Understanding Pelvic Organ Prolapse And Your Treatment Options


Women experience prolapsed uterus symptoms in different ways. It can start with a feeling of pressure within the pelvic region. You might have difficulty controlling your urinary functions or bowel movements. Sexual intimacy with a partner becomes painful. There may also be a sense of something pushing down into your vaginal walls.

What Should I Do First?

Schedule a visit with your gynecologist or other trusted medical doctor and provide clear details about the uterine prolapse symptoms you’re having. They’ll want to do a thorough examination to determine whether you’re truly suffering from pelvic organ prolapse.

Examination techniques include:

  • Evaluating the current placement of your pelvic organs as you sit and stand
  • Testing the pressure on organs in that region by having you cough
  • Performing an ultrasound to rule out any other causes of your issues
  • Doing a rectal exam to confirm the condition of the walls in that area

They may also want to perform the following tests:

Urodynamics test — Establishes the degree of any incontinence

CT (Computer Tomography) Scan – Provides doctors with detailed pictures of any affected pelvic organs.

IVP (Intravenous pyelogram) – This x-ray clarifies the size, position, and current shape of relevant pelvic organs.

Do I Need To Have Surgery?

Once a diagnosis of pelvic organ prolapse is confirmed, your doctor establishes the severity of your condition and provides you with all available options.

Pelvic Organ Prolapse Stages

Stage 0 – There’s no sign of prolapse and all organs have full support within the abdomen.

Stage 1 – There’s almost no prolapse visible, and plenty of support is available for all organs.

Stage 2 – Organs receive less support from ligaments and have started to fall but remain inside the vagina.

Stage 3 – The organs start becoming visible at the opening of the vagina.

Stage 4 – The organs have completely descended from the vaginal opening.

Doctors may recommend a full hysterectomy or other surgeries to treat your condition even if it isn’t at the most severe stage, depending on other factors present.

Can I Use Alternative Treatments?

Discuss other treatment options with your doctor if you wish to avoid surgery. Other alternative paths to improving your condition include:

  • Starting hormone treatments to increase your estrogen levels and build up your vaginal walls
  • Taking steps to address conditions causing pressure on your pelvic region like losing weight or treating related medical conditions
  • Using a Kegel exercise device to strengthen your pelvic floor

Look for other medical opinions if you’re still unsure of the options provided by your doctor. Look out for your overall health and well-being regardless of the treatment options you choose.

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