How is uterine prolapse treated?
Nov 24, 2021
Source: Cainiu Health
Dr. Chen Yunmei
Introduction
1. Pelvic floor (levator ani) muscle exercises—suitable for patients with mild symptoms. For example, the levator ani muscle exercise involves consciously contracting the anal sphincter; the pelvic floor muscles should be contracted for at least 3 seconds before relaxing.
2. Surgical treatment—The appropriate surgical approach is selected based on multiple factors, including the underlying cause of uterine prolapse, severity of the condition, presence of concurrent prolapse of other adjacent pelvic organs, and the patient’s desire for future childbearing.
The uterus is a vital reproductive organ in women. Any uterine dysfunction can significantly impact a woman’s health; one typical condition is uterine prolapse. Symptoms include a sensation of pelvic heaviness or pressure, lower back pain, and increased vaginal discharge—symptoms that substantially interfere with daily life. Uterine prolapse may result from multiple factors, including childbirth-related injury, increased intra-abdominal pressure, and malnutrition. So, how is uterine prolapse treated? Below, we address this question.
How Is Uterine Prolapse Treated?
1. Pelvic Floor (Kegel) Exercises
This approach is suitable for mild cases. For example, patients may perform pubococcygeus (PC) muscle exercises—intentionally contracting the anal sphincter muscles. Each contraction should last at least three seconds, followed by relaxation. Patients should perform these exercises continuously for 10–15 minutes per session, two to three times daily; the first session each day should be done before getting out of bed. Additionally, patients should ensure adequate rest and avoid heavy physical labor, prolonged standing or squatting, breath-holding, or other activities that increase intra-abdominal pressure. Constipation and urinary retention should be prevented, and chronic conditions such as bronchitis—which elevate intra-abdominal pressure—should be treated promptly. Moderate physical activity is also recommended to improve overall physical fitness.
2. Surgical Treatment
Surgical intervention is selected based on multiple considerations—including the underlying cause of prolapse, severity of the condition, presence of concurrent pelvic organ prolapse (e.g., cystocele or rectocele), and whether the patient desires future childbearing. The goal is to restore normal anatomical structure and function. Procedures may include shortening lax cardinal ligaments to reinforce uterine support; correcting uterine morphological abnormalities—for instance, performing partial cervical resection in cases of cervical elongation and hypertrophy to restore normal cervical length; and tightening the pubocervical fascia to strengthen anterior vaginal wall support.
Knowledge Extension: How to Maintain Uterine Health
1. Balanced Diet
Ensure adequate daily intake of protein-rich foods such as lean meat, legumes, and dairy products. Also consume appropriate amounts of carbohydrates and healthy fats. Furthermore, increase consumption of fresh fruits and green leafy vegetables—especially those rich in vitamins E and D. Vitamin E helps neutralize free radicals, restores skin elasticity, slows ovarian atrophy, and modulates immune function. Thus, a well-balanced diet significantly benefits both uterine and ovarian health.
2. Estrogen Supplementation
Premature ovarian insufficiency often results from insufficient estrogen secretion and may lead to menstrual disturbances and vaginal dryness. Therefore, estrogen supplementation can help regulate hormonal balance and effectively alleviate declining ovarian function. However, long-term use carries significant risks and potential adverse effects. Patients must strictly follow their physician’s instructions when using such therapy to avoid complications.
The above outlines treatment options for uterine prolapse. We hope this information proves helpful.
