Treatments for uterine prolapse include surgical and non-surgical options, the choice of which will depend on general health, the severity of the condition and plans for a future pregnancy. Treatment options include:. Stage I and II uterine prolapse in particular can be helped by pelvic floor muscle exercises, but they need to be done correctly and practised long enough to strengthen the muscles.
Although the following information may give you some ideas about how to do PF exercises, it is imperative to seek professional help from a pelvic floor physiotherapist if you have a prolapse. Familiarising yourself with the muscles of the vagina, urethra and anus gives you a better chance of performing the exercises correctly.
You can perform these exercises lying down, sitting or standing. Ideally, aim for five or six sessions every day while you are learning the exercises.
After you have a good understanding of how to do the exercises, three sessions each day is enough. Before you start, direct your attention to your pelvic floor muscles. Try to relax your abdominal muscles, buttocks and leg muscles.
Squeeze and lift the urethra, vagina and anus and hold the tension for three seconds if you can. Release completely. Then perform the exercises, which include:.
A pessary is a flexible device which can be fitted into the vagina to support the uterus. There are different shapes and sizes of pessary, which can be prescribed and fitted by a suitably trained health professional.
Women can be taught to remove and re-insert their pessary much like a tampon. However, regular reviews with your gynaecologist or doctor are necessary. Vaginal pessaries can be an effective way of reducing the symptoms of a prolapse, but they will not be appropriate for everyone. Together with pelvic floor exercises, they may provide a non-surgical solution to manage a uterine prolapse. In moderate to severe cases, the prolapse may have to be surgically repaired.
In laparoscopic surgery, instruments are inserted through the navel. The uterus is pulled back into its correct position and reattached to its supporting ligaments. The operation can also be performed with an abdominal incision. Surgery may fail and the prolapse can recur if the original cause of the prolapse, such as obesity, coughing or straining, is not addressed.
Consult your pelvic floor physiotherapist for help with this. This page has been produced in consultation with and approved by:.
Androgen deficiency in women and its treatment is controversial, and more research is needed. IVF in-vitro-fertilization and ICSI intracytoplasmic sperm injection are assisted reproductive treatment ART procedures in which fertilisation of an egg occurs outside the body. Bacterial vaginosis BV is caused by an imbalance of the bacteria normally present in the vagina.
Bladder prolapse is when the bladder bulges into the vagina. This procedure uses a magnet and radio waves to create images. This will allow your healthcare provider to get a good look at your kidneys and other pelvic organs. Our team of compassionate urogynecologists uses the latest research and advanced technologies to treat a range of pelvic floor disorders.
Lifestyle changes, such as losing weight, may help. So can doing Kegel exercises. These strengthen your pelvic floor muscles. To do this exercise, you squeeze the muscles you use to control the flow of urine, and hold for up to 10 seconds then release.
Repeat 50 times a day. A pessary can also relieve symptoms. This is a device your healthcare provider inserts into your vagina to support your pelvic organs. A hysterectomy is a surgery to remove your uterus. This can be done through your vagina. The healing time is faster than with surgery that requires an abdominal incision.
There also are fewer complications. There is no certain way to prevent uterine prolapse. However, the following can help lower your risk:. See your healthcare provider when symptoms first start to bother you. Regular pelvic exams can help detect uterine prolapse in its early stages. In: Ferri's Clinical Advisor Accessed April 14, Rogers RG, et al. Pelvic organ prolapse in women: Epidemiology, risk factors, clinical manifestations, and management.
Accessed April 18, Handa VL. Urinary incontinence and pelvic organ prolapse associated with pregnancy and childbirth. Pelvic organ prolapse adult. Rochester, Minn. Fashokun TB, et al. Pelvic organ prolapse in women: Diagnostic evaluation. Accessed May 10, Ridgeway BM. Does prolapse equal hysterectomy? The role of uterine conservation in women with uterovaginal prolapse. Lobo RA, et al. Lower urinary tract function and disorders: Physiology and micturition, voiding dysfunction, urinary incontinence, urinary tract infections, and painful bladder syndrome.
Accessed April 13, Hokenstad ED, et al.
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