Uterine Prolapse

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Uterine prolapse occurs when pelvic floor muscles and ligaments stretch and weaken and no longer provide enough support for the uterus. As a result, the uterus slips down into or protrudes out of the vagina.
Uterine prolapse can occur in women of any age. But it often affects postmenopausal women who've had one or more vaginal deliveries.
Mild uterine prolapse usually doesn't require treatment. But if uterine prolapse makes you uncomfortable or disrupts your normal life, you might benefit from treatment.
Mild uterine prolapse generally doesn't cause signs or symptoms. Signs and symptoms of moderate to severe uterine prolapse include:
Often, symptoms are less bothersome in the morning and worsen as the day goes on.
See your doctor to discuss your options if signs and symptoms of uterine prolapse become bothersome and disrupt your normal activities.
Uterine prolapse results from the weakening of pelvic muscles and supportive tissues. Causes of weakened pelvic muscles and tissues include:
Factors that can increase your risk of uterine prolapse include:
Uterine prolapse is often associated with prolapse of other pelvic organs. You might experience:
Severe uterine prolapse can displace part of the vaginal lining, causing it to protrude outside the body. Vaginal tissue that rubs against clothing can lead to vaginal sores (ulcers.) Rarely, the sores can become infected.
To reduce your risk of uterine prolapse, try to:
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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.
Uterine prolapse is caused when the muscles and tissue of the pelvic floor are weakened and can’t support the weight of the uterus. This lets it drop into your vagina.
Many women with this condition have no symptoms. However, if symptoms start, they may include:
Inability to completely empty your bladder
Feeling of heaviness or fullness in your pelvis
Aching, or the feeling of pressure, in your lower abdomen or pelvis
If your healthcare provider thinks that you have a prolapsed uterus, he or she will probably do a physical exam to check your pelvis. If you also have urinary incontinence or a feel like you can’t empty your bladder, your doctor may do a procedure called a cystoscopy to examine your bladder and urethra.
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.
If your symptoms bother you or you’re not comfortable during everyday activities, talk with your healthcare provider about treatment options. 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:
Follow a diet rich in fiber and fluids to prevent constipation and straining
Seek prompt treatment for a chronic cough, which can place extra pressure on your pelvic organs
Do Kegel exercises to strengthen your pelvic floor muscles
These actions may also help if you already have uterine prolapse.
See your healthcare provider when symptoms first start to bother you. Don’t wait until your discomfort becomes severe. Regular pelvic exams can help detect uterine prolapse in its early stages.
Uterine prolapse occurs when the muscles and tissue in your pelvis weaken.
This allows your uterus to drop down into your vagina.
Common symptoms include leakage of urine, fullness in your pelvis, bulging in your vagina, lower-back pain, and constipation.
Treatment for uterine prolapse includes lifestyle changes, a pessary, or surgery to remove the uterus.
You may be able to prevent this condition with weight loss, a high fiber diet, not smoking, and doing Kegel exercises.
Tips to help you get the most from a visit to your healthcare provider:
Know the reason for your visit and what you want to happen.
Before your visit, write down the questions you want to be answered.
Bring someone with you to help you ask questions and remember what your provider tells you.
At the visit, write down the name of a new diagnosis, and any new medicines, treatments, or tests. Also, write down any new instructions your provider gives you.
Know why a new medicine or treatment is prescribed, and how it will help you. Also, know what the side effects are.
Ask if your condition can be treated in other ways.
Know why a test or procedure is recommended and what the results could mean.
Know what to expect if you do not take the medicine or have the test or procedure.
If you have a follow-up appointment, write down the date, time, and purpose for that visit.
Know how you can contact your provider if you have questions.
https://www.mayoclinic.org/diseases-conditions/uterine-prolapse/symptoms-causes/syc-20353458
https://www.hopkinsmedicine.org/health/conditions-and-diseases/uterine-prolapse
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