Symptoms, Effective Management, and Prevention Strategies

Experiencing a heavy, uncomfortable feeling in your pelvic area? You might be facing the challenges of uterine prolapse—a condition more common than you think, but one that can be managed with the right knowledge and care.

Uterine prolapse occurs when the uterus descends from its normal position in the pelvis into or outside the vaginal canal. This happens because the muscles, ligaments, and tissues that support the uterus become weakened or stretched. Uterine prolapse can range from mild to severe, depending on the extent of the descent. Check out this Instagram post to learn about the different stages of uterine prolapse. While uterine prolapse is common, it can be effectively managed with the right strategies and medical care. A common misconception is that uterine or pelvic organ prolapse only occurs due to childbirth or with age; however, younger women and those who have never had children can also experience this condition. Factors like genetics, which may result in weaker connective tissues, as well as chronic pressure from coughing, constipation, or obesity, can also lead to prolapse. Early detection and management are crucial steps to help prevent progression.

Similar to bladder prolapse, experiencing uterine prolapse can be very frustrating. If you haven’t read the blog on overcoming the frustrations of bladder prolapse, check it out here! Unique symptoms of uterine prolapse may include discomfort during intercourse, lower back pain, difficulty emptying the bowel or bladder, and urinary retention or leakage. Many symptoms related to urinary and bowel function, as well as pain or pressure, can overlap between bladder and uterine prolapse. Applying the strategies used to address bladder prolapse can also be effective for managing uterine prolapse. Identifying the specific type of prolapse you’re experiencing is key to effectively managing your symptoms.

If you’ve learned strategies to manage bladder and uterine prolapse, you might be wondering about prevention. Having the right tools and knowledge can be motivating and help prevent progression into more severe stages. Take a look at the preventive strategies, which may closely resemble those used for management.

Exercise:

• Incorporate regular Kegel exercises into your daily routine. If you're unsure whether you're performing them correctly, a pelvic health physical therapist is an excellent resource.

• Strengthen the muscles surrounding the pelvis, including the glutes, hips, and core.

•  Improve your understanding of pelvic floor relaxation and mobility techniques.

Lifestyle:

• Improve your understanding of proper lifting mechanics and posture to support the pelvic organs.

• Begin a weight management program to reduce pressure on the pelvic floor.

Managing Chronic Conditions:

• Prevent and treat the root causes of constipation.

• Address any chronic coughs.

• Quit smoking.

Hormonal Management and Postpartum Care:

• Understand the role of estrogen in maintaining pelvic tissue health. Discuss with your physician whether estrogen is an appropriate treatment for you.

• Postpartum Physical Therapy: Schedule your appointment! Remember, you can use telehealth, attend a few in-person visits, take a break, and return as needed to help understand your postpartum body. We understand that motherhood can be overwhelming, and we are here to support you when you're ready.

Routine Check-Ups:

• Regular pelvic exams and open discussions with your healthcare providers are crucial for early detection and prevention.

A uterine prolapse can be just as frustrating and embarrassing as a bladder prolapse. The management strategies for both conditions are similar and include strengthening exercises, improving body mechanics, maintaining open communication with your partner or providers, and finding a supportive team. Early detection and management can empower you to take a proactive approach to your pelvic health and seek the appropriate treatment for managing a uterine prolapse.

🚨If you have any health concerns or pre-existing conditions, consult with a health professional such as a pelvic floor physical therapist before attempting a new exercise and/or manual treatment.  This blog is for educational purposes only and is not intended to treat or diagnose any medical condition.🚨

Dr. Susan Miller PT, DPT, is a licensed pelvic floor physical therapist and the owner of Lotus Core Physical Therapy in Colorado. She welcomes both in-person and telehealth appointments for Colorado residents, as well as coaching calls for clients residing out of state.  

Book at www.lotuscorept.com