Prolapsus utérin

Overview

Uterine Prolapse Disease occurs when the uterus slips down from its normal position into the vaginal canal due to weakening of the pelvic floor muscles and ligaments. It is more common in women who have had multiple vaginal deliveries or are post-menopausal.

The condition can range from mild to severe and may affect daily activities, urinary and bowel functions, and overall quality of life. With proper diagnosis and treatment, uterine prolapse can be effectively managed.

Types of Uterine Prolapse

• Mild (First-Degree) Prolapse: Uterus descends slightly into the vagina
• Moderate (Second-Degree) Prolapse: Uterus reaches the vaginal opening
• Severe (Third-Degree) Prolapse: Uterus protrudes outside the vagina
• Complete (Procidentia): Entire uterus comes out of the vaginal opening

Symptoms of Uterine Prolapse

• Feeling of heaviness or pressure in the pelvic area
• Bulge or tissue protruding from the vagina
• Lower back pain
• Difficulty urinating or frequent urination
• Urinary leakage (incontinence)
• Constipation
• Discomfort during intercourse
• Sensation of something “falling out”

Causes of Uterine Prolapse

• Weakening of pelvic floor muscles
• Multiple pregnancies and childbirth
• Aging and menopause (reduced estrogen levels)
• Chronic coughing
• Heavy lifting
• Obesity
• Genetic predisposition

Complications of Uterine Prolapse

• Urinary incontinence or retention
• Recurrent urinary tract infections
• Vaginal ulcers or infections
• Difficulty in bowel movements
• Sexual dysfunction
• Reduced quality of life

Risk Factors of Uterine Prolapse

• Multiple vaginal deliveries
• Post-menopausal status
• Aging
• Obesity
• Chronic constipation
• Heavy physical work
• Family history

Prevention of Uterine Prolapse

• Perform pelvic floor (Kegel) exercises regularly
• Maintain a healthy body weight
• Avoid heavy lifting
• Treat chronic cough and constipation
• Stay physically active
• Follow a balanced diet