Pelvic Organ Prolapse - Topic Overview
Your doctor will ask questions about your symptoms and about any pregnancies or health problems. Your doctor will also do a physical exam, which will include a pelvic exam.
Decisions about your treatment will be based on which pelvic organs have prolapsed and how bad your symptoms are.
If your symptoms are mild, you may be able to do things at home to help yourself feel better. You can relieve many of your symptoms by adopting new, healthy habits. Try special exercises (called Kegels) that make your pelvic muscles stronger. Reach and stay at a healthy weight. Avoid lifting heavy things that put stress on your pelvic muscles.
If you still have symptoms, your doctor may have you fitted with a device called a pessary to help with the pain and pressure of pelvic organ prolapse. It is a removable device that you put in your vagina. It helps hold the pelvic organs in place. But if you have a severe prolapse, you may have trouble keeping a pessary in place.
Surgery is another treatment option for serious symptoms of pelvic organ prolapse. But you may want to delay having surgery if you plan to have children. The strain of childbirth could cause your prolapse to come back.
You may want to consider surgery if:
- You have a lot of pain because of the prolapsed organ.
- You have a problem with your bladder and bowels.
- The prolapse makes it hard for you to enjoy sex.
Types of surgery for pelvic organ prolapse include:
- Surgery to repair the tissue that supports a prolapsed organ.
- Surgery to repair the tissue around your vagina.
- Surgery to close the opening of your vagina.
- Surgery to remove the uterus (hysterectomy).
Pelvic organ prolapse can come back after surgery. Doing Kegel exercises to make your pelvic muscles stronger will help you recover faster from surgery. The two together can help you more than surgery alone.