Anju Basu - Wellington Gynaecologist

If the uterus (womb) or vagina slips out of position, this is referred to as a prolapse. It is caused when the supporting muscles and connective tissue become weak, allowing a part of the uterus or vagina to bulge.

 

Pregnancy and childbirth is the most common reason. Symptoms include pain, heaviness in the vagina, frequent need to pass urine, strong urges to pass urine, incomplete emptying of urine or bowels, urinary incontinence etc.

 

In mild cases, pelvic floor physiotherapy may help improve the symptoms, but women with more severe prolapses may need to have surgery. Vaginal mesh is no longer used in surgery for prolapse. Vaginal pessaries can also be a conservative option. Pelvic floor physiotherapy is an important adjunct to whatever treatment option you may choose.