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Uterine Prolapse
Uterine prolapse happens when the uterus (womb) slips down into the vagina because the muscles and ligaments that normally support it have become weakened or stretched. This can be mild, where the uterus only drops a little way, or more severe, when it descends further into or outside the vaginal opening.
It is a common condition, especially in women who have given birth, gone through menopause, or had pelvic surgery. It can cause troublesome symptoms that affect daily life and comfort.
Common symptoms include:
A feeling of pressure, heaviness, or fullness in the pelvis
The sensation of a lump or bulge in the vagina
Discomfort or pain during sex
Problems with urination, such as difficulty starting, incomplete emptying, or leaking
Bowel symptoms, such as constipation or needing to press on the vagina to empty the bowel
Lower backache that improves when lying down
Prolapse usually develops gradually. It is often linked to pregnancy and childbirth, which can stretch and weaken pelvic floor muscles.
Other contributing factors include menopause (due to lower oestrogen levels), chronic coughing, heavy lifting, obesity, or long-term constipation.
How is Uterine Prolapse Diagnosed?
Diagnosis is made gynaecologist after a pelvic examination. You may be asked about your symptoms, medical history, and how the prolapse is affecting your daily life.
Sometimes further tests are needed to assess the bladder or bowel if symptoms involve these areas.
Infertility Treatment Options
Treatment depends on the severity of the prolapse, your age, overall health, and whether you wish to have children in the future.
Uterine prolapse is common and treatable. Many women find that simple measures such as pelvic floor exercises or a pessary provide good relief; others find that surgery provides symptoms relief.
Your gynaecologist will work with you to choose the best treatment based on your symptoms, lifestyle, and personal preferences.
You do not need to live with discomfort or embarrassment - effective treatments are available, and support is there to help you regain confidence and quality of life.
Lifestyle Changes
Lifestyle changes such as managing constipation, avoiding heavy lifting, and stopping smoking to reduce coughing may be recommended.
Pelvic Floor Exercises
Pelvic floor exercises help strengthening the muscles that support the uterus, bladder and bowel.
Pessary
Pessary is a removable device placed in the vagina to support the uterus, often fitted by a gynaecologist.
Surgery
Surgery may be recommended if symptoms are severe or persistent.
Surgical options include repairing the vaginal walls or, in some cases, removing the uterus (hysterectomy). Your gynaecologist will discuss which type of surgery is most suitable for you.
Find A Specialist
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Dr Kate van Harselaar
Gynaecologist
