Pelvic organ prolapse can decrease a woman’s quality of life
Pelvic organ prolapse is a pelvic floor disorder in which the muscles and tissues supporting the pelvic organs weaken, are no longer able to support the pelvic organs, and allow one or more organs to physically drop below their original location. Prolapse can affect any of the pelvic organs, including the vagina, uterus, bladder, urethra and rectum. Our San Antonio OBGYNs recognize that while pelvic floor weakness and prolapse do not typically cause significant health problems, they can certainly decrease a woman’s quality of life.
Why pelvic organs drop
The primary cause is genetic weakness in the connective tissue around the pelvic organs that affects some women. Pregnancy and vaginal delivery can further weaken pelvic muscles. Other factors include menopause and advanced age. Health factors, such as being overweight, chronic constipation and a persistent cough, put additional stress on the pelvic floor and can cause weakness.
Diagnosing prolapse
Pelvic organ prolapse can develop gradually over time, without obvious symptoms until the condition becomes more advanced. In some cases, an organ drops far enough that it bulges out of the vagina and is visible. There are other, less obvious, but also troubling symptoms.
- A feeling of pressure on the pelvis
- Leaking urine
- Pain during intercourse
- Constipation or leaking stool
- Difficulty inserting tampons
- Lower back pain
An OBGYN can confirm a diagnosis of pelvic organ prolapse through a medical history and pelvic and rectal exams. The doctor can identify which organs are involved and the severity of the condition.
Can pelvic organ prolapse be fixed?
Your OBGYN will provide treatment options. These options are determined by the location and severity of the pelvic floor weakness, as well as the degree of prolapse.
Physical therapy to strengthen the pelvic floor is often one of the first recommendations for women experiencing symptoms. Many women find relief using a pessary, a specially fitted medical device that is inserted into the vagina to provide support. Surgical options may be available, including reconstructive repairs to the fallen organs or hysterectomy (removal of the uterus).
Another option, vaginal obliteration, involves closure and shortening of the vagina. Because vaginal intercourse is not possible after this procedure, it is typically used only for senior women who no longer have sex.
Slowing prolapse progression
Some contributors to pelvic floor weakness, such as age and pregnancy, cannot be changed. However, there are lifestyle changes that can reduce or slow the symptoms.
Prevent constipation by incorporating fiber into your diet and staying hydrated. It’s critical to stop smoking. Overweight women benefit from weight loss, as it reduces pressure on the pelvic floor. Strengthen your core with targeted exercises, including pilates and yoga, and incorporate pelvic floor exercises such as Kegels.
Pelvic organ prolapse can be a sensitive topic for women, but our San Antonio OBGYNs have early intervention and treatment options available that can address your symptoms and improve your quality of life. Contact Heights OBGYN for an appointment.
