During pregnancy and childbirth, your pelvic muscles and supportive tissues are strained and stretched. Since these are the muscles that hold your bladder in place, serious stress or weakness on them can allow the bladder to slip down into the vagina. Women who have been pregnant, especially if they had multiple vaginal births, are at high risk for the development of cystoceles. Even women who delivered by cesarean are at risk. Postmenopausal women are at significant risk for a prolapsed bladder due to reduced levels of the female sex hormone estrogen.  Estrogen is partly responsible for maintaining the strength, tone, and resilience of your vaginal muscles. As a result, the low levels of estrogen accompanying the transition into menopause cause these muscles to become thinner and less elastic, which leads to overall weakening. Note that this drop in estrogen takes place even if you enter menopause through artificial means, as with the surgical removal of your uterus (hysterectomy) and/or ovaries. These surgeries not only cause damage to the pelvic area, but also cause changes in estrogen levels. Therefore, though you may be younger than most menopausal women and otherwise healthy, you are still at risk for a cystocele. Intense straining or heavy lifting can sometimes trigger a prolapse. When you strain the muscles of your pelvic floor, you risk triggering a prolapsed bladder (especially if the muscles of your vaginal wall have already been weakened by menopause or childbirth). Types of straining that can cause a cystocele include:  Lifting very heavy objects (including children) Chronic, intense coughing Constipation and straining during bowel movements If you are overweight or obese, your risk of a prolapsed bladder is increased. The extra weight places additional strain on the muscles of your pelvic floor. Whether someone is overweight or obese is determined by using the body mass index (BMI), an indicator of body fatness. BMI is a person's weight in kilograms (kg) divided by the square of the person's height in meters (m). A BMI of 25-29.9 is considered overweight, while a BMI greater than 30 is considered obese.
اعلمي أن الحمل والولادة هما أكثر الأسباب شيوعًا لتدلّي المثانة. تعرّفي على دور انقطاع الطمث. اعلمي أن إرهاق العضلات أحد العوامل المسؤولة. فكّري في وزنك.