Uterine Prolapse and Lifestyle

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Uterine Prolapse and Lifestyle

Question:

I've been diagnosed with uterine prolapse. Does this mean I will have to adapt a more sedentary life style?

Answer:

Lifestyle factors may contribute to the risk of uterine prolapse and its progression. However, prolapse does not need to become a serious limitation if you take appropriate precautions. In fact, an active lifestyle and good physical fitness may help to manage prolapse symptoms.

Pelvic floor prolapse is a condition in which the tissues that provide support to the pelvic organs are damaged. This causes the organs drop or sag under the influence of gravity.

There are several types of prolapse. Uterine prolapse develops when the ligaments that support the uterus are involved. Cystocele (also called "dropped bladder") and rectocele occur when supports within the walls of the vagina are weak. Different types of prolapse often occur together.

Women with prolapse may feel an uncomfortable bulge or pressure at the vaginal opening. Symptoms are often worse after standing for a long time or at the end of the day. It is usually not painful, but in more advanced stages it can disrupt bladder, bowel, and sexual function.

In early stages of prolapse, treatment is by physical therapy. Women may also wear a supporting ring (called a pessary) in the vagina. If less invasive treatments do not work, the damaged tissues may be repaired by surgery.

Prolapse results from many factors, including pregnancy, aging, obesity, frequent heavy lifting, persistent constipation and smoking. Women with prolapse should be careful to avoid placing unnecessary strain on their pelvic floor. Proper lifting, which use the legs rather than the back and abdominal muscles, are advised. Maintaining normal weight and good bowel function is also important. Although a healthy, active lifestyle will not cure prolapse, good tone and weight control will ultimately benefit a woman with prolapse.

Joan Bengtson, M.D., is assistant professor of obstetrics, gynecology and reproductive biology at Harvard Medical School and a member of the Department of Obstetrics, Gynecology & Reproduction at Brigham and Women's Hospital.

Last updated:	July 20, 2009