Womb Prolapse

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Womb Prolapse
Medically Reviewed by Traci C. Johnson, MD on September 24, 2022
Your uterus (or womb) is normally held in place inside your pelvis with various muscles, tissue, and ligaments. Because of pregnancy , childbirth or difficult labor and delivery , in some women these muscles weaken. Also, as a woman ages and with a natural loss of the hormone estrogen , their uterus can drop into the vaginal canal, causing the condition known as a prolapsed uterus.
Symptoms of a prolapsed uterus include:
Seek medical care immediately if you have any of the following:
Notify your doctor if you have any of the following symptoms:
Uterine prolapse happens when vaginal childbirth or other conditions weaken the muscles and tissues of the pelvic floor so they can no longer support the weight of the uterus. It can happen as a result of:
Your health care provider can diagnose uterine prolapse with a medical history and physical examination of the pelvis.
Treatment depends on how weak the supporting structures around your uterus have become.
You can strengthen your pelvic muscles by performing Kegel exercises. You do these by tightening your pelvic muscles, as if trying to stop the flow of urine. This exercise strengthens the pelvic diaphragm and provides some support. Have your health care provider instruct you on the proper ways to isolate and exercise the muscles.
Estrogen (a hormone) cream or suppository ovules or rings inserted into the vagina help in restoring the strength and vitality of tissues in the vagina. But estrogen is only for use in select postmenopausal women.
Depending on your age and whether you wish to become pregnant, surgery can repair the uterus or remove it. When indicated, and in severe cases, your uterus can be removed with a hysterectomy . During the surgery, the surgeon can also correct the sagging of the vaginal walls, urethra, bladder, or rectum. The surgery may be performed by an open abdominal procedure, through the vagina, or through small incisions in the abdomen or vagina with specialized instruments.
If you do not want surgery or are a poor candidate for surgery, you may decide to wear a supportive device, called a pessary, in your vaginal canal to support the falling uterus. You can use this temporarily or permanently. They come in various shapes and sizes and must be fitted to you. If your prolapse is severe, a pessary may not work. Also, pessaries can be irritating inside your vagina and may cause a foul-smelling discharge.
If you are not a good candidate for a hysterectomy or a pessary and are not going to have intercourse again, there is an option for a surgery called colpocleisis. During this procedure, the walls of the vagina are sewn shut.
Follow-up depends on how your condition was treated.
Pessaries can be effective temporarily or permanently if they are checked and cleaned as often as necessary. Surgery can support a prolapsed uterus or remove it.
Sarah Samreen, MBBS, Instructor, Department of Health Sciences, Ziauddin Medical University, Pakistan.
George Lazarou, MD, FACOG, Director, Urogynecology and Reconstructive Pelvic Surgery.
Jack D. Weiler, MD, Montefiore Medical Center and assistant professor, Department of Obstetrics and Gynecology and Women's Health, Albert Einstein College of Medicine.
Aneela Naureen Hussain, MD, MBBS, assistant professor, Department of Family Practice, State University of New York Downstate Medical Center.
Suhaib Waqarul Haq, MBBS, Medical Officer, Department of Radiology, Abbasi Shaheed Hospital, Karachi, Pakistan.
Jeter (Jay) Pritchard Taylor III, MD, vice-chief/compliance officer Department of Emergency Medicine, Palmetto Richland Memorial Hospital, University of South Carolina.
Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine.
Lee P. Shulman, MD, professor of Obstetrics and Gynecology, head, Section of Reproductive Genetics, Feinberg School of Medicine, Northwestern University, Chicago.
Cleveland Clinic: “Cystocele (Fallen Bladder).”
John Hopkins Medicine: “Uterine prolapse.”
StatHealth : “Pelvic Prolapse Imaging.”
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WebMD does not provide medical advice, diagnosis or treatment.




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