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EmpowHER Guest
Anonymous

Hi Pillay,

I am sorry to hear about your failed pregnancy. Our website has some great information about prolapsed uterus and you can read more about it here https://www.empowher.com/condition/uterine-prolapse.

When you have a prolapsed uterus, your pelvic cavity is weak and the baby is unable to remain in the uterus and a miscarriage occurs. There are options for repairing your uterus or you may even have it removed (hysterectomy). Based on your question, it appears you want a child.

Here is some information from the Mayo Clinic that may help with your question.

Possible treatments for uterine prolapse include:
Lifestyle changes. If you're overweight or obese, your doctor may suggest ways to achieve a healthy weight and maintain that weight. Exercises to strengthen your pelvic floor muscles (Kegel exercises) may help relieve some symptoms. Your doctor may advise you to avoid heavy lifting or straining.
Vaginal pessary. A vaginal pessary fits inside the vagina and is designed to hold the uterus in place. The pessary can be a temporary or permanent form of treatment. Vaginal pessaries come in many shapes and sizes, so your doctor will measure and fit you for a device. Once the pessary is in place, your doctor may have you walk, sit, squat and bear down to make sure that the pessary fits you correctly, doesn't become dislodged and feels reasonably comfortable. You may be asked to return a few days after insertion of the pessary to check that it's still in the correct position. You may be advised to remove the device and clean it with soap and water frequently. Your doctor will show you how to remove and reinsert the pessary. You may be able to leave the pessary out overnight and reinsert it each day to use only during waking hours.
There are some drawbacks to these devices. A vaginal pessary may be of little use for a woman with severe uterine prolapse. Additionally, a vaginal pessary can irritate vaginal tissues, possibly to the point of causing small sores. Women with vaginal pessaries that aren't removed frequently for cleaning may report a foul-smelling discharge. Pessaries may interfere with sexual intercourse.
Surgery to repair uterine prolapse. If lifestyle changes fail to provide relief from symptoms of uterine prolapse, or if you'd prefer not to use a pessary, surgical repair is an option. Surgical repair of uterine prolapse usually requires vaginal hysterectomy to remove your uterus and excess vaginal tissue. However, in some cases, surgical repair may be possible through a graft of your own tissue, donor tissue or some synthetic material onto weakened pelvic floor structures to support your pelvic organs.
Doctors generally prefer to perform uterine prolapse repair vaginally because vaginal procedures are associated with less pain after surgery, faster healing and a better cosmetic result. However, vaginal surgery may not provide as lasting a fix as abdominal surgery. And if you don't have your uterus removed during surgery, prolapse can recur. Laparoscopic techniques — using smaller abdominal incisions, a lighted camera-type device (laparoscope) to guide the surgeon and specialized surgical instruments — offer a minimally invasive approach to abdominal surgery.
You might not be a good candidate for surgery to repair uterine prolapse if you plan to have more children. Pregnancy and delivery of a baby put strain on the supportive tissues of the uterus and can undo the benefits of surgical repair. Also, for women with major medical problems, anesthesia for surgery might pose too great a risk. Pessary use may be your best treatment choice for bothersome symptoms in these instances.

It appears you have the pessary now and that will certainly be helpful. There is still surgery option if the pessary does not work. I wish you the best in your attempt to conceive.

August 23, 2009 - 10:38am

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