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Выделяют: \n- **Частичное выпадение** — стенка выступает за границы влагалища [3](https://BestClinic.ru/diseases/opushchenie-stenok-vlagalishcha/). \n- **Полное выпадение** — орган полностью выходит наружу [3](https://BestClinic.ru/diseases/opushchenie-stenok-vlagalishcha/). \n\nВыпадение не происходит внезапно, а идёт постепенно: от лёгкого смещения влагалища книзу до полного опущения за пределы половой щели [2](https://www.MedCentrServis.ru/disease/vypadenie-matki-i-vlagalishcha/).\n\n## Причины\nОсновной фактор — **ослабление мышц тазового дна** и фасций, поддерживающих внутренние органы [3](https://BestClinic.ru/diseases/opushchenie-stenok-vlagalishcha/). Некоторые причины: \n* **Роды** — естественные роды, особенно многоплодные, крупный плод или стремительные роды, приводят к перерастяжению и разрывам мышц [3](https://BestClinic.ru/diseases/opushchenie-stenok-vlagalishcha/). \n* **Гормональные изменения** — снижение уровня эстрогенов в менопаузе ухудшает эластичность тканей [3](https://BestClinic.ru/diseases/opushchenie-stenok-vlagalishcha/). \n* **Повышенное внутрибрюшное давление** — хронические запоры, тяжёлый физический труд, ожирение, кашель при бронхите [3](https://BestClinic.ru/diseases/opushchenie-stenok-vlagalishcha/). \n* **Генетическая предрасположенность** — врождённая слабость соединительной ткани [3](https://BestClinic.ru/diseases/opushchenie-stenok-vlagalishcha/). \n* **Хирургические вмешательства** — например, удаление матки (гистерэктомия) может нарушить анатомию тазового дна [3](https://BestClinic.ru/diseases/opushchenie-stenok-vlagalishcha/).\n\n## Симптомы\nНа начальных стадиях опущение стенок может протекать бессимптомно, но со временем появляются более выраженные симптомы [3](https://BestClinic.ru/diseases/opushchenie-stenok-vlagalishcha/). Некоторые из них: \n* ощущение тяжести или давления во влагалище [4](https://www.fgu-obp.ru/diseases/vypadenie-matki-i-vlagalishcha/); \n* болезненные ощущения внизу живота и крестце [4](https://www.fgu-obp.ru/diseases/vypadenie-matki-i-vlagalishcha/); \n* ощущение постороннего объекта внутри влагалища [4](https://www.fgu-obp.ru/diseases/vypadenie-matki-i-vlagalishcha/); \n* учащённое мочеиспускание или недержание мочи [4](https://www.fgu-obp.ru/diseases/vypadenie-matki-i-vlagalishcha/); \n* проблемы с дефекацией — ощущение, что кишечник опорожнился не полностью [4](https://www.fgu-obp.ru/diseases/vypadenie-matki-i-vlagalishcha/).\n\n## Диагностика\nДиагностику проводит врач-гинеколог [5](https://www.ckbran.ru/cure/gynecology/opushchenie-i-vypadenie-matki-i-vlagalishcha). Некоторые методы: \n* **Гинекологический осмотр** — врач оценивает степень опущения передней и задней стенок, состояние мышц тазового дна [3](https://BestClinic.ru/diseases/opushchenie-stenok-vlagalishcha/). \n* **Функциональные пробы** — например, проба Вальсальвы (при натуживании), кашлевая проба (для выявления недержания мочи) [3](https://BestClinic.ru/diseases/opushchenie-stenok-vlagalishcha/).\n\n## Лечение\nЛечение подбирается индивидуально [3](https://BestClinic.ru/diseases/opushchenie-stenok-vlagalishcha/). На ранних этапах эффективны консервативные методы (гимнастика, лазерная коррекция) [3](https://BestClinic.ru/diseases/opushchenie-stenok-vlagalishcha/). 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