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 doing 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.