A uterine prolapse is the collapsing or shifting downwards of the uterus from its normal position into the vaginal area.
The uterus is held in place by a hammock of muscles and ligaments. These muscles and ligaments form part of the pelvic floor muscles.
The condition can happen when the ligaments and muscles supporting the uterus become weakened to the point the uterus can no longer stay in place and as a consequence slips from its normal position.
The important uterosacral ligaments are ligaments on each side of the uterus which pass along the lateral wall of the pelvis hold the uterus in place.
The most common cause is childbirth trauma in which the mother experiences multiple or difficult births. However anything exerting pressure on the pelvic muscles, including chronic coughing, obesity and chronic constipation which strain these sets muscles can also be attributable.
There is also the rare chance a tumour in the pelvic region can be responsible for causing the condition.
About 50% of women who have children develop some form of pelvic organ collapse in their lifetime. It is more noticeable in women of an older age and who have passed menopause and whose estrogen levels have dropped.
Difficult or painful sexual intercourse
Feeling like you are sitting on a small ball/Feel heavy or pulling in the pelvis
Uterus and cervix that stick out through the vaginal opening
Increased vaginal discharge
Where the prolapse is severe urinary tract infections and ulcers may occur in the vaginal wall.
Prolapse can be corrected by surgery however treatment is not necessary unless the symptoms become more noticeable or cause discomfort. Surgery should not be done until the prolapse symptoms are worse than the risks of having surgery, but surgery usually provides excellent results.
Weight loss is recommended in obese women with uterine prolapse.
Heavy lifting or straining should be avoided, because they can worsen symptoms.
Tightening the pelvic floor muscles using Kegel Exercises helps to strengthen the muscles and reduces the risk of uterine prolapse. This is an ongoing exercise just like walking the dog .Exercising these muscles correctly on occasion can strengthen them enough to avoid experiencing the condition.
Some women with the condition can recover ,depending on the severity,but if too advanced the only option can be surgery.
If women can discover they can strengthen their pelvic floor muscles through exercising them correctly they often make a recovery, but it can require getting into the habit of actually doing the exercises every day for a good period to get the strength back.Sometimes in advanced cases not always successful.
It has been done but you must be motivated to do it. Losing weight and avoiding heavy lifting can help the condition as well,
Estrogen therapy, either vaginal or oral, in postmenopausal women may help maintain muscle tone and thickness in the vaginal area.
Often women are prescribed a pessary which is similar to a diaphram. which can be inserted and holds the the uterus in place. It is normally made of rubber and some are specially designed for different women.
It has proved to be quite helpful providing it does not cause chronic infections in the subject area.