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• Pressure in the pelvis region

• Lower back pain

• An uncomfortable feeling of something emerging from the vagina

• Uterine tissue bulging out of the vagina

• Pain during sexual intercourse

• Difficulty in urination or passing bowels

• Discomfort while walking

You seriously need a doctor’s consultation when –

• You find discomfort in urination or bowel movement complete uterine prolapse out of your vagina

• Rectal urgency or persistent urinary dribbling. 

The supporting tissues and muscles around the uterus to a large extent are suggestive of the preferred treatment.

Self-care at home

You can strengthen your pelvic muscles by performing Kegel exercises regularly. The exercise is performed by tightening your pelvic muscles as if trying to stop the flow of urine. 

The kegel exercise is effective in strengthening the pelvic diaphragm as well as provides support. However, it is important you check with your doctor the right way to do it.

Medications

A hormone (estrogen) cream is applied or suppository ovules are inserted into the vagina to help restore the strength and vitality of tissues in the vagina. Estrogen is only recommended for select postmenopausal women.

• Complicated delivery through the vagina

• Weakened pelvic muscles due to advancing age

•  The weakening of tissue tone after menopause or loss of natural estrogen

•  Increased pressure on the abdomen due to - chronic cough, straining with constipation, pelvic tumors, or fluid accumulations in the abdomen

•  Obesity with additional strain on pelvic muscles

•  Major surgery in the pelvic area

•  Smoking

The doctors depending on your age and children might recommend surgery. In case, you wish to become pregnant, surgery can be performed to repair the uterus.

In severe cases where the restoration is not possible, the uterus is removed. During the surgery, attempts are also made to correct the sagging vaginal walls, bladder, urethra, or rectum. 

The surgery can be performed through the abdominal way, through the vagina, or laparoscopically through small incisions in the abdomen. In severe cases, surgical treatments like uterine suspension or hysterectomy need to be performed. 

Under Uterine Suspension, the uterus is restored to its original position with the help of pelvic ligaments or with surgical materials. 

Under hysterectomy, the uterus is removed from the body, either through the abdomen or the vagina.

Women with prolapsed uterus conditions and plan to have children are generally refrained by their doctor from taking surgery. 

Though surgery is often effective, pregnancy and childbirth can lead to an immense strain on pelvic muscles, which can harm the surgical repairs of the uterus.

Non-surgical therapy

The non-surgical procedure is wearing a supportive device called a pessary. This device is fitted in the vaginal canal to support the sagging uterus. A pessary can be implanted as a temporary or permanent measure. Pessary comes in various shapes and sizes.

However, a pessary cannot be fitted to women who have a severe prolapse. They can be very irritating as well as require a lot of hygiene, as they may cause foul-smelling discharge.

The non-surgical could also be accomplished by

• Weight loss, specifically in the pelvic area.• avoiding heavy lifting.• Regularly doing Kegel exercises which are pelvic floor exercises to strengthen the vaginal muscles.• Installing a pessary.