Gynecologic massage recently began to retreat into the background in the field of treatment of diseases of the female genital organs. Of course, in modern gynecology, a host of new drugs and treatments, hardware, allowing up to 100%, and the diagnosis as soon as possible to achieve recovery, but, nevertheless, pelvic massage was and is a very effective method of eliminating women's issues. Of course, pelvic massage will not help get rid of all diseases, but in many cases it is preferable to the latest chemical and hormonal preparations Hormonal treatments - not only contraceptives . Unfortunately, the massage technique has not every gynecologist, which determines the decline in the popularity of this procedure.

A little history

The founder of gynecologic massage is considered to be the Tour Brandt, who developed it in 1861. Due to the fact that he was not a doctor, this kind of massage did not want to recognize in the medical community. In Russia gynecological massage technique brought DO Ott, who later founded the courses masseurs. Later followers pelvic massages were such well-known obstetrician as VF Snigerev, RV Kiparsky VS Gruzdev and others.

The effectiveness of a pelvic massage

Gynecologic massage has a positive effect not only on the state of the female reproductive organs, but also on the whole organism. In addition, pelvic massage has beneficial effects on overall health and psycho-emotional state of women.

All the internal organs are made up of muscle and connective tissue, is no exception and female genitalia. Diseases of the female genital organs are accompanied by impaired contractility of the muscles, ligaments and scar changes of the ovaries, uterus wrong location (bends, kinks or deviation to the right or left side), venous stasis of blood in the pelvis. These conditions may not be accompanied by pain, but the cause of inflammation, bleeding, infertility or miscarriage.

Gynecologic massage helps to normalize uterine activity, regulate menstrual disorders (including amenorrhea), improves blood circulation and lymph circulation in the pelvis, resolves chronic foci of inflammation and adhesions bands, activates metabolism in tissues and job phagocyte blood (increases its protective functions ). In addition, pelvic massage stimulates the muscles of the bowel and normalizes its work, increases the tone of the abdominal muscles and pelvic floor strengthens the ligaments of the pelvic organs. Since massage eliminates many gynecological problems in women disappear pain, normalizes sleep Dreams: how to understand our dreams   and mood, increases efficiency.

How is

Gynecologic massage should carry out a competent gynecologist, who is well versed not only in women's diseases, but also fluent massage technique (wrong conduct and poor quality massage is not only not benefit, but also aggravate the condition of the patient). For the procedure the woman is placed on the examination table Gynaecological chair: Take a closer look   or a special massage table with headrest. The legs of the patient should be bent at the knees and pelvic end somewhat beyond the limits of the table. Before the pelvic massage the patient should empty her bladder, rectum and make intimate toilet. During the procedure, the patient should massage to relax as much as possible, so as not to impede the movement of the doctor and not to provoke the appearance of pain. Massage is performed only at normal body temperature, in the absence of menstrual periods and normal blood tests and vaginal swabs. A massage is five to ten minutes, and their frequency of about two times a week. The total course consists of 10-30 procedures.

Indications for massage

• chronic inflammatory diseases of the genital organs;
• prolapse of pelvic organs;
• menstrual irregularities;
• miscarriage;
• infertility;
• the pelvic adhesive disease;
• weakening of sexual desire, vaginismus, anorgazimiya;
• incorrect placement of the uterus.

Contraindications

Gynecologic massage, as well as all other types of massage, has a number of contraindications:

• third degree of purity or the presence of smear Trichomonas, mushrooms, Neisseria gonorrhoeae and other;
• cervical erosion;
• acute and subacute processes in the pelvic area;
• tumors of the uterus and appendages;
• the temperature rise above 37 degrees;
• pregnancy and lactation;
• thrombophlebitis of the pelvic veins;
• within two months after childbirth or abortion;
• common infectious diseases, tuberculosis Tuberculosis - a full recovery is not guaranteed .

Anna Sozinova

How to treat uterine adenomyosis? The choice of treatment depends on the patient's age, presence of symptoms persist, the presence of other diseases (often in women with adenomyosis diagnosed as endometriosis or uterine fibroids), general health, and whether, if the patient plans to have children in the future.

For the diagnosis of adenomyosis Adenomyosis - diagnosis endometrioid lesions of the uterus   most commonly used ultrasound, but with his help differentiate adenomyosis from fibroids is quite difficult. Sometimes doctors give a final diagnosis only after surgical removal of tumors in the uterus.

Drug treatment of uterine adenomyosis

• Painkillers are usually prescribed to women suffering from painful menstruation, but does not want to take hormonal drugs or resort to other methods of treatment. Often doctors recommend this drug as mefenamic acid. It not only relieves pain, but also to some extent normalize menstrual bleeding, which in adenomyosis are very heavy and prolonged. Receiving painkillers are usually the preferred method for the symptomatic treatment of women who have plan to have children.
• Hormonal treatments. For the treatment of adenomyosis Adenomyosis - treatment should be individualized   use combined hormonal contraceptives, intrauterine devices (eg, Mirena) and progestin-only contraceptives. If you are using Mirena for three years in 72% of patients had relief of symptoms of adenomyosis Adenomyosis: Symptoms - what to expect from the body? .
• Agonists of gonadotropin-releasing hormone (GnRH). These drugs effectively weaken menstrual pain and eliminate other symptoms of adenomyosis, but long-term use may cause osteoporosis and severe hot flashes.

Surgical treatment of uterine adenomyosis

• Endometrial ablation or transcervical resection of the endometrium

Such an operation can be assigned to women with adenomyosis has led to strong menstrual bleeding that can not be normalized using medications. After surgery, 70% of patients return to normal menstrual bleeding, 30-50% are pain during menstruation. However, in some cases, surgery does not give positive results, and repeat the operation seems futile. Because such patients are usually drug therapy does not help, the only effective treatment for them is often gisteerktomiya, or surgical removal of the uterus.

• Laparoscopic prostatectomy

This operation is similar to the one that is used to remove uterine fibroids. It is usually prescribed to women with very severe pain caused by adenomyosis Adenomyosis - avoid constant stress Which, however, do not want to do a hysterectomy - usually due to the fact that they plan to have children in the future. However, due to the nature of laparoscopic prostatectomy surgery is not always possible to completely remove the affected tissue adenomyosis, because of what the symptoms over time may reappear. Many doctors prescribe after surgery patients receiving GnRH agonists. After a course of treatment lasting several months, the risk of recurrence is significantly reduced.

Fertility after treatment of uterine adenomyosis

There is evidence (still very few), indicating that the treatment of adenomyosis (with the help of medication or conservative surgery) may increase the chance of pregnancy. Many women are able to get pregnant after the treatment; in most cases, babies were born at term, although some patients pregnancy proceeded with serious complications.

Hysterectomy

Hysterectomy may be recommended for women who do not want to have children in the future, and that adenomyosis causes very severe symptoms do not respond to any other treatment. Because after a hysterectomy in women menstruation can not be terminated causes them pain. However, if pain were not associated with the menstrual cycle, they can continue after surgery.

Uterine artery embolization

This procedure may in many cases be an alternative to hysterectomy. Approximately 70% of patients who underwent uterine artery embolization, are satisfied with the result. In addition, embolization is relatively safe, and recovery after it takes less time than after a hysterectomy.