Uterine Prolapse

A uterine prolapse occurs when the pelvic floor becomes weakened
and the surrounding tissues, muscles, and ligaments are unable to
provide proper support to the uterus. This may lead to the uterus
descending down or into the vagina. In more severe cases, the
uterus may protrude out of the vaginal opening.


Although uncommon, some complications may arise if left
untreated. An ulceration of exposed tissues or additional
prolapses may occur: rectal or bladder.


However, there are many different treatment options available to
you! In this article we address uterine prolapse and how you may
find treatment without the need of surgery.


What is a Prolapse?


A prolapse or a pelvic organ prolapse, happens when 1 or more
organs become displaced. They can either bulge into the vaginal
canal or into the rectum. The most common forms of prolapse are
uterine prolapse, bowel (rectal) prolapse, and bladder prolapse.


These conditions are not life threatening, but may cause painful
or uncomfortable symptoms.


In many cases, we at RYC, have noticed that these symptoms are
often relieved and treated through corrective exercise and
various lifestyle changes.


What is a Prolapsed Uterus?


Uterine prolapse is a particular kind of pelvic organ prolapse.
Although it is more common during pregnancy and childbirth, a
uterine prolapse can occur in women of any age and stage of life.
Women who are postmenopausal or have had multiple deliveries may
be at a higher risk of developing a uterine prolapse.


However, in many cases, surgical treatment is not
required. A mild or minor prolapse may resolve through minor
lifestyle, exercise, or diet changes. Some providers recommend
surgery when prolapse causes pain or unbearable discomfort that
interrupts your daily life.


Stages of Uterine Prolapse


A uterine prolapse is often categorized in two different ways:
incomplete or complete.


An incomplete uterine prolapse is defined by a
partial displacement of the uterus into the vagina, without
protrusion.


A complete uterine prolapse is defined by a
partial or full protrusion of the uterus out of the vaginal
opening. A complete prolapse is then graded in severity,
depending on how far the uterus has descended.


1st grade: when the cervix has descended into the upper
vagina

2nd grade: the cervix has descended to the vaginal opening

3rd grade: the cervix has protruded outside of the introitus

4th grade: the uterus and cervix have both descended out of
the vaginal opening



In many cases, exercise may be able to help. In severe cases
there may be a need for medical treatment. If you have concerns,
it is always best to consult a health professional for a
diagnosis.


Symptoms of a Uterine Prolapse


There are many different symptoms that may arise depending on the
severity. The most common symptoms of uterine prolapse include:


a feeling of heaviness or pulling in the pelvic floor muscles

increased vaginal discharge or bleeding

painful or difficulty having sex

urinary incontinence or urinary retention

chronic constipation, bowel movement difficulty

lumbar spine pain

bulge or protrusion from the vaginal opening

feeling or sensation of something falling from the vagina or
like sitting on a ball

weak vaginal tissue