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General Practice 2023

Útero low: what é, causes, symptoms and treatment

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Útero low: what é, causes, symptoms and treatment
Útero low: what é, causes, symptoms and treatment

Low uterus, also called uterine prolapse, is characterized by the proximity between the uterus and the vaginal canal, which can lead to the emergence of some symptoms, such as difficulty urinating, frequent discharge and pain during sexual intercourse, for example.

The main cause of low uterus is the weakening of the muscles that support the uterus, causing the descent of the organ, being more frequent in older women, who have had more than one normal delivery or who are in menopause.

It is important that the low uterus is diagnosed by the gynecologist, so that it is possible to verify the severity and the need for treatment, especially in the case of pregnant women, since the low uterus can increase the risk of cervical infection and miscarriage.

Symptoms of a low uterus

The symptom usually associated with low uterus is pain in the lower back, but there may also be other symptoms such as:

  • Difficulty urinating or defecating;
  • Difficulty walking;
  • Pain during intercourse;
  • Prominence of vagina;
  • Frequent discharge;
  • Feeling that something is coming out of the vagina.

The diagnosis of low uterus is made by the gynecologist through transvaginal ultrasound or intimate touch, which can also be done by the woman according to the doctor's guidance.

It is important to see a gynecologist as soon as symptoms are noticed, as this condition increases the risk of urinary and cervical infections, including the HPV virus, which can be serious in the case of pregnant women.

Low cervix in pregnancy

The cervix can be lowered during pregnancy and is normal when this happens in the last days of pregnancy, to facilitate delivery. However, if the uterus gets too low, it can put pressure on other organs, such as the vagina, rectum, ovary or bladder, causing symptoms such as excessive discharge, constipation, difficulty walking, increased urination and even miscarriage.

Also, it is normal for the cervix to be low and hard before delivery, which happens in order to support the weight and prevent the baby from coming out early.

When the cervix becomes lower in early pregnancy, it is recommended that the doctor be consulted for an evaluation of the cervix to be carried out and thus to be verified for severity. In general, the uterus returns to its normal position by the end of the second trimester of pregnancy, without the need for specific treatment, however it is important that it is properly monitored by the gynecologist-obstetrician to assess the risk of complications, such as cervical infection, urinary retention, preterm labor and miscarriage.

That's why it's important to perform prenatal care, so that you can know the exact position of the cervix, and have medical follow-up.

Main causes

Low uterus mainly happens due to weakening of the muscles that support the uterus, causing its descent. So, some factors that can weaken these muscles are:

  • Older age;
  • Pregnancy;
  • Menopause;
  • Presence of abdominal hernias;
  • More than one normal delivery;
  • Excessive and incorrect weight lifting;
  • Obesity.

Identification of the cause of the low uterus is important so that it is possible to assess the severity of the alteration and, thus, be able to indicate the most appropriate treatment. See what low uterus severity indicates.

How the treatment is done

Treatment for low cervix is ​​done according to the severity of the symptoms and the use of medication, surgery to repair or remove the uterus may be indicated. In addition, exercises to strengthen the muscles of the pelvis, Kegel exercises, can be indicated. Learn how to practice Kegel exercises.

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