Types of Uterine Prolapse

1. Types of Uterine Prolapse sarkarhospital.com/blog/types-of-uterine-prolapse Dr. Debashish Sarkar January 25, 2025 Uterine prolapse is a common condition, especially for women who’ve gone through childbirth or menopause. Yet, it’s not something that gets talked about openly, which leaves many women unsure about their symptoms and treatment options. Knowing the different types of uterine prolapse is key to getting the right diagnosis and treatment. This guide breaks down what uterine prolapse is, the various degrees it can occur in, related conditions, and how it can be managed—so you can make informed choices about your pelvic health. Article By Dr. Debashish Sarkar (MBBS, MS-ObGyn) Experience Infertility Specialist & Gynaecologist since 14+ years What Is Uterine Prolapse? Uterine prolapse occurs when the uterus descends from its usual position in the pelvis into the vaginal canal due to weakened pelvic floor muscles and ligaments. This can affect the uterus’ ability to stay in place and lead to discomfort or more severe complications if untreated. Causes and Risk Factors Several factors increase the likelihood of developing uterine prolapse, including: Childbirth: Vaginal deliveries, particularly multiple or difficult births, often weaken pelvic floor muscles. 1/5

2. Menopause: Decreased oestrogen production affects tissue strength, making the pelvic area more prone to prolapse. Ageing: Age-related weakening of connective tissues. Chronic conditions: Persistent coughing, obesity, or constipation can exert pressure on the pelvic region. Family history: A genetic predisposition to poor connective tissue health. Identifying these risk factors can help in early detection and preventative care. Here’s what you need to know about the different degrees of uterine prolapse and how they manifest. First-Degree Uterine Prolapse First-degree or mild uterine prolapse is the least severe type. It occurs when the uterus slips slightly into the vaginal canal, but it doesn’t descend far enough to affect daily life. Symptoms and Early Signs The feeling of heaviness or pressure in the pelvic area. Mild vaginal discomfort, particularly during physical activities like lifting or bending. Symptoms may worsen as the day progresses but typically resolve with rest. First-degree prolapse is usually manageable with non-invasive interventions like lifestyle changes and pelvic exercises. Second-Degree Uterine Prolapse Moderate prolapse occurs when the uterus sinks further into the vaginal canal, often causing more noticeable and persistent symptoms. Symptoms and Daily Impact A pronounced feeling of weight or pulling in the pelvic region. Difficulty with urination or bowel movements. Increased discomfort during daily activities like walking or standing for long periods. At this stage, treatment options may involve non-surgical therapies or, in some cases, minimally invasive surgical interventions. Third-Degree Uterine Prolapse 2/5

3. This refers to severe uterine prolapse, where the uterus descends to the vaginal opening or may even slightly protrude outside the vaginal canal. Risks of Untreated Third-Degree Prolapse Increased risk of infection due to external exposure. Potential bladder or bowel issues. Persistent pain and difficulty with mobility. A third-degree prolapse requires medical attention to prevent complications and improve the patient’s quality of life. Complete Uterine Prolapse This is the most severe form of uterine prolapse, where the uterus has entirely descended out of the vaginal canal. Complications Exposure of internal tissues increases the likelihood of infections and sores. Complete uterine prolapse can affect surrounding organs, such as the bladder or rectum. This condition necessitates immediate medical intervention, often surgical, to address the complications and restore pelvic health. Related Conditions: Cystocele and Rectocele Uterine prolapse often coexists with other pelvic floor disorders, particularly cystocele and rectocele. Cystocele: This occurs when the bladder bulges into the vaginal wall. Symptoms include a sensation of fullness, frequent urination, and difficulty emptying the bladder. Rectocele: Here, the rectum protrudes into the vaginal wall, causing symptoms like constipation or difficulty with bowel movements. Both conditions can arise due to similar factors as uterine prolapse, including childbirth and weakened pelvic tissues. Management Strategies for Uterine Prolapse Thankfully, uterine prolapse is a treatable condition. The management approach often depends on the prolapse’s severity and the patient’s overall health and preferences. 3/5

4. Non-Surgical Options For mild to moderate prolapse, non-surgical methods can offer effective relief. These include: Lifestyle Changes: Weight management, treating chronic conditions like a persistent cough, and avoiding heavy lifting can reduce strain on the pelvic floor. Pelvic Floor Exercises: Also known as Kegel exercises, these help strengthen the muscles that support the uterus. Pessaries: These are supportive devices inserted into the vagina to hold the uterus in place. Surgical Interventions For severe cases of uterine prolapse, surgical treatment may be necessary. The procedure depends on factors like age, severity, and whether future pregnancies are planned. Options include: Uterine Suspension Surgery: This surgery lifts and repositions the uterus, often preserving it. Hysterectomy: Removing the uterus is an option in certain severe cases and for women who no longer wish to have children. Recovery from surgery may involve physical therapy and lifestyle modifications to maintain improvements in pelvic health. When to See a Doctor? Early evaluation and treatment can significantly improve outcomes for women experiencing uterine prolapse. Seek medical advice if you notice: A feeling of heaviness or bulging in the vaginal area. Discomfort or difficulty during urination or bowel movements. Persistent pelvic pain or discomfort affecting your daily activities. Pro tip: If you’re based in Agra, visit Sarkar Hospital to consult with a qualified gynecologist doctor in Agra and explore effective options for uterine prolapse treatment in Agra. Managing Pelvic Health for a Better Quality of Life Uterine prolapse, while challenging, is manageable with the right care and timely intervention. From understanding the different types to exploring treatment options, taking control of your pelvic health can dramatically improve your comfort and confidence. 4/5

5. If you’re experiencing symptoms, don’t wait—schedule a consultation with a qualified gynecologist doctor or pelvic health specialist today. For tailored advice and expert care in Agra, consider the services available at Sarkar Hospital. Remember, your health is worth prioritizing, and seeking support is the first step toward reclaiming your well-being. Sarkar Hospital, Agra 1,Sarkar Hospital, Delhi Gate Rd, Civil Lines, Agra, Uttar Pradesh 282002 +91 - 798 320 2082 5/5