Uterine Prolapse. What are the symptoms of uterine prolapse? Are there risk factors? How is this condition diagnosed? How is it treated? Is there a way to prevent uterine prolapse? Read this next. Anterior Vaginal Wall Repair. Medically reviewed by Graham Rogers, M. Vaginal Hysterectomy: Recovery, Procedure, and More.
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Summary Read the full fact sheet. On this page. Symptoms of prolapse of the uterus Degrees of uterine prolapse Causes of uterine prolapse Treatments for uterine prolapse Pelvic floor exercises Prevention techniques Where to get help. Symptoms of prolapse of the uterus The symptoms of uterine prolapse include: a sensation of heaviness and pressure in the vagina a distinct lump or bulge within the vagina a bulge protruding out of the vagina painful sexual intercourse.
Degrees of uterine prolapse Uterine prolapse is described in stages, indicating how far it has descended. The four categories of uterine prolapse are: Stage I — the uterus is in the upper half of the vagina Stage II — the uterus has descended nearly to the opening of the vagina Stage III — the uterus protrudes out of the vagina Stage IV — the uterus is completely out of the vagina. Causes of uterine prolapse The pelvic floor and associated supporting connective tissues can be weakened or damaged in many ways including: pregnancy, especially in the case of multiple births such as twins or triplets , or multiple pregnancies vaginal childbirth, especially if the baby was large or delivered quickly, or if there was a prolonged pushing phase obesity straining on the toilet to pass a bowel motion low levels of the sex hormone oestrogen after menopause severe coughing associated with conditions such as chronic bronchitis or asthma fibroids in rare cases, pelvic tumour.
Treatments for uterine prolapse 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: pelvic floor exercises vaginal pessary vaginal surgery. Pelvic floor exercises 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.
To identify your pelvic floor muscles, try the following: Insert one or two fingers into the vagina and try to squeeze them. Imagine you are passing urine, and try to stop the flow midstream do not do this while urinating. Squeeze the muscles inside the anus as if you are trying to stop yourself from breaking wind. Consult with your doctor or pelvic floor physiotherapist to ensure correct performance. Then perform the exercises, which include: Squeeze slowly and lift and hold as strongly as you can for 5 to 10 seconds while breathing normally.
Studies have shown that women who have never had babies have prolapse alongside women who have had multiple babies with minimal to no prolapse. Thankfully, pregnancy is finite. That also rings true for the conditions that can occur during pregnancy. Follow Penn Medicine for Women. Request an Appointment. Many women with uterine prolapse have no symptoms. If symptoms are present, they may include bulging in the vagina, feeling pressure in the pelvis or vagina, and lower back pain accompanied by bulging in the vagina.
There is no definitive way to prevent uterine prolapse. Losing weight, eating a fiber-rich diet, quitting smoking and performing pelvic floor exercises can help to reduce the risk of this condition.
Uterine prolapse occurs when the muscles and tissue in your pelvis weaken. The weakness lets the uterus drop down into your vagina. Sometimes, it comes out through your vaginal opening. Nearly half of all women between ages 50 and 79 have this condition.
This lets it drop into your vagina. If your healthcare provider thinks that you have a prolapsed uterus, he or she will probably do a physical exam to check your pelvis.
Your healthcare provider might also order an MRI magnetic resonance imaging. 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.
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