Doctor insights on:
Surgery For A Prolapsed Uterus
Depends: The risk/benefit analysis will take into consideration the degree of prolapse and the future need/use of the uterus. Removal with hysterectomy is one of several options available. Okay to take friend/family with you to gyn surgery consult to help ask questions and understand your options. Be well. ...Read more
What non-surgical options are there for prolapsed uterus, and is there a risk leaving it untreated? Severe prolapse
There is minimal to no risk leaving uterine prolapse untreated. Your treatment decisions should largely be based upon your degree of symptoms or bother. The main risk with leaving it untreated is that it could worsen over time. This could also lead to symptoms related to bladder or bowel function such as urinary incontinence or difficulty emptying your bladder or bowel. Typically patients chose to treat it surgically when it is bothersome enough to warrant surgical intervention and risk.
There are several non-surgical options. The main one is a pessary which is a device worn in the vagina to support the uterus. You can have this fitted by a gynecologist. Properly fitted and placed you will not even know that it is there but your symptoms of pelvic pressure caused by the prolapse should be resolved. Depending upon the size of the prolapse, not every woman can successfully use a pessary.
If your prolapse is small and symptoms are minor then the main non-surgical treatment is strengthening your muscles by doing kegels and avoiding heavy lifting and straining such as constipation. ...Read more
Can u "over do it" with sex? Is there a non surgical answer besides a pessary for prolapsed uterus?
Not really. Yes.: You can't really "over do it" with sex. Their are other options for prolapse in some cases. If the prolapse is mild then you could try pelvic muscle rehab with biofeedback and electrical stimulation. If your prolapse is more advanced then surgery or pessary are your best options. You could choose to do nothing depending on severity of symptoms. ...Read more
I have a prolapsed uterus, am 45 years old. Do not want mesh or a hysterectomy. Pessary did not work. I would like surgical repair can sutures b used?
Many options: There are many options. Many consider sacrocolpopexy the gold standard with failure rates below 10%. Many surgeons have reported excellent results with vaginal approaches. Both using non absorbable mesh. Still other surgeons report good results with traditional repairs, native tissue, despite literature suggesting high failure rates, 40 to 50%. ...Read more
What did your gyn: Say? It depends how bad the prolapse is, if not that bad may not cause much problems, if bad can cause problems urinating or with bowel movements, can cause pain, and if it is so bad it is prolapsing out of the vagina it could get ulcerated or infected please discuss with your gyn. ...Read more
Not likely..: The ovaries are quite small and surgical removal/missing one should not affect the positions of other internal organs, thus not likely to predispose the woman to prolapsed-uterus. If you have trouble down there, please consult doc for an eval. Good luck. ...Read more
It varies.: The most common symptoms are a mass bulging into the vaginal opening, pelvic pressure or discomfort, and difficulty with bowel or bladder function. Many women can feel something bulging through the vaginal opening. To check, place fingers at the vaginal opening while seated on a toilet and bear down as if you are trying to have a bowel movement. ...Read more
Hopefully not: If it bleeding or gets infected or causes total procedentia then it need to be removed if you re being followed by a gyn, it should never get to a critical point. ...Read more
Depends: If the person is sexually active it s usually hysterectomy with reconstruction of the pelvis by a uro/gyn specialist. If the person is not sexually active usually a simple procedure called colpocleisis. The uterus is retained and the vagina is closed this reducing the prolapse completely. ...Read more
Need diagnosis...: Before a cough can be treated, the cause of the cough needs to be diagnosed. Possible causes of a chronic cough include bronchospasm from any cause, post-nasal drip, gerd or a combination of factors. Each of these has an entirely different treatment so see your doctor in order to diagnose and treat your cough. ...Read more
Possibly...: Uterine prolapse during pregnancy is very uncommon however it can cause a variety of urinary tract symptoms and in severe cases without proper management can put both the mother and the baby at risk. With proper management, successful pregnancies are often very possible. It's important to discuss your concerns and plans for management with your OB as early in the pregnancy as possible. ...Read more
Defer to Obstetricia: Can't answer this properly as I have not been involved with obstetrics directly for the past 20 years. There may be many new modalities and treatments I am not aware of. It would be best to refer this question to an obstetrician. ...Read more
Is it true that Clomid (clomiphene) decreases chance of conception at age 40? Also, I have a severe prolapsed uterus is, can that decrease chance of conception?
Clomid (clomiphene) and others: Clomid (clomiphene) does not decrease chance of conception at any age: it is an ovulation induction drug, so improves - somewhat - chance of conceiving at any age. Prolapse is not strictly a fertility factor, tho with severe prolapse, intercourse can be difficult or painful. At age 40 roughly 50% of women cans till conceive, hope this helps. ...Read more
I have a lump on the inside of my vagina and I am unsure how it occurred. I think I have a prolapsed uterus. What should I do?
You may be feeling a gland, or node, or even your cervix.
Have the gyn check and explain. ...Read more
No: The ovaries and tubes provide no support for the uterus. ...Read more
I have pos endometriosis prolapsed uterus just had my 1st ovulation in 4yrs with a endo thickness 6mm what's my chances of falling pregnant this month?
Is prolapsed uterus will cause the infertility? Kindly advise the treatment for this. Is it due to obesity?
Possible: A prolapsed uterus means the uterus is pulled downward. That can also pull the tubes and or ovaries downward as well. That can distort the anatomy and potentially make fertilization harder. It may also bend and kink the fallopian tube and cause a problem. ...Read more
I seem to have a prolapsed uterus and am pregnant. Should I have it cut off by my doctor in case it gets in the way of the baby?
Confused: I am sorry, the question is confusing. The baby is in the uterus, so you must be concerned with something else protruding. I would suggest discussing with your provider so they can explain your concern and help understand your situation. ...Read more
Helllo, my mother was suffering from prolapsed uterus from last 20 years, cause blood & pain. Now she is suffering from unsual sudden low blood pressure?
Could a prolapsed uterus cause repeat infections and abdo pain and swelling? Look very pregnant and pain in kidneys. Blood tst ok, white bc in urine.
For the last week I've been experiencing a lot of lower abdominal pain. I had my period 2 weeks ago, I got my tubes tied 2 1/2 years ago due to prolapsed uterus when I had my baby. Please help?
See an OB/GYN: Hello, the way you are describing that you had a prolapsed uterus when you had the baby, makes me concerned about prolapse getting worse. I would recommend either seeing your doctor or an OBGyn for detailed examination. ...Read more