Vaginal Prolapse

11 min read

Vaginal prolapse is a condition in which the pelvic organs, such as the bladder, uterus, and rectum, drop from their normal position and press against the walls of the vagina. It is a common condition that affects many women, especially those who have had multiple pregnancies or have gone through menopause. It can cause a variety of symptoms, including pain, discomfort, and difficulty with urination and bowel movements.

Causes of Vaginal Prolapse

Vaginal prolapse is caused by weakened pelvic floor muscles and ligaments. This can be due to a variety of factors, including childbirth, aging, obesity, and chronic straining from constipation or heavy lifting. It can also be caused by a hysterectomy or other pelvic surgery.

Diagnosis of Vaginal Prolapse

Vaginal prolapse is typically diagnosed through a physical exam. During the exam, the doctor will check for signs of prolapse, such as bulging of the vagina or a feeling of heaviness in the pelvic area. The doctor may also order imaging tests, such as an ultrasound or MRI, to get a better look at the pelvic organs.

Prevention of Vaginal Prolapse

The best way to prevent vaginal prolapse is to maintain a healthy lifestyle. This includes exercising regularly, maintaining a healthy weight, and avoiding activities that put strain on the pelvic floor muscles, such as heavy lifting. Women who are at risk of developing vaginal prolapse should also practice good pelvic floor muscle exercises, such as Kegels.

Take the Vaginal Prolapse Assessment

Symptoms

  • A feeling of heaviness or pressure in the pelvic area
  • Pain or discomfort during sexual intercourse
  • Painful urination or difficulty urinating
  • Difficulty having a bowel movement
  • Visible bulging of the vagina
  • Recurring urinary tract infections

If you experience any of these symptoms, it is important to see your doctor for a proper diagnosis. Your doctor may recommend lifestyle changes, such as avoiding heavy lifting or straining, or they may suggest surgery to correct the prolapse.

Causes

Hormonal Changes

Hormonal changes can cause the pelvic muscles to weaken, leading to vaginal prolapse. This is especially true during menopause, when the body's production of estrogen decreases. Estrogen helps to keep the pelvic muscles strong, so when it is reduced, the muscles can become weak and unable to support the pelvic organs.

Pregnancy and Childbirth

Pregnancy and childbirth can also cause vaginal prolapse. During pregnancy, the uterus expands, which can put pressure on the pelvic muscles and cause them to weaken. Childbirth can also cause the pelvic muscles to weaken, as the baby's head passes through the birth canal. This can cause the pelvic organs to drop and press against the walls of the vagina.

Obesity

Obesity can also contribute to vaginal prolapse. Excess weight can put extra pressure on the pelvic muscles, causing them to weaken and leading to vaginal prolapse. Losing weight can help to reduce the risk of vaginal prolapse.

Chronic Coughing

Chronic coughing can also cause vaginal prolapse. Coughing puts extra pressure on the pelvic muscles, which can cause them to weaken and lead to vaginal prolapse. Quitting smoking and avoiding other irritants can help to reduce the risk of vaginal prolapse.

Heavy Lifting

Heavy lifting can also contribute to vaginal prolapse. Lifting heavy objects can put extra pressure on the pelvic muscles, causing them to weaken and leading to vaginal prolapse. It is important to use proper lifting techniques and to avoid lifting objects that are too heavy.

Conclusion

Vaginal prolapse is a common condition that can be caused by a variety of factors, including hormonal changes, pregnancy and childbirth, obesity, chronic coughing, and heavy lifting. It is important to be aware of the risk factors and to take steps to reduce the risk of vaginal prolapse.

Getting a Diagnosis

Diagnostic Tests

The first step in diagnosing vaginal prolapse is a physical exam. During the exam, your doctor will check for signs of prolapse, such as a bulge in the vagina or a feeling of heaviness in the pelvic area. Your doctor may also perform a pelvic exam to check for any changes in the shape of the vagina or the position of the pelvic organs.

Your doctor may also order imaging tests, such as an ultrasound or MRI, to get a better look at the pelvic organs and determine the extent of the prolapse. These tests can help your doctor determine the best treatment options.

Treatment Options

Treatment for vaginal prolapse depends on the severity of the condition. In some cases, lifestyle changes, such as avoiding heavy lifting or straining, can help reduce symptoms. In more severe cases, surgery may be necessary to repair the prolapse. Your doctor will discuss the best treatment options for you based on your individual situation.

Questions for Your Doctor

Symptoms

The most common symptom of vaginal prolapse is a feeling of heaviness or pressure in the pelvic area. Other symptoms may include pain during intercourse, difficulty urinating, and a feeling of fullness in the vagina. It is important to tell your doctor about any symptoms you are experiencing so they can properly diagnose and treat the condition.

Diagnosis

Your doctor will likely perform a physical exam to diagnose vaginal prolapse. They may also order imaging tests, such as an ultrasound or MRI, to get a better look at the pelvic organs. Your doctor may also ask you to keep a diary of your symptoms to help them make a diagnosis.

Treatment

The treatment for vaginal prolapse depends on the severity of the condition. In some cases, lifestyle changes, such as avoiding heavy lifting and wearing supportive underwear, may be enough to relieve symptoms. In more severe cases, surgery may be necessary to repair the prolapse. Your doctor will discuss the best treatment option for you.

Complications

Vaginal prolapse can lead to other complications, such as urinary incontinence, pelvic pain, and difficulty having sexual intercourse. It is important to discuss any potential complications with your doctor so they can monitor your condition and provide the best treatment.

Conclusion

Vaginal prolapse can be a very uncomfortable and embarrassing condition, but it is important to talk to your doctor about it. Be sure to discuss any symptoms you are experiencing, the diagnosis process, treatment options, and potential complications with your doctor. With the right treatment, you can manage your condition and live a healthy and active life.

Treatment

Non-Surgical Treatments

Non-surgical treatments for vaginal prolapse include lifestyle changes, pelvic floor exercises, and the use of a pessary. Lifestyle changes such as avoiding heavy lifting, maintaining a healthy weight, and avoiding constipation can help reduce the symptoms of vaginal prolapse. Pelvic floor exercises, such as Kegel exercises, can help strengthen the pelvic floor muscles and reduce the symptoms of vaginal prolapse. A pessary is a device that is inserted into the vagina to help support the pelvic organs and reduce the symptoms of vaginal prolapse.

Surgical Treatments

Surgical treatments for vaginal prolapse include vaginal repair, sacrospinous ligament fixation, and hysterectomy. Vaginal repair is a procedure in which the weakened pelvic floor muscles are repaired and the prolapsed organs are repositioned. Sacrospinous ligament fixation is a procedure in which the prolapsed organs are secured to the sacrospinous ligament to help support them. Hysterectomy is a procedure in which the uterus is removed to help reduce the symptoms of vaginal prolapse.

Conclusion

Vaginal prolapse can be a painful and uncomfortable condition, but there are a variety of treatments available to help manage the symptoms. Non-surgical treatments such as lifestyle changes, pelvic floor exercises, and the use of a pessary can help reduce the symptoms of vaginal prolapse. Surgical treatments such as vaginal repair, sacrospinous ligament fixation, and hysterectomy can also be used to help reduce the symptoms of vaginal prolapse.

Drugs & Medications

Types of Drugs Used for Vaginal Prolapse

The type of drug used to treat vaginal prolapse depends on the severity of the condition. For mild cases, doctors may prescribe medications such as estrogen or progesterone to help strengthen the pelvic floor muscles. For more severe cases, doctors may prescribe drugs such as alpha-adrenergic agonists or anticholinergics to help relax the pelvic floor muscles and reduce the pressure on the organs. In some cases, surgery may be necessary to correct the prolapse.

Side Effects of Drugs for Vaginal Prolapse

As with any medication, there are potential side effects associated with drugs used to treat vaginal prolapse. Common side effects include nausea, vomiting, headache, dizziness, and fatigue. In some cases, more serious side effects such as liver damage, blood clots, and stroke may occur. It is important to talk to your doctor about any potential side effects before starting any medication.

Conclusion

Vaginal prolapse can be a painful and uncomfortable condition, but there are treatments available to help manage the symptoms. Drugs are one of the most common treatments for vaginal prolapse, and they can be effective in reducing the pressure on the pelvic organs. However, it is important to talk to your doctor about any potential side effects before starting any medication.

Diet

What to Eat

A healthy diet for vaginal prolapse should include plenty of fruits, vegetables, whole grains, and lean proteins. Eating foods that are high in fiber can help reduce constipation, which is a common symptom of vaginal prolapse. Foods that are high in fiber include:

  • Fruits, such as apples, oranges, and pears
  • Vegetables, such as broccoli, spinach, and kale
  • Whole grains, such as oats, quinoa, and brown rice
  • Legumes, such as beans, lentils, and peas
  • Nuts and seeds, such as almonds, walnuts, and chia seeds

In addition to eating plenty of fiber, it is important to drink plenty of fluids. Staying hydrated can help reduce constipation and other symptoms of vaginal prolapse. Water is the best choice, but other fluids, such as herbal teas and low-sugar juices, can also be beneficial.

What to Avoid

In addition to eating a healthy diet, it is important to avoid certain foods that can worsen symptoms of vaginal prolapse. These include:

  • Processed foods, such as chips, crackers, and cookies
  • Refined grains, such as white bread and white rice
  • High-fat foods, such as fried foods and red meat
  • Sugary drinks, such as soda and energy drinks
  • Alcohol

It is also important to avoid foods that can cause constipation, such as dairy products, processed meats, and foods that are high in sugar. Eating a balanced diet and avoiding these foods can help reduce symptoms of vaginal prolapse.

Lifestyle

Exercise

Regular exercise can help strengthen the muscles of the pelvic floor, which can help support the organs and reduce the symptoms of vaginal prolapse. Low-impact exercises such as walking, swimming, and yoga are recommended. Avoid activities that involve heavy lifting or straining, such as weightlifting or running.

Diet

Eating a healthy, balanced diet can help reduce the symptoms of vaginal prolapse. Eating plenty of fruits and vegetables, whole grains, and lean proteins can help keep your body strong and healthy. Avoiding processed foods and sugary snacks can also help reduce inflammation and improve overall health.

Weight Management

Maintaining a healthy weight can help reduce the symptoms of vaginal prolapse. Excess weight can put additional strain on the pelvic floor muscles, so it is important to maintain a healthy weight. Eating a balanced diet and exercising regularly can help you reach and maintain a healthy weight.

Kegel Exercises

Kegel exercises are a type of exercise that can help strengthen the muscles of the pelvic floor. To do a Kegel exercise, squeeze the muscles of the pelvic floor as if you are trying to stop the flow of urine. Hold the squeeze for five seconds, then relax for five seconds. Repeat this 10 times, three times a day.

Avoid Constipation

Constipation can put additional strain on the pelvic floor muscles, so it is important to avoid it. Eating a diet high in fiber and drinking plenty of water can help keep your bowels regular. If you are having trouble with constipation, talk to your doctor about medications or supplements that can help.

Wear Supportive Underwear

Wearing supportive underwear can help reduce the symptoms of vaginal prolapse. Look for underwear that is made of breathable fabrics and has a wide waistband. This can help provide additional support to the pelvic floor muscles and reduce the symptoms of vaginal prolapse.