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Uterine and vaginal prolapse clinic in Manchester at BMI the Alexandra Hospital
The uterus is held in place by a number of muscles, tissues and ligaments and prolapse takes place when these muscles, ligaments and tendons become too weak to support the uterus and it falls down from its normal place.Prolapses happen in different stages, which are referred to as:
Up to 30% of women who have had children are affected by some degree of prolapse. It is more common as women become older, particularly in those who have gone through the menopause.
It is rare in women who have not had children.
Prolapse is also associated with being overweight and with having a persistent cough.*
Some women who have a prolapse of the uterus do not suffer from any symptoms and the condition is only identified during an internal examination which is carried out for other reasons.
The majority of women who have a prolapse will experience an uncomfortable feeling of fullness, dragging or heaviness in the vagina and sometimes there may be pain.
There may be the sensation of something coming down or out of the vagina and if the prolapse is a second or third degree prolapse, the uterus can actually be seen.
Other symptoms include:
Stress incontinence can also be a symptom of uterine prolapse.
The following are often causes a prolapse of the uterus:
In order to diagnose a first-degree prolapse, the consultant gynaecologist will need to carry out an internal examination in order to determine whether there are any abnormalities in the pelvic area and the degree of the prolapse.
The consultant gynaecologist is able to diagnose a second or third-degree prolapse without internal examination as the uterus can be seen outside the opening of the vagina.
There are a number of treatments available for uterine prolapse including:
Pelvic floor exercises can help strengthen the muscles and aid recovery following pelvic surgery. They can also reduce symptoms such as leaking urine and backache.
Women who are going through the menopause may benefit from HRT.
HRT will increase the levels of collagen, which is a natural protein that supports skin, bone and tissue and the hormone oestrogen, and may help strengthen the vaginal walls and pelvic floor muscles.
HRT (oestrogen) cream or pessary can be inserted into the vagina and may be recommended by the consultant gynaecologist.
A vaginal pessary can be inserted into the vagina in order to hold the uterus in place.
Pessaries are recommended for more severe prolapses and the consultant gynaecologist will remove the pessary every three to six months and replace it with a new one.
Several types of surgical procedures can be carried out in order to treat a severe prolapse including:
A hysterectomy is a major procedure carried out to completely remove the uterus and is considered to be one of the most effective treatments for uterine prolapse.
*Reference NHS Choices
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