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uterus come down

By Anonymous July 20, 2009 - 11:26am
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I am 37 yrs old womon. Now in menstural time abnormal pain arrives. After consult a doctor he told me that uterus is coming down. what is the reason? what are precaution I have to take now?

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HERWriter Guide

Hi Anon

You can live with a prolapsed uterus but it's very uncomfortable! There is something else available called a pessary.

Here is a good article that talks about whether surgery is always necessary and what other options you can have.

Take a look here and let us know what you think: http://www.empowher.com/uterine-prolapse/content/surgery-always-needed-u...


August 31, 2012 - 11:10am
EmpowHER Guest

DEar Susan thnkss fr Ur kind reply,,, Dr suggest me operation to lift it up,, but me little affraid by it,,,,,, thn Dr suggest this also,,,,, if uterus not mking any prb or pain thn, dont do operation now,, n if in future u hv any prb or issue by it thn u operate it,
so Susan wanna ask,,,,,,,,, if me not operating it, is it some other prb creat by it?,much worried abt it

August 31, 2012 - 2:10am
EmpowHER Guest

hello,,hop u doing well, i read ur veiws abt issue,, so lik to shre with u my prb also,, my age is 32 n hving a kid 4 years old,,, n dont want or dont hving plan fr more kids cz v dont want more,, my uterus also come down, after passing my urine ,whn i wash tht place i can eassily touch it n feel it tht there is somethng lik small ball,,dr told me tht its uterus n it come down,, so wht can i do ,, can u plzzz giv ur suggestions to me,,it may improv by medicine or hv to do surgery fr it,,,, plzz waitng fr ur suggestionss,,thnku

August 29, 2012 - 11:10pm
HERWriter Guide (reply to Anonymous)

Hi Anon

Thanks for your post!

Medications will not lift your uterus up or put it back into place, unfortunately. You will need to have a procedure done t hat can help with this and the first thing you need to do is have an evaluation done by your doctor.



August 30, 2012 - 10:57am
HERWriter Guide

Hi Shafi

Thanks for your post!

If your mother doesn't want any other kind of surgery for her uterine prolapse then a hystertecomy may work for us but we cannot advise her to do this, only she can decide this along with her doctor.

If she is post menopause (which she may be, if she is 60) then her side effects may be less than if she has not yet reached menopause. She needs to know that all surgeries carry risks.

I think it's a good idea for her to sit down with her doctor and discuss all her options. Living in pain like this should not be occuring, it's not a good way to live at all.



March 9, 2012 - 11:04am
HERWriter Guide

Dear Anon

Thank you very much for your question and welcome!

In terms of what to do, we need to understand what your doctor means by telling you that your uterus is "coming down". Was this the term he used?

Since I don't have any more information from you, I'll assume (and please let me know if I'm wrong) that he was talking about a prolapsed (or dropped) uterus.

Our Encyclopedia describes this condition as "when the uterus (womb) slips out of place and into the vaginal canal due to weakening of the muscles and ligaments of the lower abdomen (called the "pelvic floor"), which normally support the uterus and other organs in the pelvis. The severity of uterine prolapse is defined as:

* First degree (mild)—the cervix (the lower opening of the uterus into the vagina) protrudes into the lower third of the vagina
* Second degree (moderate)—the cervix protrudes past the vaginal opening
* Third degree (severe)—the entire uterus protrudes past the vaginal opening

Anon, your pain may be symptomatic of this. Signs of a prolapsed uterus include

◦Sensation of fullness in the vagina
◦Sensation of pulling in the pelvis
◦Pain in the vagina, lower back, or lower abdomen
◦Vaginal discharge
◦Leakage of urine
◦Difficulty voiding urine
◦Frequent urinary tract infections
◦Protrusion of pink tissue from the vagina that may be irritated or itchy

Besides your pain, do any of the above symptoms feel familiar to you?

There are many treatment options to look into, as well as possible complications from some of the treatments:

Treatment may include:

Kegel Exercises
For mild cases of uterine prolapse, Kegel exercises are recommended to strengthen the pelvic muscles. These exercises are easy to do and can be done anywhere, at any time. To perform Kegel exercises:

◦Squeeze the pelvic muscles as though you are trying to hold back urine.
◦Hold this position for a count of ten, then release slowly.
◦Do this ten times, four times daily.

Referral to a Specialist
You may be referred to a gynecologist or a urogynecologist for further evaluation or surgery.

Pessary Insertion
This is a rubbery, doughnut-shaped device. It is inserted by your doctor into the upper portion of the vagina. A pessary helps to prop up the uterus and bladder, and temporarily prevents sagging into the vagina. It will need to be removed for cleaning and before sexual intercourse.

Surgery may be necessary to correct uterine prolapse. These procedures are generally not done until you have finished having children. Surgical procedures include:

◦Vaginal hysterectomy —removal of the uterus through the vagina. This procedure will permanently resolve uterine prolapse, but also results in infertility .
◦Vaginal repair—This is usually done with a hysterectomy. The repair can be done with sutures and with insertion of mesh or slings.
◦Colpocleisis—This is a procedure that cures the prolapse, but results in a foreshortened vagina that will not permit intercourse.

You and your doctor should discuss all risks and benefits when considering these surgical options.

Urinary tract infections and other urinary symptoms may occur due to the frequently associated cystocele . This is a hernia-like disorder in women that occurs when the wall between the bladder and the vagina weakens, causing the bladder to drop or sag into the vagina.

Constipation and hemorrhoids may also occur as a result of the associated rectocele (a similar condition to cystocele, only the rectum protrudes into the vagina).

In more severe cases of prolapse, ulceration and infection may occur.

Anon - Your doctor should have talked to you about your options. Did he not discuss this with you? Depending on the severity of your prolapse, you can decide the option that fits you best.

Please make another appointment with him and ask him to take some time to explain your condition to you (in a language you understand and that's not full of medical jargon!) and go through your options. You won't really know what's best for you until you know your situation properly.

I hope this explains things to you and will you please update us and tell us what your doctor said? You should be given as much information as possible, in terms you are comfortable with. Anything else will bring on worry and confusion that is not good for you, physically or emotionally.

I'll look out for your update, we look forward to hearing more from you!

July 20, 2009 - 1:45pm
(reply to Susan Cody)

Dear Ms. Susan,
I, Shafi, revview the above article when i was surfing over internet for a remedial of such diesies. I think my mother also having similr problem she is now aged 6o years.
since long time she is suffering from lower back pain, after consulting with many doctors they had given medicine, meanwhile all of them were confirmed that her utress came down this is the main problem for lower back pain. and doctors were suggested for operation since long back, but my mother refused that time. nowdays, she is getting severe pain. is it posible to remove the utress at this age. if yes the operation would sucessfful, and she will fully cured ?

looking forward for your kind reply.


March 9, 2012 - 8:35am
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