Uterine Prolapse is a medical condition wherein the uterus descends from its normal position into or even out of the vaginal canal. This condition occurs when the pelvic floor muscles and ligaments become weak or stretched, often as a result of childbirth, menopause, or excessive physical strain. As the uterus drops, it can cause a bulge in the vaginal area and may protrude outside the body in severe cases. Uterine prolapse can affect women of all ages, but it is most commonly seen in postmenopausal women who have had multiple vaginal deliveries.
The symptoms of uterine prolapse can vary and may include a sensation of heaviness or pulling in the pelvis, tissue protruding from the vagina, urinary problems such as incontinence or retention, difficulty with bowel movements, sexual discomfort, lower back pain, and a feeling as if something is falling out of the vagina. The symptoms often worsen after standing for long periods or after physical activity and may ease when lying down. In some severe cases, the prolapsed uterus can interfere with the normal functions of the bladder and rectum.
Treatment for uterine prolapse depends on the severity of the condition and the patient's overall health and preferences. Non-surgical options include pelvic floor exercises (Kegels), the use of a vaginal pessary to support the uterus, and lifestyle changes such as weight management and avoiding heavy lifting. For more severe cases, surgical interventions can be considered to repair or reinforce the pelvic floor, or in some instances, to remove the uterus (hysterectomy). Consulting with a healthcare provider is crucial to determine the most appropriate and effective treatment plan tailored to the individual's needs.