Uterine Prolapse (Uterine Vaginal Protrusion)
Description
When the uterus has sunk from its normal location and extends into the vagina. When severe, it can project outside the vagina. The disorder occurs when the ligaments and muscles that hold the uterus in place become stretched and damaged. Multiple child births and the loss of muscle mass from decreased estrogen levels associated with aging are the major causes.
Symptoms
Sensation of heaviness or pulling in the pelvis, vaginal fullness, leaking of urine, difficulty urinating, low backache, tissue protruding from the uterus, difficult or painful sexual intercourse.
Tests
A history and physical exam will be performed. A pelvic exam will establish the diagnosis. Further information may be obtained by obtaining a MRI or ultrasound.
- MRI
- Ultrasound
Treatment
Therapy depends on the severity of the prolapse and the symptoms being experienced. Treatment includes: losing weight, pelvic muscle exercises, vaginal pessary, and/or surgery.
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