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Vaginal Prolapse

mature-woman-in-fieldWhat is vaginal prolapse?

Vaginal prolapse is characterised by the protrusion of any of the pelvic organs, namely uterus, bladder or rectum through the vaginal opening.

The condition is commonly but not exclusively associated with child birth. During the passage of the baby through the birth canal, damage can be caused to muscles and connective tissue supporting the pelvic organs. Symptoms tend to get worse when the pelvic and perineal tissues lose their strength due to the decrease in ovarian hormones levels that happen around menopause.

Symptoms of vaginal prolapse

Vaginal prolapse can cause no symptoms at all or can cause significant discomfort with symptoms such as a dragging sensation, difficulty emptying bowels, urinary dysfunction and discomfort with intercourse.

Treatment of vaginal prolapse

Depending on the degree of prolapse, treatment may involve:

  • Conservative management with lifestyle changes such as diet, weight loss and pelvic floor exercises
  • Ring pessaries
  • Surgery

Surgical treatment for prolapse involves either a vaginal repair or hysterectomy. The treatment options are dependent on type of prolapse, patient conditions and preference.

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Many women, although not all, experience uncomfortable symptoms during and after menopause, including hot flushes, night sweats and vaginal dryness. These symptoms, and the associated physical changes, can be managed in various ways including education and lifestyle changes like diet and exercise. Hormone replacement therapy (HRT) is also available if required. While HRT reduces the Read More…

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