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Uterine Prolapse
Uterine Prolapse Care at Maria Regina OB/GYN
Uterine prolapse is more common than many women realize—especially as pelvic floor strength naturally decreases with age, menopause, or following childbirth. If you are experiencing pelvic pressure, discomfort during intercourse, or notice tissue protruding from your vagina, it’s important to seek medical evaluation. At Maria Regina OB/GYN, our specialists offer experienced, compassionate care to diagnose uterine prolapse and provide customized treatment options to restore comfort, function, and quality of life.
Uterine Prolapse Q & A
What is uterine prolapse?
The uterus is supported by the pelvic floor muscles and surrounding connective tissues. When these structures weaken, the uterus can shift downward into the vaginal canal—this is known as uterine prolapse. In moderate to severe cases, the uterus may protrude outside the vagina.
Common symptoms include:
- Feeling as if you are “sitting on a ball”
- A heavy or pulling sensation in the pelvis
- Abnormal vaginal bleeding
- Increased vaginal discharge
- Difficulty with penetrative intercourse
- Constipation or trouble fully emptying the bladder
- Frequent or recurrent urinary tract infections
Because untreated prolapse can worsen over time, early evaluation is essential.
What causes uterine prolapse?
Uterine prolapse develops when the pelvic floor becomes stretched, weakened, or damaged. Common contributing factors include:
- Vaginal childbirth, especially multiple births or large babies
- Aging and decreased estrogen levels after menopause
- Chronic coughing or conditions that increase pressure on the abdomen
- Obesity
- Heavy lifting
- Genetic predisposition to weaker connective tissue
Hormonal changes and reduced collagen production with age also play a role in weakening pelvic tissues.
You can reduce your risk by maintaining a healthy weight, performing regular pelvic floor exercises (Kegels), and avoiding excessive heavy lifting.
How is uterine prolapse treated?
Treatment is customized based on the severity of the prolapse, your symptoms, and your overall health.
Nonsurgical treatment options
For mild or moderate prolapse, conservative approaches may be recommended:
- Pelvic floor physical therapy to strengthen muscles
- Lifestyle changes such as weight management and avoiding heavy lifting
- Pessary device, which is inserted into the vagina to support the uterus and relieve pressure
These options can significantly improve symptoms and help stabilize pelvic support.
Surgical treatment options
For more advanced prolapse, surgery may be recommended:
- Vaginal reconstruction (uterine suspension): The uterus is repositioned and pelvic ligaments are reinforced to restore support
- Vaginal hysterectomy: The prolapsed uterus is surgically removed through the vagina
- Abdominal or laparoscopic hysterectomy: Recommended in certain cases depending on anatomy and medical history
Your provider will explain the benefits, risks, and expected outcomes of each option to help you make an informed decision.
If you are experiencing symptoms of uterine prolapse or suspect something is wrong, contact Maria Regina OB/GYN. Schedule your visit online or call our office to receive expert diagnosis and personalized treatment to restore your comfort and well-being.