If you have uterine prolapse, it means that your uterus has tilted or slipped. Sometimes it slips so far down that it reaches into the vagina. This happens when the ligaments that hold the uterus to the wall of the pelvis become too weak to hold the uterus in its place.
Uterine prolapse can cause feelings of pressure and discomfort. Urine may leak.
How is uterine prolapse treated?
Treatment choices depend on how weak the ligaments have become, your age, health, and whether you want to become pregnant.
Options that do not involve an operation include:
Exercises (called Kegel exercises) can help to strengthen the muscles of the pelvis. How to do Kegel exercises: Tighten your pelvic muscles as if you are trying to hold back urine. Hold the muscles tight for a few seconds and then release them. Repeat this exercise up to 10 times. Repeat the Kegel exercises up to four time each day.
Taking estrogen to limit further weakening of the muscles and tissues that support the uterus.
Inserting a pessary—which is a rubber, diaphragm-like device—around the cervix to help prop up the uterus. The pessary does have drawbacks. It may dislodge or cause irritation, it may interfere with intercourse, and it must be removed regularly for cleaning.
Watchful waiting.
Surgical treatments include:
Tightening the weakened muscles without taking out the uterus. This is usually done through the vagina, but it also can be done through the abdomen. Although this is a type of surgery, it is not as extensive as a hysterectomy.
Hysterectomy. Doctors usually recommend this operation if symptoms are bothersome or if the uterus has dropped so far that it is coming through the vagina.
Ovarian Cysts
What are ovarian cysts?
Ovarian cysts are small, fluid-filled sacs that usually are not malignant. They may not cause any symptoms, or they may be quite painful. Sometimes, ovarian cysts appear in connection with the menstrual cycle, and they may go away on their own in a few months. When these cysts grow large, they may cause feelings of pressure or fullness.
Although most ovarian cysts are benign (not cancer), they must be taken very seriously. A sonogram will show whether a cyst is fluid-filled or has solid matter in it. If it is solid, it may be related to endometriosis, or it may be cancerous.
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