Treatment for uterine prolapse depends on the severity of symptoms and your overall health. If uterine prolapse isn’t causing any discomfort, treatment may not be necessary for now—you may only need regular monitoring by your doctor. (1)



However, if you begin to experience bothersome symptoms, your doctor may recommend different treatment options—surgical or non-surgical—based on your condition and the degree of prolapse. These may include: (1)


  • Lifestyle modifications
  • Pelvic floor muscle exercises
  • Vaginal pessary
  • Estrogen therapy (if needed)
  • Surgery


Non-Surgical Treatments

Lifestyle Modifications

If you don’t have symptoms or your prolapse is mild, simple lifestyle changes can help prevent it from worsening, including: (2)


  • Losing weight if you are overweight
  • Avoiding heavy lifting
  • Avoiding high-impact exercise
  • Eating high-fiber foods and drinking plenty of fluids to prevent constipation
  • Quitting smoking (if applicable)


Kegel Exercises

Special exercises called Kegel exercises can strengthen the pelvic floor muscles. In mild cases of uterine prolapse, these may be enough on their own to manage the condition.

How to perform Kegel exercises: (1)


  • Tighten your pelvic floor muscles as if trying to stop gas or stop urine midstream.
  • Hold the contraction for 5 seconds, then relax for 5 seconds. If this is difficult, start with a 2-second contraction and 3-second relaxation.
  • Gradually increase until you can hold for 10 seconds.
  • Repeat the exercise 10 times per session. Aim to practice 3–4 times a day, anywhere and anytime.


Vaginal Pessary

A pessary is a donut-shaped silicone ring placed around or under the cervix to support the uterus and keep it in place. It helps relieve symptoms in moderate to severe prolapse and is a good option if you prefer to avoid surgery. The pessary must be removed, cleaned, and replaced periodically. (3)


Surgical Treatment

Surgery may be the best option if non-surgical treatments fail or if the prolapse is severe.

There are several surgical procedures available. Your doctor will determine the best type based on your condition and whether you wish to have children in the future, including: (3)


  • Uterine suspension (repair): This involves stitching the uterus back into place or reinforcing the tissues that support it. It may be performed through the abdomen or vagina under general anesthesia. If you plan to have children, your doctor may recommend postponing surgery, as pregnancy could cause the prolapse to return.
  • Hysterectomy: If you are postmenopausal or do not wish to conceive, your doctor may recommend a total removal of the uterus.
  • Vaginal mesh repair: A surgical mesh is implanted to support prolapsed organs like the uterus. However, due to complications such as pain and nerve damage, its use has declined.
  • Vaginal closure (colpocleisis): In severe cases and if intercourse is no longer desired, part or all of the vaginal opening is surgically closed to relieve symptoms.




Take Back Your Comfort—Find Relief from Uterine Prolapse!

Book your consultation now at Al-Ahli Hospital’s Obstetrics & Gynecology Department and speak with our expert doctors to determine the best treatment option for you—surgical or non-surgical.




References