Uterine Prolapse Is Falling or Sliding of The Womb (Uterus) From Its Normal Position Into The Vaginal Area
Uterine Prolapse Is Falling or Sliding of The Womb (Uterus) From Its Normal Position Into The Vaginal Area
Uterine Prolapse Is Falling or Sliding of The Womb (Uterus) From Its Normal Position Into The Vaginal Area
Uterine prolapse is falling or sliding of the womb (uterus) from its normal position into the
vaginal area.
Muscles, ligaments, and other structures hold the uterus in the pelvis. If these muscles
and structures are weak, the uterus drops into the vaginal canal. This is called prolapse.
This condition is more common in women who have had one or more vaginal births.
Causes
1. Normal aging
2. Lack of estrogen after menopause
3. Anything that puts pressure on the pelvic muscles, including chronic cough and obesity
4. Pelvic tumor (rare)
Long-term constipation and the pushing associated with it can make this condition
worse.
Assessment
1. Feeling like you are sitting on a small ball
2. Difficult or painful sexual intercourse
3. Frequent urination or a sudden urge to empty the bladder
4. Low backache
5. Uterus and cervix that stick out through the vaginal opening
6. Repeated bladder infections
7. Feeling of heaviness or pulling in the pelvis
8. Vaginal bleeding
9. Increased vaginal discharge
Diagnostic Test
A pelvic examination
The pelvic exam may also show that the bladder and front wall of the vagina (cystocele),
or rectum and back wall of the vagina (rectocele) are entering the vagina. The urethra
and bladder may also be lower in the pelvis than usual.
Treatment
1. Lifestyle changes
Weight loss is recommended in obese women with uterine prolapse.
Heavy lifting or straining should be avoided, because they can worsen symptoms.
Coughing can also make symptoms worse. If you a chronic cough, ask your doctor how
to prevent or treat it. If you smoke, try to quit. Smoking can cause a chronic cough.
2. Vaginal passery
Doctors may recommend placing a rubber or plastic donut-shaped device, called a
pessary, into the vagina.
The device holds the uterus in place. It may be temporary or permanent. Vaginal
pessaries are fitted for each individual woman. Some are similar to a diaphragm used for
birth control.
Pessaries must be cleaned from time to time, sometimes by the doctor or nurse. Many
women can be taught how to insert, clean, and remove the pessary herself.
Complications
1. Ulceration and infection of the cervix and vaginal walls may occur in severe cases of
uterine prolapse.
2. Urinary tract infections and other urinary symptoms may occur because of a
cystocele. Constipation andhemorrhoids may occur because of a rectocele.
Prevention
1. Tightening the pelvic floor muscles using Kegel exercises helps to strengthen the
muscles and reduces the risk of uterine prolapse.
2. Estrogen therapy, either vaginal or oral, in postmenopausal women may help maintain
muscle tone in the vaginal area.
3. Weight loss and avoiding heavy lifting can decrease the risk for uterine prolapse.