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Prolapsed Uterus

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Prolapsed Uterus Symptoms

Symptoms of a prolapsed uterus include:

  • A feeling of fullness or pressure in your pelvis (you may describe it as a feeling of sitting on a small ball)
  • Low back pain
  • Feeling that something is coming out of your vagina
  • Painful sexual intercourse
  • Difficulty with urination or moving your bowels
  • Difficulty walking

When to Seek Medical Care

Notify your health care provider if you experience any of the following symptoms:

  • You feel the cervix near the opening of the vaginal canal or you feel pressure in your vaginal canal and the feeling of something coming out of your vagina.
  • You suffer persistent discomfort from urinary dribbling or the urge to have a bowel movement (rectal urgency).
  • You have continuing low back pain with difficulty in walking, urinating, and moving your bowels.

Seek medical care immediately if you experience any of the following:

  • Obstruction or difficulty in urination and/or bowel movement
  • Complete uterine prolapse (your uterus comes out of your vagina)

Exams and Tests

Your health care provider can diagnose uterine prolapse with a medical history and physical examination of the pelvis.

  • The doctor may need to examine you in standing position and while you are lying down and ask you to cough or strain to increase the pressure in your abdomen.
  • Specific conditions, such as ureteral obstruction due to complete prolapse, may need an intravenous pyelogram (IVP) or renal sonography. Dye is injected into your vein, and a series of X-rays are taken to view its progress through your bladder.
  • Ultrasound may be used to rule out other pelvic problems. In this test, a wand is passed over your abdomen or inserted into your vagina to create images with sound waves.

Prolapsed Uterus Treatment

Treatment depends on how weak the supporting structures around your uterus have become.

Self-Care at Home

You can strengthen your pelvic muscles by performing Kegel exercises. You do these by tightening your pelvic muscles, as if trying to stop the flow of urine. This exercise strengthens the pelvic diaphragm and provides some support. Have your health care provider instruct you on the proper ways to isolate and exercise the muscles.

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