Anna is 31 years oldwhen, with her, a healthy and fit mother of two children, for the first time there was a nuisance, about which many women are ashamed to talk even with a doctor. “I jumped with a skipping rope, and suddenly in the lower abdomen there was a strange sensation, and the next second my jeans were completely wet. It was a real nightmare! ” Do you think Anna went to the doctor right away? No, she just tried not to run and not jump. And she turned to a urologist only after seven years. Now Anna is 47 and she completely got rid of unpleasant symptoms thanks to the course of exercises to strengthen the pelvic floor, that is, the muscles that support our internal organs, including the uterus, intestines and bladder. “I can jump, dance, laugh with all my heart and not be afraid of surprises.” However, leaks, pain during urination, frequent visits to the ladies' room and the need to always have a supply of urological pads in your purse are typical problems of millions of women around the world. Moreover, there is evidence that only one out of three women sooner or later seeks medical help. The rest continue to suffer, unable to overcome embarrassment in front of the doctor and relatives. Why aren't these women asking for help? Many of them are sure that problems with urination are an inevitable consequence of childbirth or an age-related phenomenon with which nothing can be done. However, a significant part of such problems can be solved, and this is not difficult to do. Some will help the exercises, others will have to lose a few extra pounds, and the third will be quite simple changes in diet and drink. Even when it is not possible to get rid of unpleasant symptoms right away, there are new methods of treating problems with urination that have established themselves as very effective.
If you have noticed one or more of the unpleasant symptoms, then one of the following methods may help you.
1 out of 4 women between the ages of 25 and 44 suffer from stress incontinence. Leaks occur when we laugh, sneeze, cough, play sports or sex, and lift weights.
When you sneeze, cough, exercise or have sex, lift weights, you leak.
DIAGNOSIS: stress incontinence.WHAT HAPPENS TO YOU? Pregnancy, childbirth, overweight, decreased estrogen levels during premenopause and menopause, as well as the natural loss of muscle tissue elasticity associated with age, can weaken the pelvic floor muscles. At the same time, the muscle tone of the sphincter is also reduced.STATISTICS: This is the most common form of female incontinence, which affects 25% of all women over 44 years old and about half of those over the age of 60+.
BEST TREATMENT METHODS
Start with the simplest methods, which, however, can significantly improve your condition.
• REDUCE WEIGHT If you lose weight, it will immediately reduce pressure on the bladder and pelvic floor muscles. Studies have shown that women who have managed to lose 8 kg have a 2-fold incidence rate of incontinence. • DRINK CORRECTly instead of coffee and black tea, switch to water or herbal tea, drink slowly: stretch one cup for half an hour or even an hour. Reduce caffeine, salt, artificial sweeteners, alcohol, tomato juice and citrus fruits: all of them can irritate the walls of the bladder. 8 weeks.
Are Symptoms Still Preserved? A special vaginal ring can change the position of the bladder. Another option is a simple surgical operation, during which a ring of synthetic material is installed so as to maintain the urethra in the correct position. There is another way when a gel-like substance is injected to strengthen the urethral wall. Your doctor will help you choose the appropriate method.
The need to visit the toilet arises suddenly, and you cannot always control such urges.
DIAGNOSIS: overactive bladder / sudden incontinence.WHAT HAPPENS TO YOU? The urge to urinate is controlled by the bladder itself. As soon as the bubble fills, it begins to contract - even before the signal arrives from the brain. This condition can be caused by taking diuretics, diabetes, and nerve damage. However, in most cases, doctors themselves cannot accurately say why the connection between the bladder and the brain is lost.STATISTICS: approximately 17% of women experienced symptoms of sudden incontinence. And about one third of them also suffer from stress incontinence.
BEST TREATMENT METHODS
Get healthy habits.
• LEAD THE DIARY For three days, write down everything you did before the “attack” of incontinence - food, drinks, movements. These notes will help you identify the connection between a sharp urge to urinate and a specific drink or total amount of fluid: • TRAIN THE BLADDER Set minimum comfortable breaks between visits to the toilet, and then gradually increase the intervals. The challenge is to gradually learn to control bladder contractions. Then, over time, the bubble will retain more fluid. • DO NOT REFUSE EXERCISES The Kegel system can be effective in this case too. When you feel an urgent need to go to the toilet, squeeze and relax the muscles of the pelvic floor a couple of times quickly - this helps to relieve tension. Are the symptoms still preserved? Try acupuncture (acupuncture). In addition, medication may be successful. Ask your doctor to find the right drugs for you.
Burning and pain, frequent urges, cloudy urine, and periodic fever.
DIAGNOSIS: urinary tract infection.WHAT HAPPENS TO YOU? The urethra in the female body is very easily infected by bacteria. Moreover, the cause of 80% of infections before menopause is sex. And after menopause, the amount of estrogen decreases, increasing the risk of infections, since the walls of the vagina become thinner and more susceptible to bacteria. Then the infection can enter the urethra and bladder.STATISTICS: approximately 50% of women have suffered from a urinary tract infection at least once in their life. About 20-30% experience unpleasant symptoms every few months.
BEST TREATMENT METHODS
Do not try to recover with cranberry juice, try more effective remedies:
• ANTIBIOTICS Usually, the doctor prescribes a course of antibiotics for 3-7 days to get rid of the infection. However, bacterial resistance to antibiotics is increasing every year, so it's possible that you need a new antibiotic every time a relapse occurs. If the disease recurs regularly, your doctor may recommend a longer course of medications containing a lower dose of antibiotic • Estrogen CREAM For women during postmenopause, doctors recommend using an estrogen-containing cream on the inside of the vagina. This strengthens the urethral tissue. • MOTHER'S RECIPES Wipe away from the vagina to prevent bacteria from entering the urethra from the rectum. Immediately change your wet swimsuit to dry even in hot weather - my mother was right. Be sure to go to the toilet after sex - perhaps your mother did not tell you about this, but nevertheless, the advice is useful. Refuse synthetics and wear linen made from natural fabrics, in such an environment bacteria multiply much more slowly.
During urination, the stream is too weak and intermittent, or your bladder does not empty completely. In addition, pain during sex is possible.
DIAGNOSIS: pelvic floor dysfunction.WHAT HAPPENS TO YOU? During normal urination, the muscles of the bladder contract, while the urethra and pelvic floor muscles are relaxed. If these muscles are always tense, problems with urination are possible.STATISTICS: physicians do not have accurate data on how many women suffer from this condition, and there is no clear explanation of why dysfunction occurs. However, most often with pain during urination, patients are given this diagnosis.
BEST TREATMENT METHODS
Do not do Kegel exercises without a doctor's recommendation: if the pelvic floor muscles are overstrained, this can make the situation worse. The following methods will help: • HOME RELAXATION TECHNIQUESTry breathing exercises, various relaxation techniques. A warm bath or warm compress may be effective (strictly according to the doctor’s recommendation). • MEDICINES The doctor may prescribe muscle relaxants to help your muscles relax, and medications that relieve neuralgic pains.
It is difficult for you to start urinating and / or the bladder is not completely empty. You experience pain in the lower back, and pain during sex is also possible.
DIAGNOSIS: pelvic floor prolapse.WHAT HAPPENS TO YOU? Weakened pelvic floor muscles and stretched connective tissues do not perform their functions, which is why the bladder, uterus and / or rectum press on the walls of the vagina. Pelvic floor surgery, repeated childbirth, and the need to regularly lift weights increase the risk of the disease.STATISTICS: three out of four older women are more or less susceptible to pelvic floor prolapse. Usually this condition is not critical, but 11% of patients require surgery.
BEST TREATMENT METHODS
If you do not have an advanced stage of the disease, Kegel’s exercises will help to “conserve,” that is, at least not worsen the situation. If you want to avoid major surgery, the uterine ring may be effective. Almost 80% of women have enough of these methods.
Approximately 17% of women experienced symptoms of sudden inactivity caused by overactive bladder syndrome
SQUARE, RELAX, REPEAT
Exercises that strengthen the muscles of the pelvic floor help get rid of unpleasant urological problems. It is important to follow them correctly.
1. Identify your muscles To do this, tighten the muscles in the groin, as if you want to stop urinating.2. Alternate slow and fast cutsSlow exercise: relax your whole body and tighten your pelvic floor muscles. Hold the tension for 5 to 10 seconds, then relax for 5-10 seconds. Start with 10 repetitions, gradually increase their number to 20. Quick exercise: sharply squeeze the muscles of the pelvic floor and immediately relax them, rest 5-10 seconds. Do 20 repetitions during the day.3. Change positionIf something doesn’t work out for you, start from a prone position - it will be easier. Then try sitting and standing. In the end, you must learn to strain your pelvic floor muscles in any position. If you suddenly want to use the toilet, you can prevent it from leaking with several intense muscle contractions.4. Consult a specialistAre you not sure that you are doing the exercises correctly? Be sure to consult a specialist - a urologist.