Gynecological massage indications. Gynecological massage: indications and effectiveness of the procedure

Gynecological massage- a medical procedure involving bimanual massaging of the uterus. Gynecological massage is aimed at improving blood circulation and reducing congestion in the pelvic organs, resolving inflammatory infiltrates in parametric tissue, strengthening the muscular-ligamentous apparatus, eliminating adhesions and displacement of the uterus, etc. The massage session is carried out on a gynecological chair or massage table using special two-handed techniques: in this case, the fingers of one hand act on the uterus from the anterior abdominal wall, and the other from the vagina or rectum.

The use of gynecological massage for organic and functional disorders in the female genital area has a long, long history. The technique of gynecological massage was developed a century and a half ago and during this time has experienced periods of popularity and undeserved oblivion, and is now again in demand in practical gynecology. The advantages of gynecological massage are physiological therapeutic effects on the uterus and associated pelvic organs, as well as a healing effect on the female body as a whole. Gynecological massage is effective as an independent method of non-drug therapy, but can be combined with drug therapy, physical therapy, physiotherapy, balneotherapy, hirudotherapy, acupuncture.

Indications

Indications and restrictions for gynecological massage are determined by an obstetrician-gynecologist based on data from a gynecological examination, ultrasound of the pelvic organs, microscopic examination of a smear from the genital tract, as well as information about concomitant diseases patients.

In the process of properly performed gynecological massage, a number of positive effects are noted. Massage effects on tissues and pelvic organs help improve arterial circulation and gas exchange, eliminate venous stagnation, enhancing cellular metabolism. Due to increased blood and lymph flow, rapid absorption and removal of inflammatory exudate occurs, softening of inflammatory infiltrates, reduction and resorption of dense connective tissue adhesions and elimination of scar-adhesive processes in the pelvis. Gynecological massage improves muscle tone pelvic organs, pelvic floor and abdominal wall, strengthens the ligamentous apparatus, helps return the uterus to its physiological position.

The most extensive group of indications for gynecological massage is associated with inflammatory diseases of the female genital area: chronic salpingitis, oophoritis, adnexitis, endometritis, parametritis, etc. Past inflammatory processes or operations on the uterus and appendages may be accompanied by the formation of peritoneal adhesions; long-lasting residual effects - pain in the sacrum and coccyx, lower parts belly; menstrual irregularities, miscarriage, infertility. In these cases, gynecological massage may also be included in the complex treatment of female diseases.

Gynecological massage is indispensable healing factor with genital infantilism, uterine hypoplasia, uterine deviations (hyperanteflexia, retroflexion, uterine prolapse, etc.). Due to the effect on the receptor apparatus of the pelvic organs, the gynecological massage procedure is effective for the treatment of decreased sexual desire, anorgasmia, frigidity, and some forms of vaginismus. Gynecological massage helps normalize bladder function and intestinal motility, therefore it is widely used for concomitant functional disorders– urinary incontinence, constipation.

Contraindications

When prescribing a gynecological massage to a patient, take into account physiological periods in a woman’s life, as well as general and local pathological processes. Thus, one should refrain from performing gynecological massage during menstruation, pregnancy, lactation, in the early postpartum, as well as the postoperative and post-abortion period (2-3 months). Among the general restrictions that exclude the possibility of using gynecological massage in complex treatment, are acute febrile conditions, oncological diseases, V. including pelvic organs, “acute abdomen”, internal and external bleeding, abscesses of the abdominal cavity and pelvis, colitis, etc.

Direct gynecological contraindications to massage are acute and subacute inflammatory diseases genital organs, uterine bleeding, cervical erosion, cervicitis, endometriosis, III-IV degree vaginal cleanliness, STIs, genital tuberculosis, thrombophlebitis of the pelvic veins. Additional contraindications requirements for gynecological massage are established individually by the attending physician, based on an assessment of the general and gynecological status of the patient.

Preparing for a massage

The technique is similar to a two-manual vaginal examination. To ensure a high-quality performance of the procedure, a woman is recommended to come for a gynecological massage session 2 hours after eating, having previously freed the intestines from feces. Immediately before starting the massage, you should also empty your bladder. It is necessary to toilet the external genitalia; However, the use of special deodorizing agents and powders is not recommended.

During a gynecological massage, a woman will need to breathe correctly and learn to relax the muscles of the abdominal wall. Throughout the course of gynecological massage, the patient must be protected from pregnancy, therefore, issues of contraception should be discussed in advance with the treating gynecologist. On days when gynecological massage sessions are performed, it is advisable to refrain from sexual intercourse.

Gynecological massage is a medical procedure and should be performed only in a specialized hospital department or antenatal clinic. In some cases, the treatment procedure can be entrusted to an experienced midwife, but the correctness of the massage should be monitored by the attending physician. Depending on the indications, differentiated gynecological massage techniques are used.

Methodology

Gynecological massage sessions are carried out on a gynecological chair or massage table with a headrest and footrests to support the feet. Before the start of the session, the massage therapist treats the woman’s external genitalia antiseptic solution, conducts gynecological examination, determining the position of the uterus, its mobility and displacement. The gynecological massage procedure is carried out with both hands: the middle and index fingers one hand is inserted into the vagina, and the second hand is placed above the pubis and acts from the anterior abdominal wall. The main techniques used in gynecological massage include stroking, pressure, kneading, and rubbing. In this case, massage movements are performed from the outside, and fingers inserted into the vagina fix the tissues to be massaged.

All massage techniques should be performed as carefully as possible, gently, with individual force of influence. In this case, it is necessary to avoid irritation of the clitoral area and the external opening of the urethra, to avoid severe pain when stretching adhesions and cicatricial adhesions, or moving the uterus. During the procedure, the patient may experience sensations of squeezing, displacement, or stretching of soft tissues, but she should not experience significant pain. During gynecological massage, the doctor must monitor the reaction and general condition of the patient and, if any sharp pain stop the procedure. At the end of the massage session, the patient is recommended to lie on his stomach for 10-15 minutes.

The duration of gynecological massage sessions is increased gradually from 2-3 to 10-15 minutes. Duration treatment course includes from 30 to 60 sessions performed daily or every other day, or 10 sessions during 3-4 intermenstrual periods. In addition to gynecological massage, the patient may be prescribed vibration massage, local classical massage (back and lower back, lumbosacral region, anterior abdominal wall), segmental massage, acupressure massage, colon massage, etc.

Cost of gynecological massage in Moscow

This treatment method is widespread in modern gynecology. The procedure is carried out in many medical and diagnostic institutions in the capital and region, and is one of the techniques available to the general population. Prices for gynecological massage in Moscow in state prices antenatal clinics usually lower than in private specialized clinics. The cost of the technique may vary depending on the use of certain massage technicians, qualifications of a gynecologist. If a woman wishes to undergo the procedure out of turn, a massage may cost more than by appointment. The total cost of treatment is determined by the number of procedures.

One of the successful and universal treatment methods women's diseases is a gynecological massage. When performing technical influence on the female genital organs positive changes occur not only in the tissues of these organs and nearby systems, but also in the body as a whole.

A massage from a gynecologist normalizes arterial circulation, eliminates congestion in the veins, accelerates the breakdown of proteins, improves the breakdown and absorption of fats, enhances diuresis and metabolic processes. All this has a positive effect on the condition of a woman’s reproductive system and helps get rid of certain gynecological problems, for example.

Gynecological massage is performed in the gynecologist's office on an examination chair or on a couch. The procedure can be performed either by the doctor himself or by a midwife or nurse, who completed courses in gynecological massage.

So, how is gynecological massage done? The specialist puts on thin rubber gloves and begins to perform the procedure with both hands, with one hand inserting the woman into the vagina, and the other working from the press. Before coming for a manual gynecological massage, a woman must empty her bladder and bowels; her last meal should be no later than 2 hours before the procedure.

The technique of performing gynecological massage consists of pressing and stroking, stretching and squeezing, shaking and pressing movements, while the manipulation is not performed universally, but strictly individually with dosing of the force on the tissue. Some pain and discomfort may be felt during the process, but the gynecological massage technique should not cause true pain.

The duration of the procedure is from 3 to 20 minutes, the number of sessions can vary between 30-60 procedures, depending on the indications. Sessions are scheduled every day or every other day.

Indications and contraindications

Those women who were helped by gynecological massage consulted a doctor with the following indications:

• chronic as well as low-grade inflammation abdominal cavity and periuterine tissue lining inner surface genitals, with associated symptoms in the form of pain in the coccyx and sacrum, in the area of ​​the uterus and appendages;
• abnormal location and displacement of the uterus, for example, gynecological massage is necessary when the uterus is bent backwards, as this is primary stage prolapse of the vaginal walls and;
• anatomically defective functionality of the uterus, for example, amenorrhea, infertility;
• anatomical and functional pathologies of the ligamentous apparatus and pelvic floor, for example, gynecological massage is indicated for adhesions.

Contraindications:

• acute infectious or inflammatory process not only in the pelvic organs, but also in the body, for example, ARVI, influenza, tonsillitis;
• increased body temperature;
• sexually transmitted infections;
• neoplasms in the pelvic organs;
• oncology;
• tuberculosis;
• thrombophlebitis of the pelvic veins;
• congenital;
• menstruation;
• pregnancy;
• intestinal diseases, such as colitis;
• recovery period after a recent artificial childbirth, surgical interventions on the genital organs, if 8 weeks have not passed since their implementation.

Rehabilitation period after the procedure

In gynecology, massage does not imply any specific rehabilitation period, but there are recommendations that must be followed in order for the effect of the procedure to be permanent.

Firstly, no matter where the gynecological massage is performed, it is forbidden to get up immediately after it is finished. For 15 minutes, the woman should remain relaxed without making any movements. The doctor may recommend that the patient roll over on her stomach so that the contractions of the muscular layer of the uterus become more intense, especially if gynecological massage is performed at home.

Secondly, during a course of gynecological massage, it is important for a woman to abstain from sexual activity at least for the period of planned treatment. If this is excluded, then it is important to carefully, because if the patient becomes pregnant after a gynecological massage, then she has an increased risk of development (outside the uterus).

Features of the Norbekov system

Norbekov's gynecological massage has a second name - automassage. It's not only physical impact on the woman’s internal genital organs, but also psychologically, which makes the patient confident that she is truly healthy. Automassage or gynecological massage of Norbekov, unlike classic massage, can be practiced in a home environment without strangers.

According to Norbekov’s system, gynecological massage for women will be effective if the patient can find a balance between body and soul. Its main task is to bring your health into normal condition, establish full-fledged physical relationships with men, learn to understand yourself and understand the intricacies of your own body.

In other words, the physical effect on the pelvic organs in automassage is not the main one. Of course, special techniques for stimulating the muscles of the uterus will be required, but first of all, the woman will need to convince herself that she is healthy. Indications and contraindications for Norbekov's gynecological massage will be the same as in the classic case.

The benefits and harms of gynecological massage

In our time active image Not all women lead lives. Low physical activity negatively affects women Health. As a result, the processes of blood circulation and innervation in the pelvis may be disrupted, congestion may occur, general weakness and infectious and inflammatory pathologies. This does not improve a woman’s health.

Gynecological massage can eliminate all of the above problems, improving the functioning of the pelvic organs and increasing the chances of conception if a woman for a long time pregnancy does not occur.

So, the benefits of gynecological massage are as follows:

• improving blood circulation in the pelvis, saturating cells with oxygen, stimulating lymphatic drainage and work reproductive organs;
• increasing muscle tone, eliminating pathologies associated with organ displacement;
• restoration of bladder and bowel function;
• treatment adhesive process, for example, gynecological massage is effective for;
• resorption of infiltrates in the periuterine tissue;
• normalization of ovarian functions;
• elimination of irritability and pain characteristic of menstruation;
• increased appetite;
• improved sleep.

You can be sure that the benefits of this type of massage are significant. This will be confirmed by those women for whom gynecological massage helped them become pregnant.

Material from S Class Wiki

Gynecological massage is a technique of manual manipulation of a woman’s genital organs, used to improve blood flow and lymph flow in and out of these organs.

Indications

Gynecological massage is used for the following pathologies:

• chronic inflammation of the genital organs in women, which rarely worsens;
• low mobility of the uterus, its incorrect position, displacement, bends;
• chronic miscarriage;
• acquired or congenital anatomically defective uterus;
• functional disorders of the ovaries and uterus;
• sexual dysfunctions in women;
• painful uterus;
• complications (adhesions, infiltrates) due to various gynecological interventions (abortions, miscarriages, childbirth, operations in the pelvic area);
• disturbances in the menstrual cycle (amenorrhea).

Contraindications

Gynecological massage has the following relative contraindications:

• varicose veins big size in the vagina;
• menstruation;
• chronic inflammatory diseases of the genital organs in women;
• hydrosalpinx (dropsy) fallopian tube), retention cysts in the ovaries.

Gynecological massage is absolutely contraindicated for:

• uterine as well as ectopic pregnancy;
• acute, subacute inflammatory diseases of organs in the pelvis;
• tuberculosis of the female genital organs;
• tumors of the pelvic organs;
• thrombophlebitis of the pelvic veins.

Gynecological massage technique

Gynecological massage is carried out on a massage table or on a gynecological chair. Typically, the patient assumes a supine position, the same as for gynecological examination. If possible, the intestines as well as the bladder should be emptied.
The manipulation is carried out using two hands: with the fingers of the first one palpates the vagina, and the second on the abdominal press. Initially, the mobility of the uterus and its position are assessed, and pathologically altered areas are determined. In case of severe pain, you need to inform a specialist. After performing a gynecological massage, you need to remain at rest for twenty minutes. The duration of the procedure initially ranges from three to five minutes and gradually increases throughout the course. The doctor determines the duration and number of gynecological massage sessions individually (diagnosis is the main criterion). On average, ten to twenty sessions are needed, and for hypofunction of the ovaries and underdevelopment of the uterus - up to sixty. As a rule, procedures are carried out every day or every other day for one to two months, less often - for a longer period, and in short cyclic courses.

The effectiveness of gynecological massage

Gynecological massage causes significant changes in lymph and blood circulation in the uterus, tissues of the pelvic area, neighboring organs and even completely in the abdominal cavity. Under manual influence, endothelial surface receptors are irritated, tone increases vascular system, incl. abdominal and pelvic cavity. Blood begins to circulate better.
By increasing blood circulation in the tissues with the help of gynecological massage, the lymph flow is simultaneously accelerated, which causes rapid absorption of escudative fluid, which accumulates in the tissues and organs in the pelvis. Inflammatory infiltrates At the same time, they become softer, adhesions, especially dense ones, become smaller and resolve. Due to the importance of lymph flow in eliminating residual inflammatory phenomena, gynecological massage is carried out from the periphery to the center, in the direction of lymph flow along lymphatic vessels to the lymph nodes.
Gynecological massage has not only a direct, but also an indirect effect on the uterine muscles. During the massage of the latter, a massage of the abdominal wall is simultaneously performed, as a result, its striated muscles are strengthened, the tone of the intestinal muscles increases and peristalsis increases. of this body. This, at a reflex level, causes tonic contractions of the muscles of the uterus and intestines, which is important because in patients who suffer gynecological diseases, there are usually also intestinal dysfunctions. When using gynecological massage, the muscular-ligamentous apparatus of the uterus, muscles in the pelvic floor, its fascia and connective tissue plates are strengthened. In this case, massage can have a dual character.
The usual application of force with two hands when performing a massage has a tonic effect on the ligamentous apparatus, and massage with jerks or with great force has a paralyzing effect. It should also be taken into account that stroking and light kneading during gynecological massage soften the tissues, and shocks in the form of shocks cause them to tense and contract. In this regard, when massaging the uterus, its ligamentous apparatus, in the case of tissue hypotonia, uterine infantilism, its incorrect position (not due to inflammation), congestion, it is necessary to strictly take into account the potential reaction depending on the applied force. Gynecological massage has an indirect effect (through normalization of blood circulation and increased metabolism) on the condition of the ovaries, secretory and menstrual function uterine organ. Massage has a beneficial effect on the vulva and skin abdomen: hyperemia of the skin occurs, a local increase in temperature, keratinized old cells of the epidermis are eliminated, skin respiration improves, sebaceous tissues open, and sweat glands. In general, gynecological massage increases the tone of the entire pelvic and abdominal cavity. In addition, it is normalized general state patients, irritability decreases, pain disappears, performance increases, the functions of the bladder, intestines and sleep of the woman are normalized, and her appetite improves. There is also a change

Gynecological female massage was at the peak of popularity about 50-60 years ago, but with the development of medicine it lost its relevance in the world. long years. In the last two decades, interest in it has returned: the procedure allows you to solve many problems without medication or surgical intervention and is safe for the woman’s body. Massage has both a number of indications and contraindications; it should be visited only with the permission of the attending physician.

Gynecological massage was invented and patented more than 150 years ago by Toure Brandt, a man far from medicine. It took him about 10 years to patent and streamline his method. At the beginning of the last century, the first courses for obstetricians appeared in St. Petersburg, and massage techniques were included in the training.

The new method gained great popularity: it offered to solve problems in gynecology without the use of medications.

Over the years, the procedure has improved and become more complex, and today it is not only a manual massage. Gynecological female massage is a complex consisting of classical and specific techniques of internal influence, ultrasound, infrared, and magnetic therapy.

Female massage is direct physiological effects on the pelvic organs in women. The result of regular sessions is:

• Improving blood circulation and lymph movement;
• Increased uterine activity;
• Increasing the elasticity of muscle tissue;
• Reducing the severity of adhesions;
• Strengthening muscle tissue;
• Reduced severity pathological changes reproductive organs;
• Normalization of the endocrine system;
• Reduction of inflammatory phenomena;
• Increased sexual activity.

Direct massage of the uterus has a restorative and tonic effect on the female body.

Contraindications and indications

With the help of manual gynecological massage, it is possible to eliminate complications that arise after medical or surgical termination of pregnancy and pathological childbirth.

Assignments for the procedure:

• Insufficient or weak contractility of intrauterine muscle tissue;
• Terminated pregnancy;
• Inflammatory chronic processes who are in remission;
• Incorrect position of the uterus;
• Irregular menstrual cycle;
• Infertility;
• Dystonia and fibrosis;
• Painful menstruation;
• Vaginismus, accompanied by problems with sexual intercourse.

Massage is also prescribed as rehabilitation therapy after operations to normalize the intestines and bladder.

Massage is needed for women who have difficulty conceiving. It is often prescribed along with the complex medical procedures. They also recommend sessions to those who conduct sedentary image life: lack of movement leads to poor circulation and stagnation in the pelvic organs. As a result, the development of inflammatory and infectious processes, constipation and painful menstrual bleeding.

Contraindications

For gynecological massage, contraindications may be temporary or permanent. It also has restrictions on carrying out in certain areas.

It is prohibited to attend sessions if:

• Pregnancy;
• Menses;
• A febrile state accompanied by an increase in body temperature;
• Oncology;
• Intestinal diseases in the acute stage;
• Acute form of infectious diseases;
• Breastfeeding;
• Congenital pathologies;
• Presence of muscle weakness of the pelvic floor;
• Venereal diseases;
• Purulent inflammation;
• Vein inflammation and thrombosis.

If during a session there are painful sensations, then the session is terminated. If frigidity occurs during difficult childbirth, abortion or sexual violence, you should consult a psychologist before attending a session.

Conditions for massage procedures

The main condition for carrying out is normal emotional condition and the patient's health. Must be taken before the procedure general analysis blood and vaginal smear.

Manual massage of the reproductive organs can take place in a clinic, medical or diagnostic center, at home. On the days of the session, it is recommended to abstain from sex. The procedure should be carried out no earlier than 2 hours after a meal. The massage is performed on a special table with foot rests or on a regular chair for gynecological examinations.

Before the sessions, doctors teach the woman deep tissue techniques. pulmonary respiration and relaxation of the abdominals and vagina.

Massage techniques and techniques

The massage method of treating female diseases is based on the internal and external treatment of the reproductive organs. During the exposure, both hands are involved: one palpates the entire accessible part of the uterus through the vagina, and the fingers of the other press through the abdomen. You need to act very softly, gently, because... the area of ​​study is sensitive and easily injured. First, the doctor must determine the position of the uterus and the degree of its mobility. Bends and kinks, as well as incorrect positioning, are corrected by careful straightening and moving.

At the end of the session, the patient is given 15-20 minutes to rest and lie on her stomach. During this time, massaged female organs will return to normal.

The duration of the course is determined by the doctor and depends on the effectiveness and personal tolerance. The first session lasts no more than 5 minutes, but gradually increase the duration of exposure to 20 minutes. The regularity of the procedure depends on the woman’s health; it can be daily or at intervals of 1-2 days.

On average, a massage course lasts about 4 months and includes up to 60 procedures. Every 5-7 sessions it is necessary to undergo an examination by a doctor.

Massage at home

Uterine massage can take place both in the clinic and at home, depending on the patient’s condition. Before home sessions, you should consult your doctor or gynecologist to determine contraindications. Self-massage is often done when the cycle fails, to facilitate conception, increase sensitivity and reduce frigidity.

The procedure is carried out only from a lying position. Place a massage roller or pillow under the lower back and back. Before the procedure you need to do 5-6 deep breaths, relax.

Index and middle finger slowly insert into the vagina and massage the walls. Move a little higher, kneading the uterus and fallopian tubes. You can apply a few gentle pressures or circular movements. At this time, the fingers of the other hand massage the abdominal muscles.

Massage according to the method of Dr. Norbekov

The technique is based on the fact that physical body must be in harmony with the spiritual. The doctor believes that it is more effective to carry out gynecological female massage in combination with psychological work. In the technique, intention and confidence that recovery is possible play a big role.

Massage can also be performed at home to treat infertility, increase sexual desire, improve muscle tone and improve the condition of the entire uterine area. If a woman learns to trust herself and explore her body, she can improve both her health and her relationships with men.

Carrying out of this massage impossible in following cases: pregnancy, oncology, menstruation. The procedure should take place in silence and a calm environment: it is important to completely relax. During the session, you can lie on your back or take a lotus position. All attention is focused on yourself, on your sensations and breathing.

Massage equipment

Internally shift attention to the bladder area and lower back. There should be a pleasant feeling of tingling and warmth that fills the uterus and the entire space around it. Under the influence of sensations muscle The uterus will begin to resonate and create vibrations of tissue regeneration. The end of the session is active contraction of the uterus. If during the procedure initial stages the right sensations not achieved - do not be upset. You need to visualize the uterus area, lower back, pelvic organs and a ball of light, warm energy. After this, initiate contractions of the uterus with rapid and repeated tension of the vaginal muscles.

Automassage is carried out daily, at the same time. It is not recommended to do more than 200 contractions in one session. After two weeks of classes, they switch to a different schedule: 2-3 sessions per week.

Norbekov’s system includes three preliminary exercises that help you tune in to positive result. To control the muscles contracting during the massage, you need to sit down and urinate. During urination, squeeze the muscle and interrupt the process. Hold for 3-4 seconds and continue writing. Repeat repeatedly until fatigue appears. Then the muscles squeeze and try to pull inward.

The second exercise is walking in a straight line. The heel of one foot should touch the toes of the other. The third is performed from a lying position. Legs are straight, extended and raised. Socks reach for the ceiling. Then slowly raise the lower back; to make the exercise easier, the emphasis can be placed on the elbows. The angle between the lower back and the surface of the floor or bed should be about 45°. Hold for 30 to 60 seconds. Do 2-3 repetitions.

To be more effective, before exercise you can meditate or do any of the breathing exercises.

• Spinach;
• Liver;
• Asparagus;
• Sprouted grains of wheat, rye, oats;
• Broccoli and other green vegetables;
• Dried fruits;
• Bitter chocolate;
• Mango and citrus fruits;
• Green apples;
• Seafood;
• Dairy products;
• Any seeds and nuts.

But it is necessary to exclude from the diet everything sweet, fatty, salty, as well as soy products and products containing a large number of preservatives.

Female gynecological massage - good alternative drug treatment diseases of the reproductive organs. It will help solve the problem without side effects and complications, and it can be carried out both in the hospital and at home. The main condition for quickly achieving positive effect— the ability to relax, listen to the doctor’s advice and trust your feelings.

You can combine massage with any type of physiotherapeutic procedures, gymnastics, yoga. To improve blood circulation in the pelvic organs, it is recommended to walk a lot, swim, and engage in therapeutic horse riding. With the right approach, the first positive changes can be noticed after just a month of work.

Gynecological massage has wide application in practical gynecology, where it is indicated for weakness, insufficient contractility of the uterine muscles, in the presence of adhesions and scar formations in the broad and uterosacral ligaments, as well as in the area of ​​the peritoneum covering the uterus and appendages, in case of incorrect positions of the uterus, its prolapse, chronic inflammation pipes, pelvic peritoneum and fiber, congestion in the pelvis, etc.

The purpose of manual gynecological massage is to improve blood circulation in the pelvic organs, increase the tone of the uterus, stretch and eliminate adhesions. It is often used to give the uterus a normal position and to improve the general condition of the female genital organs and reproductive system generally.

Gynecological massage is performed on a special chair or, even better, on a massage table that has a roller, a movable headrest and footrests to support the feet. The procedure, depending on the problem, is done in the supine position, as during a gynecological examination, and/or in the knee-elbow position. Massage of the uterus should be carried out very softly, gently, carefully and painlessly. The patient should lie quietly without straining. Massage with both hands, with the fingers of one hand acting from the side of the vagina, pelvic arches, and the fingers of the other hand from the side of the abdomen. If there is pathology in the area posterior arch, as well as for girls who are not sexually active, it is possible to massage the uterus through the rectum.

It is necessary to educate the patient proper breathing and the ability to relax the abdominal muscles during the procedure. A woman should appear for a massage session no earlier than two hours after eating; The bowels and bladder should be emptied immediately before the session.

During the process, the doctor must spare the hole urethra and the clitoral area, do not cause significant pain when stretching cicatricial adhesions, adhesions, or movements of the uterus.

The first sessions of gynecological massage are usually shorter (7-10 minutes), and subsequent sessions can be done longer. The total number of them per course of treatment depends on the indications and conditions in which gynecological massage is carried out; according to reviews of gynecologists, on average from 10 to 20. In some cases, it is carried out without interruption, daily or every other day for 1 - 3 months; in others - partially, 10 sessions in the intermenstrual period for 3-4 months, depending on the indications. All this is quite individual and rather depends on the testimony, the woman’s reaction and the results obtained.

It is often recommended to start by vibrating acupressure in the area of ​​the last thoracic and I - II lumbar vertebrae. Massage in this area, causing hyperemia in the pelvis and irritating nerve endings, innervating the genital organs (uterus, ovaries, etc.), helps normalize menstruation in case of insufficient functional activity reproductive apparatus. Acting reflexively on higher nerve centers, vibration and acupressure massage also provides beneficial influence on the general condition of the patient. To improve blood circulation in the pelvic cavity, as well as to tone the sacrococcygeal plexus, which innervates the genitals, it is recommended to perform certain actions in the ischiosacral region in the direction from bottom to top along the sacrum and on both sides.

(Partially thematic content and some illustrations are taken from the monograph: I.I. Benediktov, D.I. Benediktov, “Gynecological massage and gymnastics.” Sverdlovsk, Ural University Publishing House, 1990).

REVIEWS ABOUT GYNECOLOGICAL MASSAGE

1. Massage of the uterus: how long should it last? What does a woman feel during this procedure? How much does it hurt?

Women and girls who have undergone gynecological massage in Moscow have overwhelmingly left positive reviews of the results. This “folk” method of treatment in gynecology, used in our clinic, has helped many patients solve their problems.

Directly during the session painful sensations In principle, a woman should not have this, there is a feeling of displacement, squeezing, stretching - however, everything is the same as with any massage. After its completion, the woman should lie on her stomach for at least 10-15 minutes or be in a knee-elbow position. This is especially recommended for patients with a backward bend of the uterus - to consolidate the results of the massage, you need to lie on your stomach several times a day (10-15 minutes) for 1-2 months, and sleep on your stomach at night.

When planning this manual method of influence, one must remember that uterine massage is not carried out during menstruation. The patient must be protected from pregnancy; on the days of gynecological massage, it is advisable not to have sexual intercourse. However, it is not a contraindication for strong desire obtaining orgasm in any other accessible way.

2. Massage when the uterus is bent.

3. How effective is gynecological massage in obstetrics as a way to get pregnant faster?

This question is very difficult to answer unambiguously. The fact is that today the diagnosis of “infertility” is often made when the cause is not one negative factor, but several. It is for this reason that one should not attach excessive importance to gynecological massage as the only means of treating infertility. Massage of the uterus cannot eliminate all obstacles to pregnancy. Rather, it is an auxiliary method that exists along with the main methods of treatment. Therefore, gynecological massage of the cervix, uterus, and appendages, used according to indications and correctly, is certainly useful, and changes in the pelvic organs that arise as a result of such a procedure can contribute to pregnancy. In some cases, it is the only possible alternative to surgical and hormonal treatment.