Urination when laughing, sneezing, coughing, or exercising
Difficult or painful intercourse
Low backache that is relieved with lying down
You will be asked about your symptoms and medical history. A physical exam will be done. Vaginal prolapse that has no symptoms may be diagnosed during routine examinations. You may be referred to a gynecologist, who will do a pelvic exam.
Talk with your doctor about the best treatment plan for you. First- or second-degree prolapse without symptoms may not require treatment. Treatment options include:
involve tensing the muscles around the vagina and anus, holding for several seconds, then releasing. The repetition of this exercise will help to tone pelvic muscles.
You may be asked to do this up to 100 times a day.
Estrogen therapy may be advised. This may help prevent further weakness of the pelvic floor. Talk to your doctor about the risks and benefits associated with hormone replacement therapy.
A pessary may be inserted into the upper portion of the vagina. A pessary is a rubbery, doughnut-shaped device. It helps to prop up the uterus and bladder. Pessary placement is more often used in older women.
Vaginal prolapse that is severe or associated with lasting symptoms may require surgery. Surgery may involve repairing the pelvic floor structure or, in some cases, suturing the vagina.
To help reduce your chances of vaginal prolapse:
Maintain a healthy weight.
To avoid constipation, eat plenty of fruits, vegetables, and whole grains. Drink plenty of fluids throughout the day.
If you smoke,
talk to your doctor about ways to
quit. Smoking may cause chronic coughing and weakening of connective tissues.
Pelvic organ prolapse. International Urogynecological Association website. Available at: http://c.ymcdn.com/sites/www.iuga.org/resource/resmgr/Brochures/eng_pop.pdf. Accessed April 17, 2018.
Uterine and vaginal prolapse. Merck Manual Professional Version website. Available at: https://www.merckmanuals.com/professional/gynecology-and-obstetrics/pelvic-relaxation-syndromes/uterine-and-vaginal-prolapse. Updated February 2017. Accessed April 17, 2018.
Vaginal pessary. Family Doctor—American Academy of Family Physicians website. Available at: https://familydoctor.org/vaginal-pessary. Updated October 24, 2017. Accessed April 17, 2018.
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