Womb Prolapse
⚡ ALL INFORMATION CLICK HERE 👈🏻👈🏻👈🏻
Womb Prolapse
This content does not have an English version.
This content does not have an Arabic version.
Lobo RA, et al. Anatomic defects of the abdominal wall and pelvic floor: Abdominal hernias, inguinal hernias, and pelvic organ prolapse: Diagnosis and management. In: Comprehensive Gynecology. 7th ed. Philadelphia, Pa.: Elsevier; 2017. https://www.clinicalkey.com. Accessed April 12, 2017.
Ferri FF. Pelvic organ prolapse (uterine prolapse). In: Ferri's Clinical Advisor 2017. Philadelphia, Pa.: Elsevier; 2017. https://www.clinicalkey.com. Accessed April 14, 2017.
Rogers RG, et al. Pelvic organ prolapse in women: Epidemiology, risk factors, clinical manifestations, and management. https://www.uptodate.com/home. Accessed April 18, 2017.
Handa VL. Urinary incontinence and pelvic organ prolapse associated with pregnancy and childbirth. https://www.uptodate.com/home. Accessed April 18, 2017.
AskMayoExpert. Pelvic organ prolapse (adult). Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2016.
Fashokun TB, et al. Pelvic organ prolapse in women: Diagnostic evaluation. https://www.uptodate.com/home. Accessed May 10, 2017.
Ridgeway BM. Does prolapse equal hysterectomy? The role of uterine conservation in women with uterovaginal prolapse. American Journal of Obstetrics & Gynecology. 2015;213:802.
Lobo RA, et al. Lower urinary tract function and disorders: Physiology and micturition, voiding dysfunction, urinary incontinence, urinary tract infections, and painful bladder syndrome. In: Comprehensive Gynecology. 7th ed. Philadelphia, Pa.: Elsevier; 2017. https://www.clinicalkey.com. Accessed April 13, 2017.
Hokenstad ED, et al. Health-related quality of life and outcomes after surgical treatment of complications from vaginally placed mesh. Female Pelvic Medicine & Reproductive Surgery. 2015;21:176.
Warner KJ. Allscripts EPSi. Mayo Clinic. Sept. 1, 2020.
Associated Procedures
MRI
Pelvic exam
Ultrasound
© 1998-2021 Mayo Foundation for Medical Education and Research (MFMER). All rights reserved.
Don't delay your care at Mayo Clinic
Normally, supporting ligaments and other connective tissues hold your uterus in place inside your pelvic cavity. Weakening of these supportive structures allows the uterus to slip down into the vagina. As a result, the vagina also is pulled down and may turn inside out. Doctors refer to this downward movement of the uterus as uterine prolapse.
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:
Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission.
Check out these best-sellers and special offers on books and newsletters from Mayo Clinic.
Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below.
A single copy of these materials may be reprinted for noncommercial personal use only. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research.
Mayo Clinic and our partners use technologies such as cookies to collect information from your browser to deliver relevant advertising on our site, in emails and across the Internet, personalize content and perform site analytics. Please visit our Privacy Policy for more information about our use of data and your rights.
These technologies are used in operating the site, including remembering your preferences, ensuring security and providing certain features. They do not track your activity online.
These technologies collect information to help us understand how our websites are being used and to make improvements.
These technologies are used to make advertising messages more relevant to you. They perform functions like preventing the same ad from continuously reappearing, ensuring that ads are properly displayed for advertisers and selecting advertisements that are based on your interests.
Prolapsed Womb - what's that? - YouTube
Uterine prolapse - Symptoms and causes - Mayo Clinic
Uterine Prolapse : Definition, Dropped Womb , Uterus: Symptoms, Test...
Uterine Prolapse : Risk Factors, Symptoms, and Diagnosis
Prevent Womb Prolapse & Reduce Problems | Kegel8
Uterine Prolapse
Womb Drops Into The Vagina
It is where the uterus (womb) drops down into the vagina. Uterine prolapse is caused by weakening of the muscles (pelvic floor muscles) and ligaments that usually support the uterus and keep it in place. Occasionally other internal organs like the bladder, urethra, rectum or part of the intestines can bulge into the vagina for the same reason. The condition usually results from childbirth , particularly if the baby was large, the labor was long or the mother has had several previous children. It also tends to appear after menopause when reduced estrogen levels, the effects of gravity and straining over the years weaken the muscles. Mild prolapse does not usually require treatment.
The severity of a prolapse is categorized by the following degrees:
First degree (mild): The cervix (opening that connects the uterus and vagina) droops into the vagina.
Second degree (moderate) : The cervix sticks to the opening of the vagina.
Third degree (severe) : The cervix sticks outside the vagina.
Fourth degree (very severe) : The entire uterus sticks outside the vagina. This condition is called procidentia .
Woman with procidentia. Surgery was required.
Other conditions associated with a prolapsed uterus:
Cystocele : Part of the bladder bulges (herniation) into the vagina.
Enterocele : Part of the intestines bulge into the vagina.
Rectocele : Part of the rectum bulges into the lower rear vaginal wall. This makes bowel movements difficult and you may need to push on the inside of the vagina to have a bowel movement.
Symptoms often depend on the severity (degree) of the prolapse, but it is possible (although not usual) for a woman to have severe prolapse without symptoms. You may experience:
• A heaviness or bearing down feeling in the pelvic region.
• Tissue sticking out from the vagina.
• Lower back pain.
• Urine leakages when you sneeze, cough or laugh (stress incontinence).
• A feeling like you are sitting on a small ball when you sit down.
Symptoms worsen as the day progresses. Because of gravity, standing makes it worse and discomfort may be relieved by lying down. If you have a severe prolapse, simply walking can be difficult because the womb and cervix bulge through the vagina, possibly dragging the bladder and rectum with them.
1 . Pregnancy and childbirth trauma (particularly with difficult labors or large babies) causes the muscles to stretch and weaken.
2 . Loss of muscle tone to do with aging is another cause. Reduced levels of estrogen after menopause can weaken muscles further.
3 . Disorders that cause lots of coughing such as asthma, chronic bronchitis and emphysema can put pressure on the abdomen and increase the risk of a prolapse.
4 . It tends to run in families, if your mother, sister, grandmother or aunt had it, you are more likely to.
Your doctor will perform a pelvic examination . During this exam he will ask you to strain like you are having a bowel movement. This allows him to see how far the uterus has dropped into the vagina. You may be asked to strain both when lying down and standing up. An ultrasound scan or MRI scan is not generally used to test for a prolapsed uterus.
Mild Cases
If your symptoms are mild or don't bother you, you probably will not require treatment. Your doctor may recommend performing Kegel exercises to strengthen the pelvic floor muscles.
See our articles:
What are pelvic floor exercises?
How do you do pelvic floor exercises?
How many pelvic floor exercises should you do a day?
Obese women often find losing weight also helps to relieve symptoms. Additionally, avoiding heavy lifting puts less pressure on the pelvic structures.
More Severe Cases
Vaginal Pessary
If you plan on having more children, your doctor will recommend the use of a small rubber device called a pessary (surgery is considered too risky as it may damage the womb). This device fits inside the vagina and holds the womb in place. Rather like a contraceptive diaphragm , your doctor will need to measure and fit you for the device. He will also tell you how to insert, remove and clean it on a daily basis. Some pessaries are removed at night and reinserted in the morning; which means it does not interfere with sexual intercourse. If for any reason you are uncomfortable with removing and cleaning your pessary, you should see your physician every 2 to 3 months so he can do it for you. Women who are postmenopausal and fitted with a pessary may also be prescribed estrogen replacement therapy to help restore vaginal tissues.
Prolapse Surgery
For women who no longer want children, or who are past childbearing age, surgery is another option. It is the only permanent cure. Surgery is also an option for women with severe prolapse, for those who dislike using pessaries and those who find pessaries become less effective over the years. Surgery involves repairing any damaged tissues and muscles and is usually done through the vagina, although occasionally it is performed through the tummy or via minimally invasive laparoscopic surgery (or da Vinci surgery ). Each type of surgery has its pros and cons and you will need to discuss your options with a consultant. Surgery is performed with regional (spinal) anesthetic or general anesthetic. If the woman is postmenopausal a hysterectomy (removal of the womb) is another option. Like any major surgery repairing a prolapsed womb has risks (reaction to anesthesia, scarring, infection, bleeding), but the risks are relatively low for women in good health. Putting off surgery until you are older only increases the risks.
If you think you may be prone to uterine prolapse, you may be able to prevent the problem by regularly performing kegel exercises . This is particularly true for pregnant women and those with a history of the condition in the family. If you obese, try to lose weight and maintain a healthy body mass index (BMI) for your height - use our BMI calculator to check your health risk.
