Reference; https://mbp-japan.com/jijico/articles/32486/
Modified and translated by CFJA
What Is Uterine Prolapse?
Women’s bodies differ significantly from men’s, particularly in relation to reproductive health. Women who menstruate may experience pregnancy and childbirth, and a variety of physical changes can occur after giving birth. One condition that may develop is uterine prolapse.
Uterine prolapse occurs when the uterus descends from its normal position and, in more advanced cases, protrudes into or outside the vagina.
In some cases, the uterus is not the only organ affected. The bladder or rectum may also descend. These conditions are collectively referred to as pelvic organ prolapse (POP).
Pelvic organ prolapse includes uterine prolapse, cystocele (bladder prolapse), rectocele, and vaginal vault prolapse. In more advanced cases, the affected organ or vaginal tissue may protrude beyond the vaginal opening. As the condition becomes more severe, symptoms or complications may include increased vaginal discharge, bleeding, ulceration, or infection.
If you notice a sensation of pressure, a bulge, or the feeling that something is present in or coming out of the vagina, it is important to consult an appropriate medical specialist for evaluation❶.
Uterine Prolapse Is Caused by Weakening of the Pelvic Support Ligaments and Muscles
Uterine prolapse is primarily associated with weakening of the ligaments, fascia, and muscles that support the pelvic organs. Reduced function of the supporting structures around the uterus and pelvic floor—including the vesicouterine, pubourethral, uterosacral, and cardinal ligaments, as well as the pubocervical and pelvic floor fascia—can contribute to the development of uterine prolapse. Aging and childbirth are important contributing factors, and the condition is more common among older women who have given birth multiple times❶.
It is estimated that approximately 10% of women experience uterine prolapse. The prevalence gradually increases around the time of menopause and peaks among women in their 60s. Among women in their 70s and older, the likelihood of developing uterine prolapse appears to increase with the number of vaginal deliveries❷. Uterine prolapse is therefore not an uncommon condition.
Approximately 40–50% of women with uterine prolapse also experience urinary incontinence, which can significantly interfere with daily activities and quality of life.
Exercise Can Help Prevent Uterine Prolapse
The direct cause of uterine prolapse is the weakening of the muscles that support the pelvic organs, including the pelvic floor muscles, together with loosening of the ligaments and fascia that support the uterus. These changes are thought to occur as a result of aging and childbirth. One study has reported that women who have had two vaginal deliveries have approximately eight times the risk of developing uterine prolapse compared with women who have never given birth❷.
For women who have not developed uterine prolapse, regular exercise is an important preventive measure. Physical fitness and muscle strength gradually decline beginning in our 40s and 50s. To help reduce the risk of developing uterine prolapse, exercising three to four days a week is recommended. Walking for approximately 30 minutes at a time is a simple and practical form of exercise❸❹❺.
References
❶ Byoki ga Mieru (Understanding Disease), Vol. 9: Gynecology and Breast Surgery, pp. 113–114.
❷ Medical Note: Uterine Prolapse—A Condition That Can Affect Any Woman
❸ The Turning Point for Physical Strength Is 62 Years Old. What Is the Key to Preventing Physical Decline?
❹ Does Physical Decline Really Start at 40?! Are There Secrets to Preventing Muscle Loss?
❺ Is 50 Just Before the Halfway Point of a 120-Year Life? Should Obesity Be a Concern at This Age?