How Is Stage 2 Uterine Prolapse Treated?

There is a hammock of muscles between the coccyx (tailbone) and pubic bone that supports the uterus, bladder, and intestines. It’s called the levator ani muscles, or the pelvic floor. Uterus and pelvic organs are held in place by ligaments and connective tissue as well. They’re also Uterus may fall into the vagina if these muscles or connective tissues are weak or injured. Prolapse is the medical term for this condition.

Many things may impair the pelvic organ support structures, including vaginal delivery, obesity, suffocating when coughing or stooping, and hormonal changes after menopause. To begin with, pelvic floor muscle strengthening exercises should be given by a pelvic floor therapist.

Treatments for uterine prolapse

  • Pelvic floor exercises – Pelvic floor muscle exercises, particularly in stages I and II of uterine prolapse, may be helpful, but they must be performed properly and practiced long enough to strengthen the muscles. If you have a prolapse, you should get expert care from a pelvic floor physiotherapist, despite the fact that the following material may provide you with some suggestions on how to undertake PF exercises. Knowing the muscles in your urethra, anus, and vagina can help you do workouts appropriately. Your doctor or pelvic floor physiotherapist should be consulted prior to beginning any exercise program. Focus on your pelvic floor muscles before you begin. Make an effort to loosen the muscles in your abdomen, buttocks, and lower legs. Make sure you don’t hold your breath or hunker down too much. Tension should be maintained for three seconds by pressing and lifting the urethra/vaginum/anus. The little tightness of your lower abdomen while you maintain the contraction of your pelvic floor muscles is normal. Stage I and II uterine prolapse in particular can be helped by pelvic floor muscle exercises, but they need to be done correctly and practiced long enough to strengthen the muscles. Although the following information may give you some ideas about how to do PF exercises, it is imperative to seek professional help from a pelvic floor physiotherapist if you have a prolapse.
  • Vaginal pessary – The uterus may be supported by inserting a pessary into the vagina. An appropriately educated health care expert may prescribe a pessary in a variety of forms and sizes. As with tampons, women may be taught how to remove and insert their pessary. However, it is important to have frequent checkups with your gynecologist or specialist.

Prolapse symptoms may be alleviated by using vaginal pessaries, but they aren’t suitable for everyone. Non-surgical management of uterine prolapse may be possible with these exercises and their combination with pelvic floor strengthening.

  • Vaginal surgery – Surgery may be necessary in situations of moderate to severe prolapse. Instruments are placed via the navel during laparoscopic surgery. The ligaments that hold the uterus in place are reattached and the uterus is pushed back into place. An abdominal incision might also be used for the procedure. If the primary cause of the prolapse, such as obesity, coughing, or straining, is not treated, surgery may fail and the prolapse may reoccur. For assistance, speak with a pelvic floor physiotherapist.

Using a pessary, the prolapsed uterus may be supported and the discomfort alleviated. When a pessary is in place, pelvic floor exercises might still be beneficial. The necessity for surgery may be warranted in the most serious circumstances.