You may be lying down, or your doctor may ask you to stand during this exam. If the prolapse is severe, talk with your doctor about which treatment option is appropriate for you. The use of vaginal estrogen has been well-studied and shows improvement in vaginal tissue regeneration and strength. Surgical treatments include uterine suspension or hysterectomy. During uterine suspension, your surgeon places the uterus back into its original position by reattaching pelvic ligaments or using surgical materials.
During a hysterectomy, your surgeon removes the uterus from the body through the abdomen or the vagina. Pregnancy and childbirth can put an immense strain on pelvic muscles, which can undo surgical repairs of the uterus. Uterine prolapse may not be preventable in every situation. However, you can do several things to reduce your risk, including:. Anterior vaginal wall repair is used to correct vaginal prolapse, which occurs when your bladder or urethra slips into your vagina.
Pelvic inflammatory disease PID is an infection of the reproductive organs in women. 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. Breast implants are inserted under the skin to create larger breasts. Content on this website is provided for information purposes only. Your provider may recommend placing a rubber or plastic donut-shaped device, into the vagina. This is called a pessary. This device holds the uterus in place.
The pessary may be used for short-term or long-term. The device is fitted for your vagina. Some pessaries are similar to a diaphragm used for birth control. Pessaries must be cleaned regularly. Sometimes they need to be cleaned by the provider. Many women can be taught how to insert, clean, and remove a pessary.
Surgery should not be done until the prolapse symptoms are worse than the risks of having surgery. The type of surgery will depend on:.
There are some surgical procedures that can be done without removing the uterus, such as a sacrospinous fixation. This procedure involves using nearby ligaments to support the uterus.
Other procedures are also available. Often, a vaginal hysterectomy can be done at the same time as the procedure to correct uterine prolapse. Any sagging of the vaginal walls, urethra, bladder, or rectum can be surgically corrected at the same time. Surgery often provides very good results. However, some women may need to have the treatment again in the future. A hysterectomy may be recommended. If future pregnancies are intended, surgery may not be recommended, due to the risks of undoing the effects of surgical repair.
Mild uterine prolapse can be treated with Kegel exercises, weight management and avoidance of heavy lifting. How to do a proper Kegel is vital to the success of the treatment.
These exercises can be done anywhere and at any time and can help strengthen the muscles of the pelvic floor. Your health care provider or physical therapist can instruct you on how to perform a proper Kegel while in the office, at which time proper technique can be evaluated.
Sometimes, a technique called biofeedback may be applied. During biofeedback treatments, a device will monitor proper muscle contraction, the strength of the pelvic floor and timing of Kegels. This reinforces proper technique of the exercises. Speak with your health care provider if you have any questions or for the evaluation and treatment of symptoms of uterine prolapse. They can make recommendations on a treatment choice that is best for you.
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