Uterine prolapse is a common gynecological condition that affects many women, especially after childbirth and during menopause. It occurs when the muscles, ligaments, and tissues supporting the uterus become weak, causing the uterus to descend into the vagina.
While mild cases may not cause significant symptoms, more severe prolapse can affect daily activities, bladder and bowel function, and overall quality of life.
At her clinic in Thane, Dr. Arohi Tasgaonkar, an experienced Gynecologist, Laparoscopic & Robotic Surgeon, provides comprehensive evaluation and treatment for uterine prolapse using both non-surgical and advanced minimally invasive surgical techniques.
What Is Uterine Prolapse?
The uterus is normally held in place by strong pelvic floor muscles and supporting ligaments. When these structures weaken or stretch, the uterus can gradually slip downward into the vaginal canal.
In severe cases, part of the uterus may protrude through the vaginal opening.
Uterine prolapse can range from mild to severe and may occur alongside prolapse of the bladder, rectum, or vaginal walls.
Causes of Uterine Prolapse
Several factors can weaken the pelvic floor and increase the risk of uterine prolapse, including:
- Multiple vaginal deliveries
- Difficult or prolonged childbirth
- Aging and menopause
- Decreased estrogen levels
- Obesity
- Chronic constipation
- Chronic coughing
- Heavy lifting over long periods
- Previous pelvic surgery
Symptoms of Uterine Prolapse
The symptoms depend on the severity of the prolapse.
Mild Uterine Prolapse
Women with mild prolapse may not experience any noticeable symptoms.
Moderate to Severe Uterine Prolapse
Common symptoms include:
- A feeling of heaviness or pressure in the pelvis
- A pulling sensation in the lower abdomen
- Tissue protruding from the vaginal opening
- Urinary leakage (stress urinary incontinence)
- Difficulty emptying the bladder completely
- Frequent urinary tract infections
- Lower back pain
- Difficulty with bowel movements
- Vaginal bleeding
- Increased vaginal discharge
- Discomfort during sexual intercourse
Many women notice that symptoms worsen:
- After standing for long periods
- During strenuous physical activity
- While lifting heavy objects
- Towards the end of the day
How Is Uterine Prolapse Diagnosed?
Diagnosis usually begins with a detailed discussion of your symptoms and medical history.
Pelvic Examination
Your gynecologist may perform a pelvic examination while you:
- Lie down
- Strain or bear down
- Stand or squat
This helps determine:
- The degree of prolapse
- The organs involved
- The severity of pelvic floor weakness
Additional investigations may be recommended if bladder or bowel symptoms are present.
Treatment for Uterine Prolapse
Treatment depends on:
- The severity of the prolapse
- Your age
- Your symptoms
- Whether you wish to preserve fertility
- Your overall health
Non-Surgical Treatment Options
Women with mild to moderate prolapse may benefit from conservative treatment.
Lifestyle Modifications
Your doctor may recommend:
- Weight management
- Avoiding heavy lifting
- Treating chronic constipation
- Managing chronic cough
- Pelvic floor strengthening exercises (Kegel exercises)
These measures can help reduce symptoms and prevent progression.
Vaginal Pessary
A vaginal pessary is a specially designed device placed inside the vagina to support the uterus and surrounding pelvic organs.
Benefits of a Vaginal Pessary
- Non-surgical treatment option
- Immediate symptom relief
- Suitable for women who wish to avoid surgery
- Helpful for women who are not medically fit for surgery
Your gynecologist will select and fit the appropriate pessary and teach you how to remove, clean, and maintain it.
A pessary may not be suitable for severe prolapse and requires regular follow-up examinations.
Estrogen Replacement Therapy (ERT)
For some postmenopausal women, estrogen therapy may help improve vaginal tissue health and reduce further weakening of pelvic support structures.
However, estrogen therapy is not suitable for everyone. Your doctor will discuss the potential benefits and risks based on your individual medical history.
Surgical Treatment Options
When symptoms are severe or conservative treatments fail to provide relief, surgery may be recommended.
Modern gynecological surgery offers highly effective minimally invasive options with faster recovery and less postoperative discomfort.
Laparoscopic Uterine Suspension
Laparoscopic uterine suspension is a minimally invasive procedure designed to restore normal support to the uterus and pelvic floor.
Advantages
- Small incisions
- Less pain
- Faster recovery
- Shorter hospital stay
- Excellent cosmetic results
During the procedure, specialized instruments and a laparoscope (a thin camera) are used to reposition and support the uterus using sutures, mesh, or supportive tissue.
This approach allows women to preserve their uterus while correcting the prolapse.
Hysterectomy for Uterine Prolapse
In advanced cases, a hysterectomy may be the most effective treatment option.
A hysterectomy involves removing the uterus and may be recommended when:
- The prolapse is severe
- Childbearing is complete
- Other pelvic support structures require repair
Additional procedures may be performed simultaneously to correct:
- Bladder prolapse (Cystocele)
- Rectal prolapse (Rectocele)
- Vaginal vault prolapse
Your surgeon will recommend the most appropriate procedure based on your individual condition and future health goals.
When Should You See a Gynecologist?
Consult a gynecologist if you experience:
- A bulge coming out of the vagina
- Pelvic pressure or heaviness
- Urinary leakage
- Difficulty passing urine
- Persistent lower back pain
- Discomfort during daily activities
Early diagnosis can help prevent worsening symptoms and improve treatment outcomes.
Expert Uterine Prolapse Treatment in Thane
If you are experiencing symptoms of uterine prolapse, expert evaluation and timely treatment can significantly improve your quality of life.
Dr. Arohi Tasgaonkar provides comprehensive care for uterine prolapse, including diagnosis, conservative management, vaginal pessary fitting, laparoscopic uterine suspension, and advanced minimally invasive gynecological surgery.
📍 Clinic: Ghodbunder Road, Thane
📞 Appointment & Consultation: 98330 74977
About Dr. Arohi Tasgaonkar
Dr. Arohi Tasgaonkar is a leading Gynecologist, Laparoscopic & Robotic Surgeon in Thane, specializing in minimally invasive gynecological procedures, pelvic floor disorders, uterine prolapse treatment, fertility care, and women’s health management.
