Pelvic organ prolapse can be a long-lasting condition. But it often responds to adjustments in activities and lifestyle habits. If you
have tried self-care, such as eating
high-fiber foods, staying at a healthy weight, and
pelvic floor (Kegel) exercises, but your symptoms are
increasingly bothersome, you may want to consider nonsurgical treatment.
Treatment will be different depending on which organs are involved, how bad
your symptoms are, and what other medical conditions are present. Treatment may
include using a
pessary, a removable device that is placed
into the vagina to support areas of pelvic organ prolapse.
Treatment if the condition gets worse
If you have
pain and discomfort from
pelvic organ prolapse that does not respond to
nonsurgical treatment and lifestyle changes, you may want to consider surgery.
The choice of surgery depends upon which organs are involved, how bad your
symptoms are, and what other medical conditions are present. Also, your surgeon
may have experience with and preference for a certain procedure. Types of
surgery for pelvic organ prolapse include:
Often the doctor does more than one of these
surgeries at the same time. These surgeries are designed to treat specific
symptoms. So other symptoms may remain after surgery.
For help deciding about surgery, see:
- Pelvic Organ Prolapse: Should I Have Surgery?
What to think about
If you are considering having
children, you may want to delay pelvic organ surgery. If you have surgery and
then deliver a child vaginally, the strain on your pelvic organs may cause them
to prolapse again.
Sometimes surgery cannot repair all the
prolapsed organs. And sometimes surgery to repair pelvic organ prolapse will lead to prolapse in another area.
Pelvic organ prolapse may be a progressive condition, gradually getting
worse and causing more severe symptoms. But in many cases it does not progress
and may improve over time.