- prolapsed uterus
- pelvic support relaxation
- pelvic floor hernia
- pudendal hernia
What is going on in the body?
- multiple vaginal births
- giving birth to large babies (more than 9 pounds)
- difficult instrumented deliveries (forceps, vacuum)
- presence of a pelvic tumor
- chronic bronchitis
What are the causes and risks of the condition?
What can be done to prevent the condition?
- doing Kegel exercises during pregnancy and after giving birth, to strengthen pelvic muscles
- taking hormone replacement therapy for a long time during and after menopause to maintain the health of the pelvic tissues
How is the condition diagnosed?
Long Term Effects
What are the long-term effects of the condition?
- abnormal uterine bleeding
- increased vaginal discharge
- chronic vaginal infections
- chronic bladder infections, known as
- partial urethral obstruction
- small bowel obstruction
What are the risks to others?
What are the treatments for the condition?
- the severity of the prolapse
- the severity of the symptoms
- the presence of other signs and symptoms
- a woman's wishes to preserve her fertility
- the woman's age
- pessary, a plastic doughnut-shaped device placed into the vagina to push up the uterus
- uterosacral ligament suspension procedure, an operation to provide muscle support to the uterus
- estrogen therapy given directly into the vagina with creams ,rings or suppositories
- hysterectomy, or surgery to remove the uterus
What are the side effects of the treatments?
What happens after treatment for the condition?
- avoid lifting heavy objects
constipationby drinking plenty of fluids, using stool softeners for a short time, and increasing her fiberintake
Kegel exercisesdaily avoid smoking
- lose weight through diet and exercise, if she is overweight
- continue with
hormone replacement therapy, if she was using it before surgery
- avoid wearing tight girdles or other garments that put pressure on the abdomen
How is the condition monitored?
The Merck Manual of Medical Information, Home edition, 1997
Professional Guide to Diseases, Sixth Edition. Springhouse: Springhouse Corporation, 1998
Tierney, Lawrence, editor, "Current Medical Diagnosis and Treatment, 39th edition", 2000