Treatment of pelvic floor dysfunction in women

Posted by Senior Doctor Nguyen Thi Tan Sinh - Director of Obstetrics and Gynecology Center cum Head of Gynecology Department - Vinmec Times City International Hospital

Pelvic floor dysfunction (including genitourinary, urinary, and digestive system dysfunction) is a common disease globally, accounting for 25% of women in general, if not treated promptly. will greatly affect the patient's life.

A study by Dr. Nguyen Thi Tan Sinh in Vietnam Women's Newspaper in 1996 also showed that the prevalence of pelvic floor dysfunction accounted for 25.4% in people of childbearing age and 35% in women. perimenopausal women. Diseases of the pelvic floor cause many inconveniences and seriously affect the quality of life of women.

1. What is the female pelvic floor?

The pelvic floor is made up of many interlocking fascia and muscles, quadrilateral, located inside the pelvis, attached anteriorly to the pubic joint, posteriorly to the sacrum, and to the sides of the pelvis.

The pelvic floor is divided into two parts: anterior urogenital triangle (supports the urinary and genital organs) and posterior anal triangle (supports the anus)

The pelvic floor is like a hammock that supports the organs of three systems: the urinary system (bladder), the genital system (vagina) and the digestive system (rectum) to prevent these organs from prolapse.

Part of the urethra, vagina, and rectum penetrates the pelvic floor. At the site where the pelvic floor is penetrated by these structures, the surrounding sphincter muscles can relax to help control normal bowel function, urination, and sexual activity.

2. What is pelvic floor dysfunction?

The pelvic floor has two main functions:
Supports and immobilizes the organs in the pelvis. Controls normal bowel, urinary and sexual functions When the pelvic floor cannot perform its two functions well, it is called pelvic floor dysfunction.
Common causes are:
Overweight, obesity Pregnancy, especially if excessive weight gain, gestational diabetes Childbirth (big baby, multiple births, trauma during childbirth), Menopause (decreased hormones) leads to weakening of the muscle, ligament, nervous system...)

Mắc cúm khi mang thai 11 tuần có ảnh hưởng gì không? — Mang thai gây rối loạn chức năng sàn chậu

Persistent constipation Pelvic floor dysfunction has the following manifestations:
Urinary tract:
Leaky urine when coughing, sneezing, laughing loudly, running or carrying heavy objects Feeling the need to urinate quickly, suddenly, strong urge to urinate before reaching the toilet Running and jumping Can't keep at will when feeling sad or sad to have a bowel movement Prolonged constipation, difficult defecation requiring pump or oral medication Prolapse of organs: prolapse of uterus, bladder, rectum, intestine
Sexual dysfunction
Painful intercourse, decreased libido Feeling that the door is wide, slightly . Chronic pelvic pain
Pain in the lower back, abdomen, chest

Đau bụng dưới bên trái ở nữ có đáng lo? — Đau vùng chậu mãn tính có thể gây rối loạn chức năng sàn chậu

3. Treatment of pelvic floor dysfunction?

Prophylactic treatment: Pelvic floor muscle training after childbirth and after menopause Treatment of pelvic floor dysfunction Depending on the type and extent of pelvic floor dysfunction, a specialist will examine, evaluate and advise methods and treatments.
Patients need to exercise pelvic floor muscles under the guidance of medical staff or with an electromechanical stimulator, biofeedback machine to identify muscle groups to exercise. Drug treatment when there is inflammation or vaginal malnourishment.
Some cases need surgical intervention when medical treatments do not bring results. Surgical methods to restore or strengthen a weakened or altered pelvic floor support system.

Tập sàn chậu — Tập luyện cơ sàn chậu giúp điều trị bệnh

Vinmec International General Hospital is one of the hospitals that not only ensures professional quality with a team of leading medical doctors, modern equipment and technology, but also stands out for its examination and consultation services. comprehensive and professional medical consultation and treatment; civilized, polite, safe and sterile medical examination and treatment space.

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Bài viết này được viết cho người đọc tại Sài Gòn, Hà Nội, Hồ Chí Minh, Phú Quốc, Nha Trang, Hạ Long, Hải Phòng, Đà Nẵng.