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Uterine prolapse

Definition

Uterine prolapse means your uterus has descended from its position in the pelvis farther down into your vagina. Normally, your uterus is held in place by the muscles and ligaments that make up your pelvic floor. Uterine prolapse occurs when pelvic floor muscles and ligaments stretch and weaken, providing inadequate support for the uterus. The uterus then descends into the vaginal canal.

Uterine prolapse often affects postmenopausal women who've had one or more vaginal deliveries. Damage sustained by supportive tissues during pregnancy and childbirth, plus the effects of gravity, loss of estrogen and repeated straining over the years, can weaken pelvic floor muscles and tissues and lead to uterine prolapse.

If you have mild uterine prolapse, treatment usually isn't needed. But if the condition makes you uncomfortable or disrupts your normal life, you might benefit from treatment. Options include using a supportive device (pessary), which is inserted into your vagina, or having surgery to repair the prolapse.


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WOMEN'S HEALTH


Dec 2, 2008