Aug 17, 2023
Vaginal prolapse can occur when the pelvic muscles that support a woman's organs weaken. The uterus, urethra, bladder, or rectum could protrude into or droop into the vagina as a result.
Prolapse comes in a variety of forms, including:
Your pelvic organs are supported by a hammock-like group of muscles known as the pelvic floor muscles. These muscles might be strained and weakened after childbirth, especially if you had a challenging delivery.
These muscles can become even weaker with age and estrogen loss during menopause, which will cause the pelvic organs to droop into the vagina.
Vaginal prolapse can also result from:
Women who suffer vaginal prolapse frequently exhibit no symptoms. If you do experience symptoms, they will vary depending on the prolapsed organ.
Some symptoms include:
The following factors increase your risk of vaginal prolapse:
A pelvic exam can help identify vaginal prolapse. In order to simulate pushing out a bowel movement during the examination, your doctor may ask you to bear down.
Additionally, your doctor could ask you to tense and relax the muscles that control the flow of urine. This examination measures the power of the muscles that support your uterus, vagina, and other pelvic organs.
Testing to determine how well your bladder functions may be necessary if you have trouble peeing. Urodynamic testing is what this is.
The strength and volume of your urine stream are measured using uroflowmetry.
The amount of bladder capacity required to trigger a toilet visit is determined by cystometry.
To check for issues with your pelvic organs, your doctor might also perform one or more of the imaging procedures listed below:
The most cautious course of therapy will be first suggested by your doctor.
The muscles that support your vagina, bladder, and other pelvic organs are strengthened with pelvic floor exercises, often known as Kegels. Doing them:
If you're having trouble identifying the correct muscles, a physical therapist can utilize biofeedback to guide you.
Losing weight could also be beneficial. Your bladder and other pelvic organs may feel less pressure if you lose weight. Find out from your doctor how much weight you need to drop.
A pessary is another choice. This plastic or rubber device, which is placed into your vagina, keeps the protruding tissues in place. Learning to implant a pessary is simple, and it prevents surgery.
Consider having the pelvic organs surgically repositioned and retained if other approaches are unsuccessful.
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