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Will I Experience Prolapse after My Hysterectomy?

From the Hysterectomy Recovery Articles List

If I have a hysterectomy, am I going to have pelvic organ prolapse in the future?If I have a hysterectomy, am I going to have pelvic organ prolapse in the future?


Having a hysterectomy does not mean you will develop pelvic organ prolapse (POP) in the future. Pelvic organ prolapse occurs when the organs and structures in the pelvic region weaken and fall, and some women will be more predisposed to it than others. There are many risk factors for POP including age, obesity, pregnancy, vaginal births, genetics, heavy lifting, straining, chronic cough, smoking, pelvic surgery, and certain health conditions.

Any factors which cause damage, weakness, or trauma to the pelvic floor could contribute to some type of pelvic organ prolapse. Having one or more factors could increase your risks. In addition, once you have pelvic organ prolapse issues, you are at risk for future prolapse.

Menopause can be an issue for pelvic organ prolapse, too, so if you have your ovaries removed at the time of your hysterectomy you could face a higher risk of future pelvic organ prolapse. Estrogen is important for a strong and healthy pelvic floor, and without it the structures can weaken and allow for prolapse. Estrogen can be prescribed for women with mild prolapse concerns, or for more severe cases estrogen may need to be combined with additional treatment.

If you are in natural or surgical menopause, you should talk to your doctor about whether estrogen replacement is right for you, especially if you have other risk factors for pelvic organ prolapse.

If you have had or are scheduled to have any type of pelvic surgery, including a hysterectomy, and have concerns or risk factors for pelvic organ prolapse, you should discuss them with your doctor. You may also want to seek a second opinion from a urogynecologist, a specialist who understands both the urological and gynecologic systems.


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

04-29-2015 - 11:14 AM


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