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14. Prolapse: Gynecology Hindi Lecture Series
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Uterine prolapse occurs when the uterus descends from its normal position into or outside the vaginal canal due to weakness of the pelvic floor muscles and supporting ligaments 🩺🌸. This condition is classified into grades, ranging from mild descent to complete uterine prolapse (where the uterus protrudes outside the vagina). Common risk factors include multiple vaginal deliveries, advanced age, obesity, chronic cough, and heavy lifting. Symptoms include pelvic pressure, a feeling of something "coming out" of the vagina, urinary incontinence or retention, and bowel difficulties. Diagnosis is made through a pelvic examination, often supported by imaging like ultrasound or MRI for detailed evaluation 🩻. Treatment depends on the severity and includes pelvic floor exercises (Kegels) for mild cases, pessary insertion to support the uterus, or surgical repair (e.g., vaginal hysterectomy, sacrocolpopexy) for severe prolapse. Preventive measures include avoiding heavy lifting, maintaining a healthy weight, and strengthening pelvic floor muscles. Early diagnosis and management can significantly improve quality of life and prevent complications like urinary infections or chronic discomfort. 🌿✨🩺

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