Prolapsed Uterus


What is a Prolapsed Uterus?

A"prolapsed uterus," also referred to as a "uterine prolapse,"and a "dropped womb," refers to a woman's uterus that has fallen below itsnormal position in her pelvis. A prolapseduterus refers to a collapsed uterus, or descended uterus, or other change in the position of the uterus in relation to the surrounding structures within the pelvis. The pelvis contains many soft tissue structures vital to normal body functions, supported primarily by the diaphragms, layers of muscles, fibrous coverings called fasciae, and various ligaments and tendons.Thepelvic floor has a number of supporting muscles, ligaments and connectivetissues that attach the pelvic floor to the pelvic bones in a manner that supporta woman's uterus and other pelvic organs.  These soft tissues of the pelvis derive their ultimate support from the bony pelvis. 

In the most serious cases when these ligaments and muscles weaken, the uterus drops from its normal position and sometimes falls out of the vagina. 

Causesof a prolapsed uterus may occur when the pelvic floor is damaged during a vaginal delivery, particularlywhen a prolonged labor has occurred or the doctor used forceps or a vacuum extraction. 

Aprolapsed uterus may alsobe the result of an inherited weakness of the pelvic floor as well as from aging and menopause. 

Amongvarious races, Hispanic womenhave the highest risk for prolapsed uterus.

Symptoms of a prolapsed uterus vary with the severity of the prolapse. This mayalso include no symptoms at all.  Other symptoms include pelvic pain, pressure,and a sensation of something "falling" in your vagina, or low back pain. Other symptoms might include urinary incontinence, painful bowel movements and pain during intercourse.

A prolapsed uterus may be one of three types, depending on the severity:

• First-degree prolapse occurs when the uterus sags downward into the upper
vagina.

• Second-degree prolapse occurs when the cervix is at or near the outside of the
vagina.


• Third-degree prolapse (sometimes referred to as total prolapse) occurs when the entire uterus extends outside the vagina.


Whatis Pelvic Prolapse?

Pelvicprolapse is anotherterm used for "pelvic organ prolapse." Pelvic prolapse is a very common condition, particularly among older women. It's estimated that half of women who have children will experience some form ofpelvic organ prolapse in later life. Many women, particularly because they may no longer be sexually active, and fail to continue receiving their annual pelvic exams, don't seek help from their doctor. Therefore, the actual number of women affected bypelvic organ prolapse is unknown. 

Pelvic prolapse may also be called; genitalprolapse, prolapsed uterus, uterovaginal prolapse, pelvic floor dysfunction, or vaginalvault prolapse.

Whatis Pelvic Organ Prolapse?

Pelvic organprolapse is a very common condition, particularly among older women. It's estimated that half of women who have children will experience some form ofpelvic organ prolapse in later life. Many women, particularly because they may no longer be sexually active, and fail to continue receiving their annual pelvic exams, don't seek help from their doctor. Therefore, the actual number of women affected bypelvic organ prolapse is unknown. 

Pelvic Organ Prolapse may also be called; genital prolapse, pelvic relaxation,pelvic prolapse, uterine prolapse, uterovaginal prolapse, pelvic floor disorder, urogenital prolapse or vaginal wallprolapse.

Whatis a Vaginal Vault Prolapse?

The vaginal vault is the area at the top of the vagina, next to and adjacent to the cervix. It can only “fall” or descend downwards toward the introitus, or the entrance of the vagina, after a woman's womb has been removed (hysterectomy). Vaginal Vault Prolapse occurs in about 15% of women who have had a hysterectomy for
prolapseduterus, and in about 1% of women who have had a hysterectomy for other reasons.

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