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Is Surgery Always Needed for Uterine Prolapse?

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According to the Mayo Clinic, uterine prolapse is defined as when pelvic floor muscles and ligaments stretch and weaken, providing inadequate support for the uterus. As a result, the uterus descends into the vaginal canal.

Symptoms may include:

Sensation of heaviness or pulling in your pelvis
Tissue protruding from your vagina
Urinary difficulties, such as urine leakage or urine retention
Trouble having a bowel movement
Low back pain
Feeling as if you're sitting on a small ball or as if something is falling out of your vagina

Sexual concerns, such as sensing looseness in the tone of your vaginal tissue
Symptoms that are less bothersome in the morning and worsen as the day goes on

If you have had one or more deliveries vaginally, you could be at risk for experiencing this condition later on in life. Other risk factors are giving birth to a large baby, increasing age, frequent heavy lifting, chronic coughing, strained bowel movements or a genetic predisposition to weakness in connective tissue. It is best to seek medical attention when you notice any of the aforementioned symptoms. Any delay in obtaining the necessary assistance may result in ulcers - vaginal sores that develop when the uterus protrudes. Or it may even lead to the prolapse of other pelvic organs, such as the bladder and rectum.

After the necessary tests are done, your doctor will determine whether your condition is mild, moderate or severe. Usually, mild uterine prolapse does not need any further treatment. You can make lifestyle changes that may ease whatever symptoms you are having. The Mayo Clinic suggests losing weight, doing Kegel exercises and avoiding heavy lifting or straining.

When uterine prolapse is more advanced, some have decided to use a vaginal pessary. This device fits into the vagina and holds the uterus in place. Your vaginal pessary is tailored to you and will require changing and cleaning. It is noteworthy that for very severe cases of uterine prolapse, this device is not helpful. So surgical repair is the only other option for an advanced stage of this condition.

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We value and respect our HERWriters' experiences, but everyone is different. Many of our writers are speaking from personal experience, and what's worked for them may not work for you. Their articles are not a substitute for medical advice, although we hope you can gain knowledge from their insight.

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