Vaginal prolapse is the inward and downward bulging of the vaginal walls. The severity of vaginal prolapse may be defined as:
- First degree—collapse into the upper part of the vagina
- Second degree—collapse further into the vaginal canal, down to the level of the vaginal opening
- Third degree—collapse that extends beyond the opening
Symptoms may include:
- Pelvic pressure
- A feeling of vaginal fullness or heaviness
- A feeling of pulling in the pelvis
- Vaginal discomfort
- Urinary urgency and frequency
- Urination when laughing, sneezing, coughing, or exercising
- Difficult or painful intercourse
- Low backache that is relieved with lying down
Talk with your doctor about the best treatment plan for you. First- or second-degree prolapse without symptoms may not require treatment. Treatment options include:
Kegel exercises involve tensing the muscles around the vagina and anus, holding for several seconds, then releasing. The repetition of this exercise will help to tone pelvic muscles. You may be asked to do this up to 100 times a day.
Estrogen therapy may be advised. This may help prevent further weakness of the pelvic floor. Talk to your doctor about the risks and benefits associated with hormone replacement therapy.
A pessary may be inserted into the upper portion of the vagina. A pessary is a rubbery, doughnut-shaped device. It helps to prop up the uterus and bladder. Pessary placement is more often used in older women.
Vaginal prolapse that is severe or associated with lasting symptoms may require surgery. Surgery may involve repairing the pelvic floor structure or, in some cases, suturing the vagina.
To help reduce your chances of vaginal prolapse:
- Do Kegel exercises.
- Maintain a healthy weight.
- To avoid constipation, eat plenty of fruits, vegetables, and whole grains. Drink plenty of fluids throughout the day.
- If you smoke, talk to your doctor about ways to quit . Smoking may cause chronic coughing and weakening of connective tissues.
- Limit heavy lifting.
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
Edits to original content made by Denver Health.
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a (Pelvic Floor Relaxation)
Office on Women's Health https://www.womenshealth.gov
The American Congress of Obstetricians and Gynecologists https://www.acog.org
Canadian Women's Health Network http://www.cwhn.ca
Society of Obstetricians and Gynaecologists of Canada https://sogc.org
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