Uterine Prolapse - How To Prevent Prolapse Of Uterus?

Prevention is always better than cure and in order to prevent the occurrence of prolapse of uterus, proper care before, during and after child birth is a must. Here are the Do's and Don'ts during pregnancy and labor which play a crucial role in prevention of uterine prolapse in future.

These guidelines should be followed-

1. Effective care during pregnancy

• Proper nutrition

• Physiotherapy with relaxation exercises

2. Care during child birth

• Prevent premature bearing down efforts

• Avoid prolonged second stage of labor

• Avoid too much fundal pushing in an attempt to expel the placenta

• A perineal tear must be immediately sutured after delivery

3. Adequate care after the child birth

• Early postnatal ambulation

• Pelvic floor exercises

• Prevent undue distension of bladder

• Avoid heavy work for at least 6 months following delivery

• Reasonable interval between pregnancies so that too many births at too short interval are avoided

4. Prophylactic individualized homoeopathic treatment

Individualized homoeopathic treatment with the constitutional medicine of the menopausal women can be given according to the rules of classical homoeopathy.

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Uterine Prolapse - What Causes Prolapse Of Uterus?

Having discussed the meaning of uterine prolapse and its symptoms in the previous post, let's see now what causes the prolapse of uterus.

Why does uterine prolapse occur?

Common causes of uterine prolapse are-

1. Age Factor

Most common cause of uterine prolapse is the weakening of pelvic musculature (supports of the uterus) after menopause, as a result of oestrogen deficiency.

2. Birth Injury

Injury to the supporting structures of uterus during vaginal delivery is another important factor. Such injury can be caused by-

• Bear down efforts before full dilatation of cervix.

• Prolonged labor.

• Application of forceps before full dilation of cervix.

• Downward pressure on uterine fundus to deliver placenta.

• Repeated childbirths at frequent intervals.

• Resumption of heavy work soon after delivery.

• Delivery of a big baby.

• Ill-nourished and weak women.

3. Increased intra-abdominal pressure due to:

• Chronic cough or 
• Constipation.

4. Increased weight of uterus due to fibroid.

5. Undernutrition

6. Congenital weakness of pelvic floor muscles, in rare cases, when prolapse is seen in unmarried women (usually associated with spina bifida occulta and split pelvis).

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Uterine Prolapse - What Are The Symptoms?

If you have this feeling of something descending into the vagina or a dragging pain in the pelvis, you might be suffering from uterine prolapse. Read on to find what exactly is uterine prolapse and what are its symptoms.


 What does Uterine Prolapse mean?

Uterine Prolapse is the downward displacement of uterus; the cervix sometimes protruding from the vaginal orifice caused by weakening of pelvic musculature due to:

• Age, 
• Traumatic vaginal delivery, 
• Chronic straining in association with coughing or 
• Difficult bowel movements or 
• Pelvic tumors which push the uterus down.

Degrees of Uterine Prolapse

Depending on the level of descent of the cervix, uterine prolapse has been categorized as:

First Degree	Descent of cervix into the vagina
Second Degree	Descent of cervix up to the vaginal orifice
Third Degree	Descent of cervix outside the vaginal orifice ( Procidentia – All of the uterus outside the vaginal orifice)

Symptoms of Uterine Prolapse

Following symptoms are usually associated with prolapse of uterus-

#1. Feeling of something descending in the vagina or of something protruding either at the vulva or externally. Aggravated by-

• Straining.
• Heavy work.
• Moving about.

There is usually relief when lying down.

#2. Backache or dragging pain or bearing-down feeling in pelvis usually relieved by rest.

#3. Sense of weakness and of a lack of support around the perineum.

#4. Some degree of vaginal discharge may be present associated with vaginitis. Blood stained discharge may be due to ulcer formation (caused by friction)

#5. Micturition disturbances are common-

• Imperfect control of micturition and stress incontinence.

(Due to lack of support to sphincter mechanism of urethra)

• Urgency and frequency of micturition.

(Due to chronic cystitis or incomplete emptying of bladder)

• Difficulty in passing urine so that more the strenuous effort the less effective is the evacuation.

 (Due to cystocele i.e., prolapse of the anterior vaginal wall: when intra-abdominal pressure is raised during straining, urine is pushed down into the cystocele below the level of external opening of urethra.)

Patient has to press back the cystocele into the vagina with her fingers for evacuating the bladder.

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