You do not need treatment unless you are bothered by the symptoms.
Many women will get treatment by the time the uterus drops to the opening of the vagina.
The following can help you control your symptoms:
- Lose weight if you are obese.
- Avoid heavy lifting or straining.
- Get treated for a chronic cough. If you cough is due to smoking, try to quit.
Your doctor may recommend placing a rubber or plastic donut-shaped device, into the vagina.This is called a pessary. This device holds the uterus in place.
The pessary may be used for short-term or long-term. The device is fitted for your vagina. Some pessaries are similar to a diaphragm used for birth control.
Pessaries must be cleaned regularly. Sometimes they need to be cleaned by the doctor or nurse. Many women can be taught how to insert, clean, and remove a pessary.
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
Surgery should not be done until the prolapse symptoms are worse than the risks of having surgery. The type of surgery will depend on:
- The severity of the prolapse
- The woman’s plans for future pregnancies
- The woman’s age, health, and other medical problems
- The woman’s desire to retain vaginal function
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 also 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.