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<\/p>\nUterine prolapse is a common condition in women, especially after multiple vaginal births or with aging. It can range from a feeling of heaviness and pressure in the pelvis to difficulties in sexual activity and even urinary incontinence. Fortunately, with today\u2019s treatment options, repairing uterine prolapse can significantly improve quality of life.<\/p>\n
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The uterus sits in the pelvis and is supported by the pelvic floor muscles and ligaments. These structures act like a supportive hammock that holds the uterus in place. When they weaken or become stretched, the uterus descends downward and may protrude into the vagina, or in severe cases, outside the vaginal opening. This is called uterine prolapse.<\/p>\n
Symptoms vary from subtle to severe and often worsen gradually over time.<\/p>\n
A pulling-down sensation or a feeling of a heavy object in the pelvis<\/p>\n
Worse after long periods of standing, walking, or lifting<\/p>\n
A visible or palpable bulge at the vaginal opening in moderate to severe cases<\/p>\n
More noticeable with coughing, sneezing, or straining<\/p>\n
Stress incontinence with leakage on coughing or laughing<\/p>\n
Sensation of incomplete bladder emptying<\/p>\n
Urinary frequency or urgency<\/p>\n
In severe cases, urinary obstruction<\/p>\n
Constipation or difficulty passing stool<\/p>\n
Pressure in the rectal area<\/p>\n
Need to strain during bowel movements<\/p>\n
Due to the change in uterine position or vaginal dryness<\/p>\n
May lower sexual desire because of discomfort<\/p>\n
A dull backache, often in moderate to severe prolapse<\/p>\n
Usually improves with rest<\/p>\n
A feeling that the bladder or bowel does not empty completely<\/p>\n
Leads to frequent bathroom trips<\/p>\n
Pelvic fatigue or weakness<\/p>\n
A feeling of vaginal looseness<\/p>\n
Symptoms worsening as the day progresses<\/p>\n
You should see a gynecologist if any of the following occur:<\/p>\n
A visible or palpable bulge in the vagina<\/p>\n
Significant urinary or bowel problems<\/p>\n
Pain or discomfort during intercourse<\/p>\n
Persistent pelvic pressure that affects daily life<\/p>\n
Uterine prolapse can start with mild pelvic pressure and progress to uterine protrusion outside the vagina. Earlier diagnosis often allows simpler and more effective treatment.<\/p>\n
Weight loss if overweight<\/p>\n
Quit smoking to reduce chronic cough<\/p>\n
Treat constipation with diet and adequate hydration<\/p>\n
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<\/p>\n
Non-surgical methods that stimulate collagen and improve tissue support<\/p>\n
Most helpful in mild prolapse<\/p>\n
Minimal downtime and generally safe<\/p>\n
Considered for moderate to severe prolapse<\/p>\n
Common procedures include:<\/p>\n
Hysteropexy: repositioning and securing the uterus with sutures or mesh<\/p>\n
Hysterectomy: removal of the uterus in select severe cases<\/p>\n
Performed under anesthesia with a short hospital stay<\/p>\n
Provides more durable and definitive correction<\/p>\n
Maryam, 48<\/p>\n
\u201cAfter menopause I felt constant heaviness. With a pessary and regular Kegels, my symptoms improved a lot.\u201d<\/p>\n
Elham, 55<\/p>\n
\u201cI had severe prolapse and needed surgery. After the operation my quality of life improved markedly and walking became easier.\u201d<\/p>\n
Nazanin, 40<\/p>\n
\u201cI tried vaginal laser. It was painless and had no downtime, and I felt better after two sessions.\u201d<\/p>\n