Gymnastics for uterine prolapse: what exercises do Israeli gynecologists recommend?

What is uterine prolapse

This is a condition where the cervix and its fundus drop to a position below normal. The reasons for this are: a sedentary lifestyle, insufficient training, weakness of the pelvic floor and others. In addition, often ladies do not turn to specialists on time, but prefer to self-medicate or hide the diagnosis from everyone, simply out of embarrassment.

It also happens that gynecologists themselves from the CIS countries, due to poor-quality equipment and other factors, do not always pay attention to the slightly open entrance to the vagina and the seemingly slight sagging of the walls. As a result, uterine prolapse can develop into prolapse and disruption of the functions of neighboring organs.

Vaginal prolapse - symptoms and treatment

Conservative treatment

Conservative treatment is aimed at maintaining and strengthening the pelvic floor muscles, as well as preventing deterioration. It is recommended:

when the vaginal walls prolapse without the patient’s complaints, when only the doctor sees the prolapse;
in the presence of contraindications: severe diseases of the cardiovascular system with heart rhythm disturbances and periods of increased blood pressure; old age; diseases of the coagulation system due to the risk of bleeding or complications of anesthesia;
if the patient refuses surgical treatment.

Exercises for the pelvic floor muscles

There are many variations of Kegel exercises. They are performed by the woman herself in a standing, sitting or lying position [21][23]. To find the “right” muscles, a woman needs to try to stop the flow of urine when emptying her bladder. At the same time, exactly those muscles of the pelvic day that need to be trained are tensed.

To achieve the best results, it is important to train in stages. The first stage is for patients with weakened pelvic floor muscles. One of the exercise options:

Lie on your back, spread your legs slightly, bending them at the knees. The buttocks should lie firmly on the floor during the entire exercise.
Tighten the pelvic floor muscles (the movement is the same as when stopping urination or retaining gas in the intestines). Do not hold your breath, make sure that when the pelvic floor muscles are tense, the muscles of the abdomen, back and legs remain relaxed.
Keep the muscles tense for 2-3 seconds, then relax completely.

You can make sure that the pelvic floor muscles are really working using a mirror: the tendons in this area should be stretched. At first, it is recommended to perform 5 repetitions of the exercise 3 times a day. In the future, a set of exercises for prolapse of the vaginal walls is selected by the attending physician.

Exercises can be performed using various devices, for example, safe silicone cones of different weights. Inserting them into the vagina helps a woman understand and feel those same pelvic floor muscles. When the cone is in the vagina, the pelvic floor muscles contract reflexively.

Electrical stimulators and vibration stimulators . These devices are used to develop the strength of the pelvic floor muscles and vaginal walls, which are not amenable to controlled contraction. You can record your training results and track changes using several parameters using an application on your smartphone. Success can only be achieved with regular practice.

Gynecological pessary. This polymer medical product, installed in the vagina both by the woman herself and by a gynecologist to support the walls of the vagina and uterus from prolapse, comes in various shapes and sizes [24]. The pessary eliminates prolapse only while the woman is using it. Some pessaries for long-term continuous wear (2 weeks), cubic and mushroom-shaped pessaries (Arabin) are used during the day, and the woman removes them at night.

First of all, during the inspection and/or with the help of adaptation rings (Arabin), the shape and size of the product are selected. A properly sized pessary should not cause discomfort. In addition, the doctor should explain to the woman how to use and store the pessary. It is important to know that the product cannot be boiled. If dryness is present, estrogen-containing creams are often prescribed.

Prescribing hormone therapy

Hormonal therapy is prescribed taking into account age, concomitant diseases, the presence of menstruation, the presence/absence of contraindications in the medical history (thrombosis - blockage of blood vessels; diseases of the coagulation system; severe decompensated diseases of the liver, kidneys, cardiovascular system). Depending on these data, both combined estrogen-progestogen drugs or combined menopausal replacement therapy, as well as local vaginal hormonal drugs, may be recommended [11].

Bandage underwear

Used as a temporary stage of treatment (preparation before surgery or before selecting a pessary). It is a special elastic swimming trunks with a high waist. The device is hygienic, convenient to use, and prevents prolapse of the vaginal walls. The bandage can be purchased at a pharmacy.

Diet

Proper nutrition during vaginal prolapse - prevention of constipation and increased gas formation. Diet principles:

eating small portions 5 times a day;
avoiding overeating;
enriching the diet with products containing plant fibers, vegetables, fruits, soups, cereals;
refusal to eat legumes, fatty and fried foods.

Surgery

If conservative treatment is ineffective or there are direct indications, surgical treatment is used. Indications for surgery: 3-4 degree of pathology, disruption of neighboring organs, complete prolapse of the uterus or rapid progression of the disease.

The goals of surgical treatment are to achieve the best result using a minimally invasive technique:

resolve complaints;
restore the integrity and relationship of all organs involved in the prolapse, restore their functions.

When choosing a method of surgical treatment, the doctor evaluates several points: the degree and type of prolapse of the vaginal walls, the general condition and age of the woman, the desire to bear and give birth to a child in the future, the nature of sexual activity, the condition of the cervix, the presence of other diseases of the pelvic organs.

Before surgical treatment, the doctor discusses with the woman the scope of the operation, the risks of possible complications and rules of behavior after the operation.

The operations are performed under general anesthesia, epidural or intravenous anesthesia. Previously, the woman undergoes a complete preoperative examination: she takes blood and urine tests, does an ECG, fluorography of the chest organs, visits a therapist, anesthesiologist and other specialists in order to exclude contraindications to surgery in the presence of concomitant diseases.

In surgery, both the patient’s own tissue and synthetic materials are used to strengthen the ligamentous apparatus and muscles.

Main types of operations

1. Strengthening the walls of the vagina and pelvic floor using tissue from the woman’s genital area (anterior colporrhaphy, colpoperineolevatoplasty).

Anterior colporrhaphy is indicated for prolapse of the anterior vaginal wall and/or cystocele (bulging of part of the bladder). It is performed in a hospital under general anesthesia. Methodology: cutting out and excision of a flap from excess tissue of the anterior vaginal wall. The size of the removed fragment should correspond to the excess stretched or drooping vaginal wall. After removing the outlined flap, the edges of the incisions are sutured [1][2][12].

Colpoperineolevatoplasty is indicated for prolapse of the posterior vaginal wall and rectocele (prolapse and prolapse of the anterior wall of the rectum). Methodology: removal of bulging excess tissue from the posterior wall of the vagina by cutting out and applying muscle-fascial sutures. This method helps restore the integrity of the pelvic floor muscles.

During these operations, scars in the vagina and perineal tissues obtained during previous births can be eliminated.

2. Correction of prolapse by suturing the cervix or vaginal dome to the uterosacral ligaments.

Indicated for prolapse of the vaginal walls and enterocele (prolapse of the posterior vaginal vault). Access - vaginal. It is performed in a hospital under general anesthesia. Condition - the vagina must be of sufficient length (at least 7 cm), which is determined during a two-handed examination by approaching the vagina to the ischium. Methodology: fixation of the cervix or vaginal dome (in the absence of a uterus) to the sacrospinous ligaments, while the body of the uterus or the dome is pulled up [26].

3. Manchester operation - a combination of strengthening the ligamentous apparatus and surgery on the mucous-muscular layers of the vaginal walls.

Indicated for prolapse of the walls of the vagina and uterus, in the presence of a long cervix (more than 4 cm) and bulging of part of the bladder into the vagina. Access - vaginal. The technique consists of several stages:

shortening the long cervix and suturing the cardinal ligaments together (the function of these ligaments is to keep the uterus from lateral displacement);
anterior colporrhaphy - cutting out and excision of a flap from excess tissue of the anterior vaginal wall;
colpoperineolevatoplasty - removal of bulging excess tissue from the posterior wall of the vagina by cutting out and applying muscle-fascial sutures.

After the above operations (points 1, 2 and 3), future pregnancy is not contraindicated, but vaginal birth is excluded.

4. Vaginal extirpation (removal) of the uterus in combination with anterior colporrhaphy and colpoperineolevatoroplasty.

It is performed on elderly patients who have completed their reproductive function, with all types of vaginal and uterine prolapse. After this operation, menstruation stops and pregnancy is no longer possible.

Access - vaginal. Methodology: removal of the body of the uterus and cervix with careful formation of the vaginal dome, which implies:

cutting and excision of a flap from excess tissue of the anterior vaginal wall;
removal of bulging excess tissue from the posterior wall of the vagina by cutting out and applying muscle-fascial sutures.

The patient is warned that complications are possible during vaginal operations:

formation of hematomas and abscesses, which are eliminated during subsequent rehabilitation;
the occurrence of periodic pain in the perineum as a result of entrapment of the pudendal nerve during surgery;
ishalgia (pain along the sciatic nerve);
pain during sexual intercourse.

It is important to keep in mind that after all the operations described above (points 1, 2, 3 and 4), complaints may return if the patient does not follow the doctor’s recommendations.

5. Operations aimed at partial obliteration (gluing) of the vagina.

These operations are offered very rarely, since after them it is impossible to be sexually active. They are performed only in old age with complete prolapse of the uterus (in the absence of problems with the cervix and endometrium), if there are no other alternatives.

6. Operations using synthetic materials to strengthen the ligamentous apparatus of the uterus and fix it.

Vaginal extraperitoneal colpopexy (TVM operation - transvaginal mesh). During this operation, non-absorbable synthetic mesh prostheses are used. Indications: repeated prolapses and prolapses in previously operated patients, the presence of pathologies of organs of other systems. Access - vaginal. Methodology:

One mesh implant is placed under the bladder as a frame for the anterior vaginal wall.
Another implant is fixed above the rectal wall to strengthen the posterior vaginal wall.
By passing a prosthetic flap through the obturator foramen of the pelvic bones in the area of the inguinal folds in the buttock area, a complete reconstruction of the pelvic floor is performed [2].

Thus, being under the muscular layer of the vagina, the mesh prosthesis duplicates and strengthens the contour of the vaginal tube. This technique can be combined with removal of a long part of the cervix and with removal of the uterus with a intact cervix. The advantages of the operation are that the uterus can be preserved, there are practically no relapses of prolapse, and it does not interfere with sexual activity. Disadvantages: high cost of the operation.

Sacrocolpopexy. Today, the most effective technique is superior to operations through vaginal access [27]. Indications: in the presence of prolapse of the upper part of the vagina (anterior and/or posterior vaginal fornix). Access - laparoscopic or laparotomy During laparotomy on the abdominal wall along the suprapubic skin fold, a 15 cm long incision is made layer by layer with a scalpel until the doctor can visually see the pelvic organs. During laparoscopy, an incision is made with a scalpel, only 1 cm long. A special instrument, a trocar, is inserted, through which carbon dioxide enters the abdominal cavity, which inflates the abdomen. After this, a laparoscope is inserted into the patient's body. A video camera and a light source are connected to the laparoscope, which allows you to transfer the image from the video camera to the monitor, where the doctor sees the condition of the pelvic organs.

Technique: attaching the upper 2/3 of the posterior wall of the vagina (if the uterus is absent) or the body of the uterus (if the uterus is preserved) to the anterior longitudinal ligament of the sacrum using a synthetic non-absorbable mesh implant. Next, the mesh is fixed to the anterior wall of the vagina. Often, the uterosacral ligaments are fixed parallel to the mesh on both sides. Pros: there are practically no relapses, the uterus as a reproductive organ is preserved. Disadvantages: longer operation time (2.5-3 hours), high cost and long rehabilitation time.

Prolapse of the vaginal walls is very often accompanied by a symptom such as stress urinary incontinence; today there are options for solving this problem:

Introduction of a hyaluronic acid preparation into the submucosal layer of the urethra of the anterior vaginal wall. As a result of the filling of tissue cells, their volume increases, pressure appears on the lumen of the urethra, which narrows it and prevents incontinence. It is performed under local anesthesia using a specific technique on an outpatient basis. The effect can last up to 1.5 years. This technique is very popular because it is easy to perform, minimally invasive and hypoallergenic. After administration, rehabilitation is not required, but in some cases, for a longer and more complete effect, local administration of estrogen-containing drugs may be recommended.
The surgical method for stress urinary incontinence is sling (loop) surgery. Access - vaginal. Methodology: placing a synthetic non-absorbable loop around the bladder neck. There are several options; currently a common technique is to insert a loop from an incision in the anterior vaginal wall in the area of the middle part of the urethra through the obturator foramen of the pelvic bones, bringing the ends of the loop to the bend of the thigh and perineum (operation TVT-O) [23]. Anesthesia - intravenous/epidural or general anesthesia. It can be performed as a surgical operation within one day or in a gynecological hospital under general anesthesia. The duration of the operation is 15-20 minutes. The patient is able to sit and stand on the first day. This operation provides for correction of the degree of tension of the loop after the operation.

Rehabilitation after surgical treatment of vaginal prolapse

Recommendations for recovery after surgery may vary depending on the type of intervention. After all operations:

For two months, sexual activity, lifting weights of more than 7 kg, running, abdominal exercises, jumping, visiting the steam room, swimming pool are excluded. Preventing constipation is important. All this can lead to divergence of the seams on the “tender” walls of the vagina and cause bleeding. Within two months the sutures dissolve.
for three weeks it is forbidden to sit at a right angle.
Physiotherapeutic procedures are excluded.

After strengthening the pelvic floor using tissue from the woman’s genital area (anterior colporrhaphy or colpoperineolevatoplasty), strict bed rest for three days is recommended.

After surgery via vaginal access, antiseptic or antibacterial suppositories are prescribed in the vagina in order to prevent inflammation and divergence (melting with pus) of the threads after suturing.

After operations using the laparoscopic or laparotomy method, antibiotic therapy is prescribed to prevent inflammatory processes in the pelvic organs and speed up recovery after surgery.

Long-term recommendations for preventing relapses: avoid carrying weights of more than 7 kg, prevent constipation, control body weight.

If a woman plans to become pregnant after surgery, she should be warned that vaginal birth may pose a risk of rupture of the vaginal and perineal walls in the future. Therefore, the labor management plan must be agreed upon with the obstetrician-gynecologist observing the pregnant woman. In each case, everything is decided individually. Thus, rehabilitation strongly depends on the discipline of the woman herself, her age and the characteristics of her body.

Symptoms of uterine prolapse

Painful sensations in the lower abdomen, sacrum and lower back (pulling, pressing, aching).
Feeling of pain when urinating, urinary incontinence.
Bloody, spotting vaginal discharge.
Irregular menstrual cycle.
Copious bleeding.
Painful intercourse.
Constipation, colitis, incontinence of gases, feces.

According to experts, uterine prolapse is, as a rule, always preceded by vaginal prolapse or prolapse. Paying attention and correcting this condition in time is very important and necessary! Preventative gymnastics according to Kegel, exercises according to Yunusov, physical education according to Bubnovsky, Atarbekov, yoga, sports and fitness will help with this.

Treatment of uterine prolapse in Israel in advanced stages is surgical correction of the pelvic floor using a special innovative technique, which is widely used in the First Medical Center of Tel Aviv. The operation is performed by Dr. Gennady Bitman, a leading gynecologist in Israel, a member of international associations of gynecologists, and a senior physician in the gynecology department of the Center.

Kegel exercises

To increase the tone of the pelvic floor muscles and thus strengthen the uterus, the famous 20th century gynecologist Arnold Kegel proposed performing special “squeezing and releasing” movements of the intimate muscles in a certain order and pace.
This exercise of the same name can be easily done even while sitting on a chair, going up in an elevator, etc.:

Squeeze and unclench your vaginal muscles, “holding” for the count of “three,” as if you were stopping urination. Then relax. Repeat the exercise 10 times. Next, increase the number of movements to 15 (20). It is important to breathe with your belly.

Continue Kegel exercises with rhythmic contractions of the vaginal muscles (5 seconds each - compression/relaxation) for 3 minutes.

Push out (or in simple words “push”) is another stage of exercises to strengthen the pelvic floor. At the same time, place your hands on your stomach, bend your legs slightly at the knees. To achieve the desired effect, each stage of training should be repeated up to 150 times every day.

Stomach prolapse (gastroptosis)

Signs

There are 3 degrees of gastroptosis.
As a rule, gastroptosis of degrees I and II are asymptomatic, although sometimes they can cause a feeling of heaviness, bloating, and fullness in the epigastric region, especially after a heavy meal; as well as a dull aching pain in the epigastrium, which is relieved by the patient lying down and is explained by stretching of the ligaments that fix the stomach. Cardialgia is sometimes observed. There may be short-term pain in the abdomen during running or jumping, which goes away on its own, nausea, and loss of appetite. Constipation is common. The combination of gastroptosis with ptosis of other organs (liver, kidneys, etc.) can give additional symptoms. The patient has a sagging belly, but if it is tightened, the pain may decrease or even disappear.

Description

Congenital gastroptosis is primarily caused by constitutional asthenia (from the Greek ασθένεια - impotence, weakness): an excessively long mesentery of the colon, which, when descending, stretches the gastrocolic ligament and pulls along the greater curvature of the stomach, causing gastroptosis. The prolapse of one of the sections of the stomach leads to kinking of the initial part of the duodenum, which further impairs gastric emptying and can cause pain.

Acquired gastroptosis is observed with a sharp weakening of the abdominal wall muscles after sudden and severe weight loss, after childbirth, removal of ascitic fluid or large abdominal tumors. It occurs due to stretching of the ligamentous apparatus that fixes the position of the stomach.

Treatment

For gastroptosis of I-II degrees, physical education classes and exercises aimed at strengthening the abdominal press are recommended. For gastroptosis of the third degree - special courses of physical therapy, abdominal massage, hydrotherapy. In all cases, frequent fractional meals with high-calorie and easily digestible foods are indicated, especially with sudden weight loss. To increase appetite - bitterness, small doses (4-6 units) insulin 20 minutes before meals subcutaneously and other appetite stimulants; for achylia (atrophy of the gastric glands), gastric juice and its substitutes are prescribed. Anabolic hormones, strychnine and arsenic preparations are also recommended. Doctors advise combating constipation with the help of dietary measures and laxatives, giving preference to medicinal herbs.

In severe cases of gastroptosis associated with severe laxity of the anterior abdominal wall, it is recommended to lie down for 1-1.5 hours after eating and a therapeutic bandage is prescribed; which is applied with the patient lying down.

Gastroptosis is usually combined with chronic gastric hypotension.

Charging according to Yunusov

This gymnastics, if done regularly, “copes” well with the problem of incontinence, as it stimulates the sphincters of the bladder and rectum. Exercises according to Yunusov also strengthen and tone the pelvic floor muscles, uterus, and abs. It is interesting that Yunusov’s exercises resemble regular physical education at school (torso turns, circular movements of the body, squats and jumps).

But we know that everything ingenious is simple. Therefore, these seemingly simple and familiar exercises from childhood help to tone the female organs, shape the pelvic floor and relieve the fair sex from the problem of uterine prolapse. According to Israeli experts, the main thing is to exercise regularly.

Exercises according to Bubnovsky

It is recommended to do this set of gymnastic exercises for uterine muscle prolapse 2-3 times a week (then daily) in the morning, preferably without breakfast.

Start by lying on your back. Stretch your arms to the sides, bend your knees. Inhale and as you inhale, lift your pelvis up, bringing your knees together and tensing your abdominal muscles. When you exhale, return to the starting position (repeat 10 times).
Lying on your back, legs bent at the knees, hands clasped behind your head. As you exhale, stretch your elbows toward your knees, lifting your pelvis and shoulders at the same time. (Do 10 sets).
While on your knees, sway from side to side, while moving your pelvis and feet in different directions relative to each other.

Physical therapy using the Atarbekov method is a proven effective method of combating prolapse of the pelvic organs, including the uterus, in the early stages.
It differs from previous methods (according to Kegel and Yunusov) in that it is carried out in two positions: standing and lying down. And you will certainly recognize many of the exercises. Among them: “scissors”, “kitty”, “birch”. In a standing position:

Bring your legs straight together, applying maximum effort, and at the same time, straining your intimate muscles for 10 seconds. Then comes relaxation. You can also hold a fist or a towel roll between your legs to make the exercise more difficult. Perform up to 7-9 approaches.
Stand in the “swallow” stance for 10 seconds (standing on one leg, take the other back and try to keep your balance), change your leg. Do 8 times.
Swings have a good effect on the pelvic floor. Take turns with your left and right feet. It is very important to simultaneously strain the muscles of the pelvic floor and abdomen.

Movements in a lying position:

Remember the exercise that you probably did in physical education lessons as a child. Its name is “bicycle”. To strengthen the pelvic floor muscles, “pedal” for 3-4 minutes.
Lying on your side, rest your elbow on the floor. Bend the leg on top at the knee and throw it back. At the same time, slowly lift the “lower” leg, while simultaneously retracting the perineum. Perform 15 sets with each leg.
Lie on your stomach, stretch your legs and arms forward, lifting them slightly. How long to hold this position for effect? 20-30 seconds is enough. Do 4-6 times.
Now everyone knows “Berezka”. Freeze in this position for 45 seconds, repeat 6-7 times.
Exercise “scissors” - lie on your stomach, moving your legs, as if cutting paper.
Starting position: standing on all fours. Exercise - “cat” (10-15 times).
Place a towel cushion under your lower back while lying on your back. Raise one leg at a right angle, hold in this position for 10-20 seconds, relax. Now with the other leg (5-8 times).

Yoga for uterine prolapse

According to experts, a pose called “viparita karani” is recommended to eliminate this condition.

In a lying position, lift your legs up and straighten them, while leaning on the wall.
Elevate your pelvis by placing a folded towel or pillow underneath it.
Stay in this position for 5 minutes. Then return to the starting position, relax and repeat 3 sets.

EXPERT OPINION: Special gymnastics will help Doctors of the City Clinical Hospital No. 15 named after O.M. Filatova are engaged in the diagnosis and treatment of the most complex and at the same time common diseases. One of them is uterine prolapse, one of the manifestations of a disease called throughout the world “pelvic organ prolapse.” The head of the 12th gynecological department of the City Clinical Hospital No. 15 named after O.M. talks about how to avoid the development of serious pathology. Filatova Alexander Pitko.

— Prolapse of the uterus is a pathology in which the organ moves downward into the vagina until it completely falls out, while the cervix remains in its place. It can be found in women of any age, but in more than 50% of cases it is diagnosed in women over 50 years of age.

It is necessary to start preventing uterine prolapse as early as possible. Regular physical training aimed at strengthening the abdominal muscles is useful; in addition, treatment and prevention of diseases leading to chronic constipation is extremely important.

The number of births, as well as proper management of pregnancy and childbirth, plays a significant role in the development of uterine prolapse, so it is necessary to regularly and promptly visit antenatal clinic doctors. Often, uterine prolapse is a consequence of the lack or improper provision of obstetric care during childbirth. After childbirth, women need to regularly perform gymnastics to strengthen the pelvic floor and abdominal muscles, and heavy physical activity should be limited. Before starting training, consult a doctor who will give recommendations regarding the timing of the start of training and the intensity of the load.

During the postmenopausal period, women should also pay attention to the prevention of uterine prolapse. In addition to therapeutic and prophylactic gymnastics, the doctor may recommend hormone replacement therapy, which improves blood supply and tone of the uterus and its ligaments.

Exercises to strengthen the vaginal muscles:

Slow contraction of the perineal muscles. The perineal muscles should be kept tense for 3-4 seconds, after which you need to relax. Then the muscles tense again for 5-20 seconds, after which you need to slowly relax again.
An exercise in which it is necessary to smoothly tense and weaken the perineal muscle, many people call it a “lift.” It is necessary to start the exercise by smoothly tensing the muscles of the perineum, leaving them in good shape for 3-5 seconds (the so-called first floor), then you need to further increase muscle tension and again hold the muscles in good shape for a few seconds (the “second floor”), etc. You should continue to increase the tension as long as possible, then you should also gradually relax the vaginal muscles.
Reduction. You should consistently tense and relax the muscles of the perineum, gradually increasing the pace of the exercise.

Exercises aimed at strengthening the pelvic floor and abdominal muscles:

You should start training by repeating the exercises 5–7 times, gradually increasing to 15–20 repetitions. Many exercises are familiar to us from rhythm and physical education lessons at school and do not require special physical training.

in a lying position, perform the “bicycle” exercise with your knees bent, and the “scissors” exercise with your legs straight;
in a lying position, you should raise your straightened legs to an angle of 45 degrees from the floor, holding them in an elevated position first for 3–5 seconds, then gradually increasing this time to 10–15 seconds;
while lying on your back, you need to bend your knees, then, leaning on your elbows, you need to raise your hips, and then pull in the muscles of the perineum; after a few seconds you can relax and return to the starting position;
while lying on your stomach, you need to simultaneously raise your outstretched arms and legs, making a “boat”;
walking up the steps is also one of the exercises that improves the tone of the pelvic muscles.

There are a lot of exercises that help strengthen the muscles of the pelvis, perineum and abdominals. Above are the simplest of them, which can be performed at home. By devoting only 30–50 minutes a day to such therapeutic and preventive gymnastics, you significantly reduce the risk of developing prolapse of not only the uterus, but also other pelvic organs.

Sports and fitness for uterine prolapse:

Moderate but regular physical activity, as well as running (after consultation with your doctor) if your pelvic floor muscles are weak, are very important. Not recommended! Gym classes, strength training, jumping. If therapeutic exercises do not give the expected effect, it is possible to cope with uterine prolapse with the help of surgical intervention, which in Israel is carried out according to the most modern medical protocols. For the treatment of uterine prolapse in Israel, specialists at the First Medical Center in Tel Aviv have in their arsenal a number of innovative techniques and technologies that have proven their effectiveness. Among them: vaginal plastic surgery, vaginal hysterectomy, laparoscopic colporrhaphy (minimally invasive reduction of vaginal width) and others.