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Treating Pelvic Organ Prolapse

From the Pelvic Floor Articles List

Treating Pelvic Organ ProlapseI've developed pelvic organ prolapse. What treatment options are there for me?


Unknowingly, you’ve developed pelvic organ prolapse. You’re uncomfortable and embarrassed.

Until now, you hadn’t really thought much about your pelvic floor. These days, it’s on your mind too much, thanks to all the symptoms you are coping with.

Who knew that estrogen played such a key role in keeping your pelvic floor healthy? And why didn’t someone tell you years ago that you needed to work on keeping your pelvic floor strong and healthy? If you had known, you could have made better decisions and might not be so frustrated today.

You can’t change the past, so what can you do now? What options are there for treating pelvic organ prolapse?

Lifestyle Changes

Losing weight (or maintaining a healthy weight), exercising regularly, eating well, and not smoking are a start. You should also avoid lifting and other actives that could worsen your prolapse. Be sure your diet is high in fiber, low in fat and calories, and includes lots of fruits, veggies and fluids. Work with your doctor to develop an exercise program that will be beneficial without worsening your condition.

Develop Better Bathroom Habits

Having good bathroom habits can help with pelvic organ prolapse. You need to prevent constipation and avoid straining on the toilet. If you are following a healthy diet and drinking plenty of water, that helps, too.

Pelvic Floor Exercises

Before beginning any exercises, it’s important to discuss them with your doctor to be sure they will not worsen your condition. Besides regularly doing Kegel exercises, your doctor can share other exercises that you can also do at home. Your doctor can also check to be sure you are doing each of the exercises correctly.

Pelvic Floor Physical Therapy

Working with a pelvic floor physical therapist is another way to treat pelvic organ prolapse and strengthen your pelvic floor. Pelvic floor physical therapy may include pelvic floor exercises, massage, biofeedback, and more.

Pessaries

There are a variety of pessaries that you can try. Your doctor can help you find one that fits your needs and will teach you how to remove and insert it yourself. You’ll be able to wear it discreetly and take it out at home for necessary cleanings.

Estrogen

A lack of estrogen during menopause is a risk factor for pelvic organ prolapse, so using hormone replacement therapy (HRT) can be beneficial. Estrogen comes in several different delivery methods, including several types of vaginal estrogen that can be applied close to the affected area.

Surgery

If your prolapse is severe, surgery may be recommended. Depending on which pelvic organs are prolapsing, surgical options may include hysterectomy, uterosacral suspension, sacrospinous fixation, sacrocolpopexy, or anterior and posterior colporrhaphy. Many of the procedures can be done vaginally. If not, there are laparoscopic or robotic surgical options. You and your doctor will need to decide which surgical option is best for you based on your anatomy, specific prolapse, and overall health.

Second Opinion

Before making a treatment decision, it’s a good idea to seek a second opinion. A urogynecologist is a specialist with training and experience in both urology and gynecology. They specialize in diagnosing and treating pelvic floor issues, so they can be an excellent choice for women with pelvic organ prolapse.


This content was written by a member of HysterSisters.com as a non-medical professional based on discussions, resources and input from other patients for the purpose of patient-to-patient support.

09-08-2016 - 10:26 PM


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