Prolapsed Uterus

Notify your health care provider if you experience any of the following symptoms:

• You feel the cervix near the opening of the vaginal canal. Or you suffer persistent discomfort from urinary dribbling or the urge to have a bowel movement (rectal urgency).
• You may not feel the cervix but just pressure in your vaginal canal and the feeling of something coming out of your vagina.
• You have continuing low back pain   with difficulty in walking, urination, and defecation.

Seek medical care immediately if you experience the following:

• Obstruction or difficulty in urination and/or defecation
• Complete uterine prolapsed (your uterus comes out of your vagina)

Self-Care at Home

You can strengthen your pelvic muscles by performing Keel exercises. You do these by tightening your pelvic muscles, as if trying to stop the flow of urine. This exercise strengthens the pelvic diaphragm and provides some support. Have your gynecologist instruct you on the proper ways to isolate and exercise the muscles.

Other Therapy

If you do not want surgery or are a poor candidate for surgery, you may decide to wear a supportive device, called a peccary, in your vaginal canal to support the falling uterus. You can use this temporarily or permanently. They come in various shapes and sizes and must be fitted to you. If your prolapsed is severe, a peccary may not work. Also, peccaries can be irritating inside your vagina and may cause a foul-smelling discharge.

Follow-up

Follow-up depends on how your condition was treated.

• If you had surgery, you need to follow up according to your surgeon's advice.
• If you have a peccary inserted in your vagina, it needs to be cleaned and checked by your health care provider for the correct position and fit at regular intervals unless you are instructed on how to remove it and clean it yourself at home.
• If you have been told to do Keel exercises, you should have a regular follow-up visit so that the doctor can check the progress of your muscle strength.

Prevention

• Reduce your weight.
• Avoid constipation by eating a high-fiber diet.
• Do Hegel exercises to strengthen your pelvic muscles.
• Avoid heavy lifting or straining.

Outlook

Peccaries can be effective temporarily or permanently if they are checked and cleaned as often as necessary. Surgery can support a prolapsed uterus or remove it.