Prolapsed uterus Hot Conversation

I am awaiting an appointment with my physician for what I think is a prolapsed uterus. I am post menopausal and have research this as being a possible condition. I am 55 and have always been very healthy..I feel like my body has betrayed me. I am just not handling this situation very well. Would like some feed back as to treatment, exercise, etc.

Posted in health & fitness.

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10 Responses

  1. Sunblossom Sunblossom says

    I have had uterine prolapse for probably 20 years….just weakened from so many pregnancies…..I never have any issues regarding it…..I suppose I can get it fixed surgically, and will if it prolapses any further, but it has been the same for all that time….no one ever told me to do exercises so I don’t know of any.

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  2. ThurmanLady ThurmanLady says

    I have never had any problems other than fibroids, but I would advise you to research, research and research.  Too many doctors are in a hurry to do a hysterectomy or other sugeries whether there is a real need or not.  My fibroids never bothered me and I never had any problems associated with them but upon discovery there was the “get you in for a hysterectomy soon” speech.  I scheduled it, but upon research found that there was only a 5% chance of them being cancerous and that they would shrink after menopause.  I canceled the surgery and went through menopause (with a bit of help from natural progesterone cream) and am still healthy.

    If your prolapse is affecting you (which, I am presuming may be the case since you have scheduled an appointment) I can only suggest that you be careful about a doctor who immediately suggests surgery.  Hopefully others will soon follow who have been through a similar condition.

    As far as feeling betrayed by your body, I would say that few of us make it through to 50+ without something not behaving as it should, no matter how hard we’ve tried to stay healthy.  I find it important to listen to my body and my needs and just do what I need to do to take care of it the best I can, as naturally as possible.

     

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    • Generic Image Gina says

      Thank you for your advice, I know I can’t expect my body to never change as I age, I guess since this is the first health issue I have had to face  I just need to learn to be more accepting and “Listen to my body”. Thanks again for responding.

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  3. Lynnette Lynnette says

    In order to understand it better, i cut and pasted the whole enchilada on PROLAPSE UTERUS.  It sounds like what i had done due to incontinence.  But this seems a lot more serious

    The pelvis contains many soft tissue structures vital to normal body functions, supported primarily by the diaphragms, layers of muscles, fibrous coverings called fasciae, and various ligaments and tendons. These soft tissues of the pelvis derive their ultimate support from the bony pelvis.  Prolapse of the uterus may be one of three types, depending on severity: 

    First-degree prolapse occurs when the uterus sags downward into the upper vagina. Second-degree prolapse occurs when the cervix is at or near the outside of the vagina. Third-degree prolapse (sometimes referred to as total prolapse) occurs when the entire uterus is outside the vagina.

    Causes and Risk Factors of Prolapsed Uterus.  Prolapse may occur when the pelvic support system, the muscles and ligaments that normally hold the uterus in place, become stretched or slack, most often due to a long or difficult childbirth or multiple childbirths. During pregnancy there is a natural softening of pelvic tissues, and a laxity develops within the pelvic support system. The increasing weight of the uterus continuously bears down upon the pelvic diaphragm and may predispose the patient to subsequent pelvic relaxation. Chronic increases in intra-abdominal pressure, such as may be associated with obesity, abdominal or pelvic tumors, ascites, or repetitive downward thrusts of intra-abdominal pressure that may be due to coughing, constipation, or occupational stresses, can cause funneling of a weakened pelvic diaphragm and pelvic organ prolapse. Pelvic relaxation is rarely a problem in young women. It is much more likely to become symptomatic and to progress during the post-reproductive years. This can be due to estrogen deprivation and to atrophy of the pelvic diaphragm and the pelvic support system.

    Hormone replacement therapy sometimes improves the integrity of the pelvic tissue and may slow the progression of pelvic organ prolapse. 

    Symptoms of Prolapsed Uterus.  The major symptoms may be a feeling of heaviness, fullness or “falling out” in the vaginal area. The patient may also complain of backache or inability to control urination. In some cases where the cervix and uterus are low in the vaginal canal, the cervix may be seen protruding, giving the patient the impression that a tumor is bulging out of her vagina. It is not uncommon for the cervix or vaginal epithelium to become damaged or ulcerated, in which case the patient may report pain or vaginal bleeding. There is often discharge from the cervix and vagina when secondary infection occurs. Patients may also complain of difficulty walking comfortably.

    Diagnosis of Prolapsed Uterus.  The diagnosis of pelvic organ prolapse may be suggested by the patient’s history, but must be documented by the physical examination. A pelvic examination is performed to determine which organs are involved, the extent to which each descends, and the location of any pelvic support defects.  This is usually done with and then without a full bladder. In order to determine the true involvement of the pelvic organ prolapse, the examination may have to be performed several times and sometimes in different positions. Protrusions involving the front part of the vaginal wall affect the bladder and the bladder’s continence mechanism. Those involving the back part of the vaginal wall affect the rectum and may cause problems with bowel movements. If the prolapse is due to disease or swelling, the underlying cause or disorder must first be controlled or eliminated before the uterus can be returned to its original position and secured there. 

    Treatment of Prolapsed Uterus

    Non-Surgical Treatment

    In mild cases, exercises to strengthen the muscles of the pelvic floor may be helpful. An obese patient may be encouraged to lose weight in order to reduce pressure on the pelvic organs. Patients should be encouraged not to wear constricting clothing (such as girdles), and they should avoid lifting heavy objects. 

    A pessary (a plastic ring) may be placed within the vagina to support the pelvic organs for patients who may not be suitable for or do not desire surgery. There are many different types and sizes of supportive pessaries available. Before these devices can be inserted, they require that the uterus and cervix be positioned in their usual position in the pelvis.  

    Acute pelvic infections and fixed uterine retroversion are contraindications to the use of a vaginal pessary. All pessaries should be removed, cleaned, and reinserted at regular intervals. Unfortunately, they sometimes cause pelvic discomfort, vaginal discharge, vaginal ulceration, and bleeding. Such complications may require at least temporary discontinuance of use, as recommended by your physician. 

    Surgical Treatment.  There are several different methods of surgical repair depending on the degree of prolapse, the condition of the pelvic support system, and which other structures are involved.  In a post-menopausal woman, estrogen replacement for at least 30 days in the form of systemic estrogen or vaginal estrogen cream may help improve the vitality of the vaginal epithelium, the cervix, and the vasculature (blood supply) of these organs, making the operative procedure and the healing process more efficient. Ulcers should also be healed to avoid risk of infection and breakdown of the surgical repair.  There are many options for surgical repair, including those that use the abdominal route, the vaginal route, or a combination of both. 

    Questions To Ask Your Doctor About Prolapsed Uterus

    What degree of prolapse is it?

    What soft tissues or other structures are weakened or involved?

    Will surgery be necessary to correct the condition?

    If so, what procedure will be performed and how will it be performed?

    What are the risks of surgery?

    Are there any risks or complications after surgery?

    How long will it take for recovery?

    What are some precautions that need to be taken after surgery?

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    • Generic Image SIZZELN says

      Lynette, You are so nice to post so much information, thank you and I didn’t need it. VN women are the best…TRACK :-)

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      • Generic Image Gina says

        Track..I agree VB offers a great sense of community.

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    • Generic Image Gina says

      Thank you for taking the time to respond..and for all the info. VB is so wonderful!

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      • Lynnette Lynnette says

        Gina, i actually did not know what this was so i had to look it up.  It sounds serious to me, something coming out of your vagina?  Hell no, if they can fix it, let them do it.  I had urinary incontinence and went through a long process of tests but the surgery was performed at Cleveland Clinic and i am a happier person.  I can now laugh, sneeze, cough without peeing on myself.  I used to go through sanitary napkins like they were candy.  No more!  It is 90% proof so accidents do happen but that is when i do not use the vagifem like i am supposed to.  HRT is going to help me a lot w/that since i forget the vagifem sometimes for months!  DO IT.

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  4. Stellaaa Stellaaa says

    There is a woman, named Christine Kent, who is a sort of crusader (not much sort of about it, actually) against surgery for prolapse, I came across her site looking for information about kegel exercises.  It’s hard to miss her site, really, because she has a bunch of spammy domains to sell her book and exercise program. (savingthewholewoman.com, firstaidforprolapse.com, etc)

    Anyway, there is a forum ( http://www.wholewoman.com/drupal-6.16/forum ) at the mothersite where there are a lot of women like you, very healthy, very fit, some are super-fit and that maybe part of the problem – Christine thinks that some yoga and most pilates aggravate prolapse.  I don’t totally agreed with her entire philosophy, but it is one of the few places I have seen exercises for prolapse other than kegels, which I think Christine is right about saying, they do nothing to help.  If you search youtube for wholewoman posture, or Christine Kent or combo thereof, I think there might be a couple a demo vids.

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    • Generic Image Gina says

      Stellaaa, thank you for the web info I will definately visit the sites.  I do very little yoga, no pilates, but I do lots of stretching, weights, core strengthening, and low impact aerobics. The only thing I can think of is being post-menopausal and having a lack of estrogen.

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