Treatment is not necessary unless the symptoms bother you. Many women seek treatment by the time the uterus drops to the opening of the vagina.
Weight loss is recommended in obese women with uterine prolapse.
Heavy lifting or straining should be avoided, because they can worsen symptoms.
Coughing can also make symptoms worse. If you a chronic cough, ask your doctor how to prevent or treat it. If you smoke, try to quit. Smoking can cause a chronic cough.
Your doctor may recommend placing a rubber or plastic donut-shaped device, called a pessary, into the vagina. This device hold the uterus in place. It may be temporary or permanent. Vaginal pessaries are fitted for each individual woman. Some are similar to a diaphragm used for birth control.
Pessaries must be cleaned from time to time, sometimes by the doctor or nurse. Many women can be taught how to insert, clean, and remove the pessary herself.
Side effects of pessaries include:
- Foul smelling discharge from the vagina
- Irritation of the lining of the vagina
- Ulcers in the vagina
- Problems with normal sexual intercourse and penetration
Surgery should not be done until the prolapse symptoms are worse than the risks of having surgery. The specific type of surgery depends on:
- Degree of prolapse
- Desire for future pregnancies
- Other medical conditions
- The women's desire to retain vaginal function
- The woman's age and general health
There are some surgical procedures that can be done without removing the uterus, such as a sacrospinous fixation . This procedure involves using nearby ligaments to support the uterus. Other procedures are available.
Often, a vaginal hysterectomy is used to correct uterine prolapse. Any sagging of the vaginal walls, urethra, bladder, or rectum can be surgically corrected at the same time.