Doctor's Notes on Prolapsed Uterus
Prolapsed uterus symptoms are due to the displacement of the uterus from its normal position in the body. Individuals with a prolapsed uterus may have signs and symptoms that include
- pressure or feeling a mass in the pelvis,
- feeling that something's coming out of the vagina,
- cervix can be felt near the vaginal opening or protruding from the vagina,
- painful intercourse,
- difficulty with urination,
- difficulty with bowel movements,
- low back pain, and
- difficulty walking.
The cause of a prolapsed uterus is related to weakening of the muscles and ligaments that hold the organ in place. Conditions that cause a prolapsed uterus are usually related to conditions that injure the supporting muscles and ligaments such as
- childbirth,
- menopause,
- chronic coughing,
- constipation,
- obesity,
- surgery in the pelvic area,
- weightlifting (increased intra-abdominal pressure), and
- pelvic tumors.
What Is the Treatment for a Prolapsed Uterus?
Some patients have few, if any, symptoms while other patients have more severe symptoms. Treatments are based on the severity of the prolapse.
- Self-care (few symptoms)
- Kegel exercises (strengthen pelvic muscles)
- Weight loss
- Treating constipation
- Pessary (plastic or rubber device used to keep the uterus in position and halt prolapse)
- Surgery (more severe symptoms)
- Repair of weak pelvic floor tissue (through vagina or abdomen)
- Hysterectomy (uterus removal)
You and your doctors can decide what treatment is best for your condition.
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See AnswerREFERENCE:
Kasper, D.L., et al., eds. Harrison's Principles of Internal Medicine, 19th Ed. United States: McGraw-Hill Education, 2015.