Uterine Prolapse

WHAT YOU SHOULD KNOW:

Uterine prolapse is when your uterus slips into your vagina.

INSTRUCTIONS:

Medicines:

  • Estrogen therapy: Estrogen may help strengthen the pelvic muscles and keep your uterine prolapse from getting worse. This may be taken as a pill, applied as a cream, or inserted into your vagina.

  • Take your medicine as directed. Call your healthcare provider if you think your medicine is not helping or if you have side effects. Tell him if you are allergic to any medicine. Keep a list of the medicines, vitamins, and herbs you take. Include the amounts, and when and why you take them. Bring the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency.

Follow up with your primary healthcare provider or gynecologist as directed:

You may need to return regularly to have your pessary checked. You may also need to see your gynecologist for possible surgery. Write down your questions so you remember to ask them during your visits.

Pessary care:

A pessary is a rubber device shaped like a donut. It helps to hold your uterus in place. If your gynecologist fits you for a pessary, you will need to remove and clean it regularly.

Self-care:

  • Do Kegel exercises: These exercises strengthen the muscles that hold your uterus in place. They also tighten the muscles you use when you urinate or have a bowel movement. Tighten muscles in your pelvis (muscles you use to stop urinating). Hold the muscles tight for 5 seconds, then relax for 5 seconds. Gradually work up to holding the muscles contracted for 10 seconds. Do at least 3 sets of 10 repetitions a day.

  • Avoid straining: Do not lift heavy objects, stand for long periods of time, or strain to have a bowel movement. Prevent constipation by drinking plenty of liquids and eating foods high in fiber. Ask how much liquid to drink every day. High fiber foods include fresh fruits, vegetables, and whole grains.

  • Maintain a healthy weight: Ask your primary healthcare provider if you need to lose weight and how much you need to lose. Weighing too much can put pressure on the tissues and muscles of your uterus and make your symptoms worse. Ask him to help you with a weight loss program.

Contact your primary healthcare provider or gynecologist if:

  • You are leaking urine or bowel movement.

  • You have a fever.

  • You have foul-smelling fluid coming from your vagina.

  • You see blood coming from your vagina that is not from your monthly period.

  • You have questions about your condition or care.

Return to the emergency department if:

  • You have bleeding from your vagina that does not stop.

  • You have a mass coming out of your vagina that you cannot push back in.

  • You are unable to urinate or have a bowel movement.

  • You have severe abdominal pain.

© 2014 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

Learn more about Uterine Prolapse (Aftercare Instructions)

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