top, the back wall is covered with peritoneum and forms a recto-uterine cavity. In some pathological processes, this anatomical formation is punctured through the posterior vaginal fornix (the border of the posterior vaginal wall and cervix). For the rest of the length, the back wall borders on the rectum and only closer to the perineum departs from it.

The omission of the walls of the vagina very often disrupts the functioning of adjacent organs.

Support apparatus

To keep the vagina in a physiological state, nature provides for a developed system of muscular-ligamentous structures. To facilitate understanding of this system, such anatomical formations can be divided into three levels according to their characteristic appearance:

• "Funnel". The topmost level. Supports the upper part of the vagina and cervix. The wide part of this formation is attached to the bones of the pelvis, and the narrow part is attached to the lower part of the uterus.
• "Hammock". Fixes the middle part of the vagina, the urethra with the bladder and the rectum.
• "Plate" (pelvic diaphragm; pelvic floor). It is formed mainly by muscle fibers. In addition to maintaining the internal organs and vaginal walls, it forms the external sphincters of the urethra, rectum, and is also responsible for closing the lower part of the vagina.

Violation of the structure of the two upper levels provokes a displacement of the walls of the vagina and some internal organs. With a noticeable decrease in tone or damage to the musculoskeletal apparatus of the pelvic diaphragm, prolapse and prolapse of the vagina occur, a significant disruption in the functioning of adjacent structures. That is why the prolapse of the walls of the vagina is otherwise called "insufficiency of the pelvic floor muscles."

What causes prolapse?

In the process of formation of the prolapse of the walls of the vagina, two criteria play the main role: an increase in intra-abdominal pressure for various reasons and dysfunction of the muscular layer of the pelvic diaphragm. All factors leading to such violations can be divided into several groups:

1. Endocrine dysfunction (especially in the genital area).
2. Congenital anomalies of connective and muscular tissue.
3. Traumatic injuries of the musculoskeletal system.
4. Pathology of internal organs, accompanied by an increase in intra-abdominal pressure, circulatory and metabolic disorders.

Therefore, the causes of vaginal prolapse are many diseases and pathological conditions that are usually combined. Examples of such reasons might be:

• Frequent constipation, prolonged cough (for example, with chronic bronchial obstruction) - contribute to an increase in intra-abdominal pressure.
• Fast weight loss.
• Obesity.
• Pathological birth process: prolonged, rapid or rapid delivery, the imposition of obstetric forceps, damage to the perineum.
• A large number of births, polyhydramnios, multiple pregnancy, large fruit.
• Tumor formations of large sizes of the pelvic organs or abdominal cavity.
• Prolonged heavy physical activity, frequent lifting and carrying of weights (especially at the age of onset of puberty or menopause and after childbirth).
• Age factor (decrease in tissue elasticity in older women).
• Some surgical interventions on the internal genital organs.
• Hereditary and systemic pathology (with damage to the connective and muscle tissue) and other factors.

Most often, vaginal prolapse is detected after childbirth or surgical interventions (especially when removing the uterus). Let us consider in more detail the mechanism of formation of vaginal prolapse in such conditions.

Prolapse after childbirth

Vaginal prolapse in women who have given birth can occur for various reasons. First of all, it is the carrying of weights immediately after childbirth and poor nutrition, leading to constipation. Weakened muscles and ligaments after pregnancy and childbirth are unable to withstand the ever-increasing intra-abdominal pressure and physical impact.

The second equally important cause of postpartum vaginal prolapse is various birth injuries of the perineum, leading to insufficiency of the pelvic floor muscles. A particularly important role is played by deep ruptures with a violation of the integrity of the wall of the rectum or urethra, failure or infection of the sutures in the perineum and other injuries.

Numerous or pathological births, in addition, also cause a weakening of the musculo-ligamentous apparatus of the small pelvis and perineum.

Postoperative prolapse

According to statistics, after the operation of removal of the uterus (hysterectomy), the prolapse of the walls of the vagina is diagnosed in approximately 45% of operated women. Several reasons contribute to this:

• Injury to the peritoneal tissue.
• Filling the “vacated” space with internal organs and, as a result, violation of their normal anatomical position.
• Insufficient fixation of the dome of the vagina by the surgeon after removal of the uterus.
• Lifestyle: excessive exercise, constipation and other provoking factors.

Prolapse and prolapse of the vaginal walls often occurs after the complete removal of the uterus (extirpation).

Symptoms

At the beginning of its development, the disease can be completely asymptomatic, without the appearance of any specific signs. Menstrual function in such women is usually not disturbed.

Often the first symptoms of prolapse are a deterioration in the quality of sexual life (for example, slowing down or lack of sexual satisfaction in a woman and her partner, frequent entry of air into the vagina during coitus).

Further symptoms appear with the progression of the disease, depending on the location of the prolapse:

• Pain in the lower abdomen and back increases with an increase in the degree of prolapse of the walls of the vagina. Their intensity becomes greater after a long stay in an upright position or physical activity.


• There is a feeling of the presence of a foreign body in the vagina, pressing pains in the pubic region.
• When straining, a formation protruding from the genital slit is determined.
• The prolapse of the anterior wall of the vagina is accompanied by a violation of the act of urination: there is a need for more frequent visits to the toilet, stress urinary incontinence occurs (when coughing, sneezing, laughing).
• Incomplete emptying of the bladder contributes to its inflammatory lesion (cystitis).
• The omission of the posterior wall of the vagina provokes problems with the implementation of the act of defecation, which contributes to the occurrence of constipation or, conversely, incontinence of feces and gases.
• In the later stages of prolapse, it is sometimes possible to carry out an act of urination or defecation only after the reduction of the vaginal walls.
• The displacement of the pelvic organs and the gaping of the genital slit favors the penetration of infectious agents with the subsequent development of inflammatory processes in the genital tract.
• Due to circulatory disorders on the prolapsed genitals, bedsores, trophic ulcers, swelling of the mucosa are often formed, and contact bleeding occurs.

Complete prolapse of the vaginal walls can be complicated by their infringement in the genital gap due to severe tissue edema.

Diagnostics

Diagnosis of vaginal prolapse is usually not difficult even during a routine examination by a gynecologist. Depending on the localization of the pathological process, the following types of prolapse are distinguished:

1. Isolated prolapse of the anterior or posterior wall of the vagina.
2. Prolapse of both vaginal walls.
3. Prolapse of the walls of the vagina together with the cervix and body of the uterus. It is incomplete and complete.

If the pathological process involves the urethra (urethra), bladder and / or rectum, respectively, ureterocele, cystocele and rectocele occur. These terms characterize the presence of a pathological protrusion of the wall of an adjacent organ towards the vagina with a violation of their function.

In addition, in the clinical classification of prolapse, four degrees of the disease are traditionally distinguished according to severity.

To fully characterize the disease and assess the degree of dysfunction of the internal organs, ultrasound scanning of the pelvic organs and the urinary system, cystoscopy, sigmoidoscopy and other research methods are additionally used.

Principles of therapy

The goal of the treatment of vaginal wall prolapse is to restore the normal anatomical relationship and function of the perineum and adjacent organs.

Treatment of prolapse is possible with conservative or surgical methods.

Conservative treatment

The effectiveness of such methods of therapy is greatest with small degrees of prolapse, when there are no pronounced symptoms of disruption of the work of adjacent organs. The complex of conservative treatment of vaginal prolapse includes:

• Normalization of lifestyle, proper nutrition and the fight against constipation, moderate physical activity.
• Treatment of concomitant somatic diseases.
• Performing special exercises to strengthen the muscle layer of the pelvic floor and the anterior abdominal wall.
• The use of certain medications according to indications (for example, estrogens in case of their insufficiency).
• With contraindications to surgical treatment of prolapse, the doctor may recommend wearing a special uterine ring (pessary), which is selected individually. Its goal is to keep the internal organs in an anatomically correct position and reduce the severity of negative symptoms associated with prolapse.

Physiotherapy exercises (exercise therapy) and special gymnastics for the muscles of the perineum (Kegel exercises) serve both for the treatment and prevention of vaginal prolapse with a high risk of its development. Such exercises must be done daily.

A set of exercise therapy exercises is selected by the doctor individually for each woman, taking into account possible contraindications. Almost all women can do Kegel exercises, as this complex is simple and safe.

Principles of Kegel gymnastics:

1. Exercises are done daily 4-5 times a day.
2. First, you need to make an effort and hold the stream of urine in order to understand which muscles are involved in this.
3. Next, a slow compression of the "discovered" muscles and their relaxation is performed.
4. The second stage is rapid contraction and relaxation.
5. "Pushing out" is the third stage. The tension of the muscles of the abdominal wall is produced (as during attempts).

All three exercises should be done at least ten times, adding five repetitions every week. It is optimal to perform each step 30 times several times a day.

Surgery

Surgical treatment is performed with the third and fourth degree of vaginal prolapse, as well as in the presence of its complications.

When choosing a particular method of operation, many factors are taken into account:

• degree of prolapse.
• The age of the woman and her desire to maintain reproductive function.
• The presence of concomitant pathology, etc.

The essence of some operations is to remove part of the altered vaginal wall and restore the normal anatomical position of the organ. Other methods involve the installation of a special "prosthesis" made of inert material that performs the function of a muscular corset and supports internal organs. Sometimes you have to do a radical operation - removal of the uterus with the strengthening of its ligamentous apparatus.

One of the most common gynecological diseases in women, especially in adulthood, is uterine prolapse. This is a process in which there is a displacement of the genital organs below what is permissible, up to their loss from the perineum. Pelvic organ prolapse - this is the name of this disease all over the world. Its occurrence is possible at any age. About 30% of the beautiful half of the population suffer from this disease. About 50% are ladies of Balzac age, 40% are from 30 to 45 years old, and only 10% of cases are diagnosed with prolapse in women at a younger age.

Causes of uterine prolapse

• Heavy physical activity on a regular basis.
• Complicated or multiple natural births.
• Injuries of the genital organs and operations on them.
• Weak perineal muscles are usually a physiological feature associated with age.
• Defects in the development of the pelvic organs.
• High intra-abdominal pressure, the causes of which can be chronic constipation, obesity, swelling of internal organs, severe bronchitis.

Stages of the disease

There are cases of sudden diagnosis of uterine prolapse. As a rule, this happens due to an injury, but in general, the problem develops gradually, not occurring in one day. As the disease progresses, 4 degrees of its development are determined.

In the first stage, the uterus is lowered to the level of the vagina, but it does not extend beyond the perineum.

The second level is characterized by partial prolapse of the uterus. If the muscles are tense, it can peek out of the genital gap. Already at this stage, the disease is diagnosed without problems by the woman herself.

In the third degree, incomplete prolapse of the penis is diagnosed. Without tension, the cervix and part of the uterus are visible.

And the last, most difficult form of pelvic organ prolapse is the fourth. At this stage, the entire body of the uterus comes out of the perineum.

Symptoms of pelvic organ prolapse

Signs of uterine prolapse are quite noticeable, and it is impossible not to pay attention to them.

• Feeling of heaviness in the vagina.
• Frequent, difficult urination and defecation.
• Pain for both partners during intercourse.
• Uncharacteristic discharge from the vagina, often with an admixture of blood.
• Menstrual irregularities with profuse bleeding.

Starting from the second degree of the disease, a woman can easily identify a prolapse of the genital organs herself. During the progression of the disease, the signs of uterine prolapse become even more noticeable, they are aggravated. Urinary incontinence is manifested, a woman is prone to urological infectious diseases, such as cystitis, pyelonephritis, urethritis.

Diagnosis of the disease

At the first stage, a woman cannot independently recognize this problem. Regular monitoring by a gynecologist is important. Having examined the woman, the doctor immediately diagnoses the prolapse of the uterus. If for some reason he has doubts, he will send you for an ultrasound examination, based on the results of which a decision will be made. Early diagnosis will prevent a painful syndrome and enable treatment without surgical intervention. To exclude all types of infections that could become concomitant factors with prolapse, it is necessary to visit a urologist and proctologist.

There are two types of pelvic organ prolapse. Cystocele is a prolapse of the anterior wall of the uterus, it is characterized by symptoms from the urinary system. Urinary stasis or incontinence develops, chronic cystitis is often observed. The second type of prolapse is a rectocele, a prolapse of the posterior wall of the uterus. In this case, women experience intestinal dysfunction, chronic constipation, foreign body sensations in the vagina. Pyelonephritis with prolapse of the posterior wall also becomes a frequent occurrence.

Childbirth and prolapse: how to avoid the disease?

The prolapse of the walls of the uterus is not uncommon during pregnancy or after childbirth. This is due to hormonal changes in the body. Under their action, the uterus softens, preparing for childbirth, its muscles weaken. During pregnancy, a woman needs to be more prudent and follow some rules to prevent genital prolapse, especially if she has encountered this problem before.

• Exercise. You need to do various exercises. When the uterus is lowered, not even to a large extent, they will not allow further development of the disease.
• Protect yourself from heavy lifting. Including, if you have a small child, try to shift the mission of carrying the baby to other relatives.
• Wear a bandage daily when the uterus is prolapsed or to prevent the development of the disease.
• Stick to a balanced diet.
• For one urination, squeeze the jet several times, thus performing gymnastics for the genitals.
• While walkingtighten and relax your vaginal muscles thereby tightening the vulva.

The doctor should take delivery in a conservative way, minimizing the traumatism of the woman's organs.

Treatment of uterine prolapse at home

Pregnant women are wondering how to treat uterine prolapse, having learned this diagnosis at a gynecologist's appointment. If the disease is at the initial stage, and it does not harm the child, in addition to preventive measures, no additional measures are required. If desired, some folk methods will not harm.

For example, you can brew two tablespoons of lemon balm in a glass of boiling water and leave overnight in a thermos to infuse. Take a third of a glass half an hour before meals. This decoction will be useful for diseases of the genital organs and for the nervous system of a pregnant woman.

The second option: mix equal proportions of coltsfoot with lemon balm and oregano, pour boiling water. Allow the infusion to brew and consume 2/3 cup before meals.

Also, a bandage when lowering the uterus will become an indispensable assistant. In general, this item should be in the everyday life of every woman expecting a baby, and even more so for those who are faced with the problem of genital prolapse.

Another folk remedy in the fight against this disease is a bath with cypress broth. Boil a glass of nuts in two liters of water, add this infusion to a warm bath, but not hot, stay in it for 15 minutes a day.

It is not uncommon for uterine prolapse after childbirth. Photos are sometimes horrifying with what a neglected form can lead to. Therefore, if this problem has affected you after the birth of the baby, do not postpone its solution for later, go to the doctor! Only a gynecologist can prescribe high-quality treatment and prevent the disease from developing to the fourth degree.

What to do with uterine prolapse?

If there is prolapse of the vaginal walls of the initial stage, conservative therapy is possible. Treatment includes a whole range of procedures. If the therapy proposed by the doctor does not work, and surgical intervention is contraindicated for some reason, the patient is given pessaries - these are special uterine rings. Their purpose is to maintain the genitals. In the third or fourth stage, after examination by specialized specialists, as a rule, surgical intervention is necessary. Colpoplasty is recommended, the essence of the method is to suture the walls of the vagina to their previous size.

There are two types of this procedure:

Colporrhaphy - excision of excess tissue in the vagina.

Colpoperineorrhaphy - suturing the back wall and tightening the muscles of the vulva.

Uterine prolapse exercises

Gymnastics, aimed at restoring the work of the muscles of the vagina, is very important in the fight against this problem. It can also be used to prevent disease.

• Standing on all fours, while inhaling, you must simultaneously raise your left leg and right arm. After doing five times, swap them and repeat the exercise.
• The posture is the same. As you inhale, lower your head down, while strongly squeezing and retracting the muscles of the small pelvis and perineum. As you exhale, relax, head up, back straight. Repeat at least 10 times.

Effective are exercises for lowering the uterus, which are performed lying on your back.

• Hands along the waist, legs slowly tear off the floor and wind up behind the head, trying to touch the rug with toes. We repeat 10 times.
• Raise your legs at a 90 degree angle. For each leg 8-10 times.
• Bending the legs at the knees, raise the pelvis, pulling in the muscles of the anus, and as you exhale slowly return to the starting position. Do 10 repetitions.

Kegel Method

A successful gynecologist of the mid-20th century, Arnold Kegel, developed exercises for prolapse of the uterus, which are successfully practiced today and were named after him.

• Squeeze and relax the muscles of the pelvis and vagina for 30 seconds. Do 3-4 approaches. With muscle strengthening, you can increase the procedure time to several minutes or more.
• During urination, hold the stream for 10-15 seconds. In this case, the legs are widely spaced, and the retention occurs exclusively with the muscles of the vagina.

Summing up, it should be noted that for any changes or discomfort on the part of the female organs, immediately go to a specialist. Only a doctor can tell you how to treat uterine prolapse and prescribe an individual and necessary therapy for you. Do not self-medicate and take care of your health!

Omission of the posterior wall of the vagina is one of the most common pathologies of the female reproductive system. This diagnosis is made to almost every second representative of the weaker sex, who has crossed the fifty-year milestone. But in recent years, the prolapse of the posterior vaginal wall has also been observed in younger women - from 30 to 45 years old.

Prolapse of the uterus: causes

The main cause of this pathology is considered to be age-related sprain of the ligaments of the uterus, but, as a rule, the prerequisites for this are created even in youth. The prolapse of the walls of the vagina contributes to:

• Damage to the muscles of the pelvic floor, which occurs mainly after a difficult birth (large fetus, breech presentation, etc.). Such difficulties are faced by primiparous women who are already over 30 years old, since by these years the tissues of the perineum have already begun to lose their elasticity.
• The constant wearing of weights, causing an increase in intra-abdominal pressure and, as a result, the omission of the posterior wall of the vagina.
• The presence of diseases of the respiratory system of a chronic nature with an accompanying severe cough.

Symptoms of the disease

The omission of the posterior wall of the vagina is accompanied by the following symptoms:

• feeling that there is some kind of foreign body in the vagina;
• difficulty in defecation;
• urinary incontinence;
• weakening of intimate sensations and pain during sexual intercourse;
• feeling of heaviness in the vagina;
• frequent inflammation of the pelvic organs;
• gas incontinence.

What causes this disease?

In the main number of cases with such a disease, changes occur in the location of many organs of a woman, and not only the genitals. The rectum and bladder suffer from this pathology. If all the necessary measures are not taken in time, then during the further process of prolapse, a hernia of the walls of the vagina may form, as a result of which the bottom of the bladder, the walls of the rectum and intestines may sink. As a result, the patient begins to complain of constant urge to urinate and even urinary incontinence.

Uterine prolapse: surgery

Treatment of this pathology is reduced to surgical intervention. In rare cases, they resort to orthopedic relief from this disease using a pessary. The surgical solution to this problem lies in the process of suturing the vaginal walls. These procedures are performed through colpoplasty, which is divided into two types:

• colpoperineorrhaphy - the process of suturing the walls of the vagina and tightening the muscles of the perineum;
• colpography - removal of unnecessary tissues of the vagina, after which its walls are sewn together.

Which type of operation will be used in one case or another depends largely on the condition of the tissues of the walls of the vagina themselves and on the presence of diseases of the pelvic floor organs. Colpoplasty is performed under spinal or general anesthesia. Here, the choice is already made by the patient herself or by the doctor, who, after a visual examination or calposcopic studies, must determine the approximate time for the operation.

To date, there are the following recommendations for performing Kegel exercises:

Place your finger in the vagina, the desired muscles should be compressed around the finger, while the muscles of the abdomen, buttocks or back should not be involved. Those. if you feel that the muscles around your finger are tightening, then you are exercising the right thing. All other muscles at this moment should be relaxed, breathing should remain deep and even.

Sit on the toilet. Spread your legs. Try to stop the stream of urine without moving your legs. The muscles that are used for this are the pelvic floor muscles. If you can't find them right away, try again next time.

Option 1

Performing only contractions of the pelvic floor muscles at a different pace.

Exercise 1.

Step 2. Squeeze and unclench the muscles for 5 seconds, then rest for 5 seconds, repeat 9 more times.

Step 3. Squeeze the muscles, hold for 30 seconds and relax them for 30 seconds, repeat 2 more times. And repeat step 1 again.

Exercise 2

Exercise 3

Exercise 4

Option 2.

Performing not only muscle contractions, but also "pushing" exercises.

Exercise 1. Slow contractions:

Tighten your muscles as you did to stop urination.

Count to three slowly.

Relax.

Exercise 2. Abbreviations:

Tighten and relax your sexual muscles as quickly as possible.

Exercise 3. Push-outs:

Push down moderately, as in a stool or childbirth.

Start training with ten slow squeezes, ten contractions and ten push-ups five times a day.

After a week, add five exercises to each, continuing to perform them five times a day.

Add five to each exercise after a week until there are thirty. Then continue to do at least five sets a day to maintain tone. You must correctly perform 150 Kegel exercises every day.

In order to feel the perineal muscles and check their enlargement, a woman can insert one or two lubricated fingers into the vagina during the exercise.

To enhance the effect, during exercise, you can hold an object in the vagina.

Modern ideas about "Kegel exercises"

Kegel exercises consist of three parts: slow contractions, fast contractions, and pushes.

There are several options for performing Kegel exercises. Here are some of them:

Option 1

Step 1. Within 10 seconds, quickly squeeze and unclench the muscles, then rest for 10 seconds. Do this exercise for 3 sets and rest for 30 seconds.

Step 2. Squeeze and unclench the muscles for 5 seconds, then rest for 5 seconds, repeat 9 more times. Step 3. Squeeze the muscles, hold for 30 seconds and relax them for 30 seconds, repeat 2 more times. And repeat step 1 again.

Option 2

Step 1: Squeeze the muscles and hold for 5 seconds, then relax, repeat 10 times.

Step 2: Quickly squeeze and unclench the muscles 10 times, repeat 3 times. Squeeze the muscles and hold them for as long as possible (maximum 120 seconds). Rest 2 minutes and repeat the exercise from the beginning.

Option 3

Step 1: Squeeze and unclench the muscles 30 times. Then go to step 2, gradually the number of compressions in the first step should reach 100 times.

Step 2: Squeeze the muscles as hard as possible and hold for 20 seconds, then relax them for 30 seconds. Repeat 5 times.

Option 4

Start by simply squeezing and relaxing your muscles for 2 minutes, gradually increasing the time to 20 minutes. This exercise must be performed at least 3 times a day.

So, the main thing. If you want to achieve good results, do not forget to exercise regularly, and the more often the better.

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We develop intimate muscles

The strongest muscles - the entrance to the vagina - is the "orgasmic cuff". If they are developed and skillfully controlled, the muscles that compress the urethra and anus (sphincters) also develop. By providing a strong urethral sphincter, you deprive yourself of the problem of urinary incontinence.

Some exercises for the development of intimate muscles

"Kegels"

Exercise for the coordinated control of the muscles of the orgasmic cuff.

During urination, abruptly stop and then continue urination, do the exercise until you catch what muscles you are working. For 1-2 urination processes you will understand this.

Please do not abuse these exercises, because. can cause inflammation of the bladder. After mastering the Kegel exercise, immediately proceed to the Blink.

“Flashing”

During the day, we blink with the muscles with which you stopped urinating, i.e. compresses and decompresses them from 500 times a day. Those. “blink” to mild sexual arousal.

The sphincter of the urethra, the anus is strengthened (prevention of hemorrhoids, urinary incontinence) and, of course, we carry out the prevention of inflammatory diseases and vaginal prolapse, strengthening the muscles of the entrance to the vagina (but only the entrance, the deeper vaginal muscles do not participate in this).

"Ball"

We pre-buy balls with a loop (in a sex shop). Stock up on a hook, which you hook at one end to a loop of balls, as well as a plastic bottle up to 2 liters in volume. Insert the balls into the vagina, hook onto the loop that peeps out of the vagina. On a bottle of water, a thread is also tied to the neck, you cling to the hook with it. Clutching the muscles of the entrance, you are trying to lift the bottle of water from the floor and walk. The more water you carry in a bottle, the better. It is better to start wearing with 0.5 liters. water for 1-2 minutes a day.

"Geisha"

Try to repeat the experience of a geisha: carry a bottle of champagne by the neck for a distance of 100 m. If you succeeded, you have no need to train - you are perfection itself. Didn't work on the first try? Be sure you can do it after some effort.

And now a few words about the management or application of the developed entrance into life: if you want to further stimulate your partner, we do the “virgin” exercise.

When a partner is just trying to penetrate you - squeeze the entrance to the vagina (orgasmic cuff) with all your might. Use this trick only if your partner is capable of long-term intercourse, because. if a man reaches orgasm too quickly, he will not last long, and then you may not have time to enjoy.

In the process of intercourse, it makes no sense to compress the input, because. tight compression when sliding along the shaft of the phallus causes men not so pleasant sensations, and sometimes irritation. Although, if you want to “slow down” a man, you can use this skill.

When you learn to expand the vagina, push the cervix towards the partner, compress the muscle rings of the vagina in a wave-like manner, completely clamp the phallus, suck on the cervix, then the “Virginity” exercise will be only the initial stage of intercourse. You should not forget about a strong entrance, because. with the help of an orgasmic cuff, a tight “input” is performed, after which it is desirable to apply a “hard hug”, but this is more difficult.

Wumbling: exercises with an egg

Kegel exercises are, of course, good, but there is something more effective. About wumbling - (training the entire set of vaginal muscles, which includes a set of exercises with special simulators), we have also already spoken, but we did not focus on the exercises themselves with simulators.

The simplest simulator that can be used without embarrassing questions, what kind of thing is this, is, of course, an egg.

Naturally, we are not talking about real chicken eggs, but about stone or wooden eggs. The advantage of a wooden egg is that it is easy to drill and hang a load, which will be important in further training. However, stone eggs are smoother.

An egg for wumbling training can be purchased at an esoteric store, as well as at a sex shop. Before training, wash it with soap and boil for a few minutes.

Ready? Then let's start...

1. Insert the egg into the vagina with the thick end first

In order to avoid unpleasant consequences, especially during the first lessons with an egg, you need to properly prepare yourself. Before insertion, massage your breasts so that the vagina expands and some fluid is released. You can use jelly lubricant or vegetable oil.

2. Get into a cowgirl pose

Stand with your feet shoulder-width apart. Feet are fully planted on the floor, legs are bent at the ankles and knees. Keep your back straight.

3. Squeeze the first part of the vagina

The first section of the vagina is its anterior part and the muscles of the external entrance. This muscle group is responsible for the complete closure of the opening. Squeezing it will help hold the egg.

4. Squeeze the second part of the vagina

The second section of the vagina includes the muscles of the vaginal canal, which are located just in front of the cervix. Try to keep both sections of the vagina closed, but do not strain the muscles too much.

5. Squeeze the third part of the vagina and start moving the egg up and down

The third part of the vagina consists of the muscles of the middle of the vaginal canal. Squeeze it until you feel that you have firmly grasped the egg. Then start slowly pushing the egg up and down. Gradually speed up the pace of movement. Then rest for a few minutes.

6. Move the egg left and right using the second compartment

Using the second part of the vagina, start moving the egg to the right and left. Continue the movements until you feel that you are in complete control of them.

7. Move the egg left and right using the first section

Start moving the egg slowly using the first section of the vagina. The important thing is that there are many muscles in the vagina that can contract arbitrarily, regardless of us. Therefore, you can significantly facilitate training by helping yourself with thoughts.

8. Move the egg left and right using both departments

Repeat movements to the right and left, but already using both the second and the first sections of the vagina. When you feel that you have completely mastered the process, proceed to the next exercise.

9. Rock the egg

Try rocking the egg left and right, holding it in the second and first sections of the vagina.

10. Combine movements

Combine all movements: suction, moving up and down, left and right, wiggle.

Of course, no one says that you will succeed all at once. To begin with, you just need to feel the muscles of the VUM, and then learn how to control them - this is the whole wumbuilding. Exercise regularly - and you will see the effect quickly!

Exercises with an egg should be repeated 2-3 times a week, as well as daily without the introduction of an egg. When you master this technique, move on to a smaller egg. Gradually, you will be able to achieve perfection in these activities, which will significantly enrich your sex life.

Kegel exercises

Kegel exercises originated as a basic perineal muscle development program designed to treat urinary incontinence in women.

The most difficult thing about Kegel exercises is to isolate the very muscles that need to be trained. The fact is that in ordinary life they are almost not involved.

Looking for perineal muscles

Sit on the toilet. Try to stop the stream of urine without moving your legs. The muscles that you use for this are the muscles you are looking for.

Three components of Kegel exercises

1. Slow contractions

Tighten your muscles as you did to stop urination.

Count to three slowly.

Relax.

2. Abbreviations

Tighten and relax your sexual muscles as quickly as possible.

3. Ejection

Push down moderately, as in a stool or childbirth, but much weaker.

How to train

To control the perineal muscles, one or two lubricated fingers can be inserted into the vagina during the exercise.

Start training with ten slow squeezes, ten contractions and ten push-ups five times a day.

After a week, add five exercises to each, continuing to perform them five times a day.

Add five to each exercise after a week until there are thirty. Then continue to do at least five sets a day to maintain tone.

At the start of your workout, it may seem like your muscles don't want to stay tense during slow contractions. You may not be able to do contractions quickly or rhythmically enough. This is because the muscles are still weak. Control improves with practice.

If the muscles get tired in the middle of the exercise, rest for a few seconds and continue.

The beauty of Kegel exercises is that you can perform the exercises almost anywhere - while driving a car, walking, watching TV, sitting at a table, lying in bed.

When the strength of the pubococcygeal muscle is strong enough that you can easily perform these exercises, and also feel noticeable pressure on the finger inserted into the vagina, reduce the number of exercises performed to twenty per day. This means that good tone and control of the muscle has already been achieved, which means that now it is only necessary to maintain its strength.

Charging for beginners

Here is the minimum that you can learn on your own.

1. I.p. - lying on your back, feet shoulder-width apart, legs bent at the knees. Rhythmically raise and lower the pelvis for 2-3 minutes. Do 5 sets.

2. I.p. - Same. Raise the pelvis, tighten the muscles of the thighs, buttocks and sphincters. Hold this position for 1-2 minutes, being careful not to relax any of the above muscles. After 30 seconds of rest, repeat 4-5 more times.

3. I.p. - the same, but the feet are closed. Do exercise 2.

Wumbling Exercises

1. Getting to know your muscles - try interrupting the process of urinating in the toilet. Feel how the muscles tense up and try to remember this feeling. You will need it.

2. Relax the whole body (you can lie down) and tighten the vaginal muscles for 7-10 seconds. Try to do this exercise regularly. For example, make a healthy habit of tensing your muscles immediately after going to the toilet. It is advisable to do 6-10 contractions a day at least 6 times a day.

3. In any sex shop you can now buy special vaginal balls for wumbling. The balls are lubricated and inserted into the vagina. You need to try to keep them in it for at least 1 minute.

If you don't like the balloon idea, you can only use the first two exercises. They also give a very good effect.

Incorrect position of the genitals in women is quite common. Often it can also cause infertility. We offer you a special complex of therapeutic exercises for the wrong position of the female genital organs.
Incorrect position of the uterus The incorrect position of the uterus is its displacement anteriorly, backwards, to the sides (to the right or left), up and down. The appendages of the uterus (ovaries and fallopian tubes) are very mobile and move, as a rule, along with it. The main reasons for the incorrect position of the uterus and vagina are:

1. inflammation of the genital organs; 2. adhesions in the pelvis; 3. underdevelopment of the internal genital organs; 4. congenital anatomical defects; 5. weakness of the pelvic floor muscles; 6. tumors of the genitals, bladder or rectum; 7. weakness of the ligamentous apparatus of the uterus.

Therapeutic gymnastics restores the normal physiological position of the uterus and has a general strengthening effect on the body. The indications for therapeutic exercises are acquired forms of disorders of the position of the uterus (as opposed to congenital forms associated with malformations, the treatment of which has its own characteristics). If the incorrect position of the uterus is aggravated by inflammation, neoplasm, etc., then gymnastics should be performed only after these complications have been eliminated.

Special exercises for displacement of the uterus

1. Starting position (ip) - sitting on the floor, legs extended and spread apart, arms to the sides. Exhale - turn to the left, bend over and take out the left sock with your right hand; inhale - return to the starting position. Take out the right sock with your left hand. Repeat 6-8 times.

2. I.p. - sitting on the floor, legs bent at the knees, hands clasping the shins. Move forward and backward with support on the buttocks and heels. Repeat 6-8 times on each side.

3. I.p. - standing on all fours. At the same time, while inhaling, raise your right arm up and forward and your left leg up and back; as you exhale, return to the starting position. The same with the left hand and right foot. Repeat 4-6 times. The pace is slow.

4. I.p. Same. When the uterus is displaced to the right, “step over” with straight arms to the left until the maximum turn of the body to the left. When the uterus shifts to the left, "step" to the right. When the uterus is bent, “step over” with your hands back to the knee joints and back. Repeat 6-10 times any option. The pace is average, breathing is free.

5. I.p. Same. While inhaling, vigorously drawing in the perineum, lower your head, arching your back; as you exhale, just as energetically relax the muscles of the perineum and raise your head, bending in the lower back. Repeat 8-10 times.

6. I.p. Same. As you exhale, without taking your hands off the floor, stretching as much as possible and arching your back, lower your pelvis between your heels; while inhaling, leaning on your hands, gradually straighten up, bending in the lower back, as if crawling under a fence. Repeat 6-8 times. The pace is slow.

7. I.p. the same, the arms are bent at the elbow joints. As you inhale, lift your straight leg up; as you exhale, return to the starting position. Repeat 10-12 times with each leg. The pace is average.

8. I.p. - lying on the chest, legs slightly apart, arms bent at the elbows (hands at shoulder level). Crawling in a plastunski for 30-60 seconds. The pace is average, breathing is free.

9. I.p. Same. At the same time, raise your head, shoulders, upper body and legs, arching sharply at the waist and raising your arms forward and upward. Repeat 4-6 times. The pace is slow, breathing is free.

10. I.p. - standing, feet shoulder width apart, arms to the sides. When the uterus is shifted to the left, tilt the torso to the right and touch the toes of the right leg with the fingers of the left hand (the right hand is laid aside). When the uterus is shifted to the right, lean to the left and touch the toe of the left foot with your right hand. When the uterus is bent, lower your hands to the toes of your feet. Repeat each option 6-8 times. The pace is slow, breathing is free.

11. Walking with a cross step (left leg in front of the right and vice versa), hands on the belt; or walking in a semi-squat for 1-2 minutes.

Remember: the supine position not only does not help correct the incorrect position of the uterus, but, on the contrary, fixes it. Therefore, all women suffering from this disease are advised to rest and sleep in the supine position.

Prolapse and prolapse of the vaginal walls

Such deviations are more common in women who have given birth. The reason for this is insufficient physical development, weakness of the pelvic floor muscles. The vagina is closely connected with the cervix, which, when lowered, is pulled down. Therefore, the prolapse of the vagina, if not properly treated, usually entails prolapse, and sometimes prolapse of the uterus. Therapeutic exercises help strengthen the muscles of the pelvic floor. The effectiveness of gymnastics is especially high in the initial stage of the disease, when the prolapse of the vagina is not accompanied by the prolapse of the internal organs (in particular, the uterus). The most favorable starting positions for the treatment of this ailment are standing on all fours; lying on your back. In a standing position on all fours, it is recommended to perform some of the above exercises (exercise 3-7). The following exercises are shown in the supine position

1. I.p. - legs together, arms along the body. Raise your legs as you exhale, spread them apart as you inhale; as you exhale, close your legs, while inhaling, return to the starting position. When lifting your legs, do not bend them at the knees. Repeat 6-8 times. The pace is slow.

2. I.p. - legs together (or one lies on the other), hands under the head. Raise your pelvis by arching in the lumbar region and at the same time pulling the anus inward. Repeat 8-10 times. The pace is slow, breathing is free.

3. I.p. - legs together, arms along the body. Raise your legs, bend them at the knee joints and perform the same movements as when riding a bicycle. Repeat 16-20 times. The pace is average, breathing is free.

4. I.p. Same. Raise your legs and lower them behind your head, trying to touch the floor with your toes. Repeat 4-6 times. The pace is slow, breathing is free.

5. I.p. Same. Alternately raise straight legs. Repeat 6-8 times with each leg. The pace is average, breathing is free.

6. I.p. Same. While exhaling, simultaneously raise straight legs at an angle of 30-45 ° to the floor, while inhaling, return to the starting position. Repeat 6-8 times. The pace is slow. 7. I.p. - legs slightly apart and bent at the knee joints (with support on the entire foot), arms under the head. Raise your pelvis by spreading your knees wide and pulling your anus in. Repeat 8-10 times. The pace is slow, breathing is free.

Exercises can be performed both in the morning and in the evening, but not earlier than 2 hours before or 2 hours after a meal. Prevention of the incorrect position of the female genital organs is to eliminate the causes that cause it. An incorrect position of the uterus can also occur in childhood, if the girl (as a result of parental negligence) does not empty her bladder and intestines in time, which leads to posterior deviation of the uterus. An increase in intra-abdominal pressure as a result of physical overstrain is also harmful: in everyday life, girls of 8-9 years old are often assigned to nurse and carry one-year-old brothers or sisters in their arms. This negatively affects both the overall development of girls and the position of the internal organs (and especially the uterus).

Irina KOTESHEVA, physiotherapy doctor, Ph.D. honey. Sciences

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The prolapse of the walls of the vagina is a pathological phenomenon that occurs due to the weakening of the muscles. Muscle weakness can be caused by a variety of factors: childbirth, surgery, age-related changes, tumors, hard physical labor, etc.

When the wall located in front is lowered, the position of the urethra and bladder changes, when the wall located behind is lowered, the position of the rectum changes.

There are 3 degrees of severity of this disease, we will consider only the first two, since the use of simulators is effective only for them.

What is the prolapse of the walls of the vagina and how does it happen?

With the 1st degree of violation, the labia do not close completely (due to the pressure of the uterus on the vagina), which is clearly visible when viewed on a gynecological chair.

Signs of the 1st degree:

• pain (similar to those that appear before menstruation)
• urinary disorders
• discomfort inside the vagina

At the 2nd degree, the condition worsens and the cervix gradually approaches the vestibule of the vagina, which indicates a significant weakening of the muscles. In addition, there may be a slight external protrusion of the vaginal walls.

Signs of the 2nd degree

• increased urge to urinate
• various stool disorders
• pain in the lower abdomen and groin
• in the perineum, the presence of education is felt

What Kegel exercises will help with the omission of the walls of the vagina

It is necessary to perform exercises in sets, squeezing the muscles of the pelvic floor:

Exercise 1

• Squeeze and unclench the pelvic muscles 3 times for 10 seconds, a break of no more than 10 seconds.
• Squeeze the muscles 9 times for 5 seconds, the break between sets is no more than 5 seconds.
• 2 times for 30 seconds to squeeze the muscles and a break of 30 seconds.

Then repeat the very first exercise.

Exercise 2

• 10 times to squeeze the muscles for 5 seconds
• 10 times to squeeze and relax the muscles - 3 sets
• Tighten the muscles for about 120 seconds, then do the whole exercise again

Exercise 3

• Squeeze the muscles 40 times. After a few days, increase to 50, and so on. The number of muscle contractions must be brought to 100.
• Tighten your muscles as much as possible and linger in this position for 20 seconds, then a break for 30 seconds and 5 more sets.

Exercise 4

Just tense your muscles for at least two minutes, then increase the time to 20 minutes. You need to do at least 3 times a day.

More effective treatments

There are various ways to treat these diseases, but not all of them are effective. This includes both extreme methods, such as surgery, and methods of treatment in the early stages: various kinds of pessaries, simulators and exercises.

Kegel exercises are effective in lowering the walls of the vagina in the 1st and 2nd stages.

The greatest effect is achieved with the use of special simulators that are designed to restore the strength of intimate muscles. They are made of safe hypoallergenic silicone and have a vibration effect. Their action is aimed at restoring the muscles of the small pelvis and solving the problem of urinary incontinence.

Which Kegel exercises are most effective in lowering the walls of the vagina?

The principle of operation is quite simple: you need to insert the device into the vagina and control the pressure or vibration mode and at the same time compress the muscles of the vagina. The device puts pressure on the walls of the vagina and produces a massage.

However, there is a massage of other neighboring organs, which is also very useful. The device allows you to control the correctness and intensity of the exercises performed using a special sensor that facilitates the process as much as possible.

What is the best Kegel machine for beginners?

Pneumatic simulator kGoal is the most modern and advanced simulator, has the form of a probe and is made of safe silicone (medical).

Despite the fact that it is not a medical device, its effectiveness has been confirmed by doctors. Works in conjunction with the application.

KeyGol adapts to the anatomical features of a woman and determines the degree of muscle training, which ensures maximum comfort during exercise.

All achievements are recorded, which allows you to objectively evaluate the achieved result. As the muscles strengthen, the simulator complicates the training program.

Training apparatus Magic Kegel Master consists of two balls, which are coated with silicone and interconnected.

Works in conjunction with an application that guides you during workouts and evaluates their effectiveness.

There are 6 programs for different levels of training. Pressure sensors evaluate the strength of your efforts, after which you receive feedback, as well as instructions for further action. In addition, this simulator can be used as a massager using different vibration modes.

If we compare the two simulators, then kGoal will be the undisputed leader, as it adapts to the individual characteristics of each woman and allows you to complicate training almost unlimitedly. All programs have a game form, which is a good incentive to improve performance. If the exercises are performed incorrectly, you will immediately receive a notification about this.

Training apparatus Yolana Phase I is a set of 4 cones of the same size and shape.

The difference between the cones is their color and weight (20, 34, 50 and 68 grams).

The main advantage of cones is that they act as an additional load on the muscles due to their weight.

The conical shape contributes to the slipping of the simulator from the vagina, to which the muscles react with a reflex contraction.

The latter contributes to the development and strengthening of muscles.

The technique and simulators are designed specifically for:

Women who are preparing to become mothers. Charging will be a preparation for an easy pregnancy and childbirth, since pregnancy promises to be minimally painful and without any negative consequences.

Women who have just given birth. A great way to rebuild your pelvic floor muscles and improve your sexual performance. life.

For those who have problems with urinary incontinence. Exercise will help tone your muscles and make them stronger.

Nellie September 19, 2016 at 10:15 pm Greetings! Faced with a diagnosis of omission of both walls of the vagina after 2 births and multiple ruptures. In addition to unpleasant sensations in the lower abdomen, all this was accompanied by frequent urges to go to the toilet. I generally keep quiet about sex, since it was basically impossible due to painful sensations. The doctor advised me to do the operation right away, but I decided not to rush and try to cope on my own, because you can always go under the knife. For training, I chose GBalls 2, the process itself is so simple and even I would say fascinating, that you forget about the disease and begin to treat the problem much easier. Within a week there was noticeable relief. Muscles feel so good that I can do exercises at any time and without a simulator. I'm glad I didn't have the surgery. Anna December 22, 2016 at 09:30 After giving birth, which was not at all easy (fruit 5.2), I was also strongly advised to have an operation, and I also refused. I went to the gym, for visceral massage and wumbling courses. The courses recommended simulators for performing Kegel exercises. I settled on the iEASE pneumatic simulator - I am satisfied with both the process itself and the results obtained. Girls who are faced with such problems, I want to turn to you - do not be afraid, everything is solved, there would be a desire! Ekaterina Ivashina January 28, 2017 at 20:11 I did plastic surgery of the anterior and posterior walls of the vagina, as there was a 2nd degree prolapse. The front wall sagged again after a month and a half, I didn’t want more operations. She did physiotherapy exercises and very actively performed Kegel exercises with Yolana f.1 cones. Now I repeat in courses so that the muscles do not weaken and do not have to experience all the delights of omission again. It took me half a year to fully recover. Camilla March 6, 2017 at 07:00 I worked out with Yolana cones (I have 1st degree prolapse of the anterior and posterior walls of the vagina). Improvements began very quickly, even the doctor was surprised by my perseverance and quick results. I advise everyone to constantly change the number of approaches and repetitions when doing exercises, otherwise progress will stop (tested on myself). Muscles quickly get used to the load and it becomes ineffective. But constantly “surprising” the intimate muscles with new and new loads and without long breaks in training, you can be cured in a matter of months!!! Evgeniya September 21, 2017 at 12:55 Good day everyone! Along with the descent of the walls, I had urinary incontinence, and not just when coughing or sneezing, but with any uncomfortable movement. Bought Magic Kegel Master. And I want to say that this is a very effective device, the most important thing is not to score on training. It became easier after a month, and after 4 I couldn’t even believe that such a trouble could be with my body. I also did exercises to strengthen the lower abdominal muscles, although there is an opinion that this can aggravate the prolapse. It's a matter of personal choice for everyone. Ruslana December 17, 2017 at 10:00 I was diagnosed with prolapse of the vaginal walls at the 5th month of pregnancy. After giving birth, I wanted to have an operation, but the gynecologist began to dissuade me, and offered me Kegel exercises. I took Yolana cones, at first it was very difficult to practice, but after about a week the training went like clockwork) After half a year of classes, I completely recovered. During this time, I reached training with the heaviest cone. I plan to try training with a vaginal simulator) Tanya February 3, 2018 at 17:30 When the anterior vaginal wall was lowered (grade 1), the gynecologist advised Yolana simulators phase 1 and phase 2. Even at the initial stage of training, the cones did not cause any discomfort. I am very pleased that I went through training, as the result appeared faster than I expected. I was so carried away by my health and training that I also went to yoga, it has no direct relation to training vaginal muscles (except for vacuum exercises for the press), but everything is healthy in a healthy body) Of the unexpected bonuses of using cones, sex has become more enjoyable, than before, because even without the omission I did not have the sensitivity that I have now.