Riverview Health

Uterine Prolapse and Middle Age

Menopause introduces certain changes to life as you know it. Another health condition to be aware of during this time of flux is uterine prolapse.

Uterine what?

Uterine prolapse occurs when the uterus slips into the vagina. This condition ranges from first-degree prolapse, when the uterus comes into the upper part of the vagina, to fourth degree, when the uterus extends outside of the vagina. Discomfort is a common symptom of all stages. More severe cases pose urinary or bowel difficulties.

Contributing factors

During menopause your estrogen output slows down, causing vaginal tissues to become thinner. In addition, muscle tone decreases as you age. Plus, if you’ve had one or more natural childbirths in the past, your pelvic muscles have stretched, which makes you more susceptible to uterine prolapse.

The positives

Kegel exercises may strengthen pelvic muscles to once again support the uterus. A special rubber insert, called a pessary, provides additional pelvic support. Hysterectomy, or surgical removal of the uterus, is another option for postmenopausal women.

Surgeons, gynecologists and urogynecologists are able to diagnose and treat uterine prolapse. So, while this condition isn’t one you’d expect, you can successfully overcome it.

Has it been a while since your last check-up, or do you need a new physician? Call us at 317.565.0535 to request an appointment.

Sources: AAFP.org, MedlinePlus.gov, NIA.NIH.gov

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