Uterine Prolapse Symptoms to Know & How to Avoid Symptoms Worsening

Are uterine prolapse symptoms bothering you?

This Physical Therapist information teaches you how to recognise common uterine prolapse symptoms and simple ways to avoid prolapse worsening.

Read on now to learn:

  • What causes uterine prolapse symptoms
  • Common uterine prolapse symptoms
  • How to relieve uterine prolapse symptoms
  • Simple ways to avoid uterine prolapse symptoms worsening

What Causes Uterine Prolapse Symptoms?

Uterine prolapse also known as prolapsed womb is one form of prolapse where the uterus (womb) and cervix (opening to womb) move down within the vagina. With severe uterine prolapse the uterus protrudes out of the vagina (Stage III shown below).

Stages of uterine prolapse

Uterine prolapse symptoms can occur suddenly (for example after childbirth) or progressively worsen over time as the tissues that suspend and support the uterus weaken and stretch (for example chronic straining with constipation).

Common Uterine Prolapse Symptoms

Uterine prolapse symptoms usually become more troublesome as the prolapse worsens. Symptoms typically include:

  • Bulging heavy feeling inside the vagina
  • Feeling that a lump or ball is moving down inside the vagina (this lump or uterine prolapse may be visible at the entrance of your vagina shown below)
  • Heaviness in the lower belly or abdomen
  • Difficulty inserting a tampon
  • Difficulty with bladder or bowel emptying
  • Lower back ache or discomfort.

Lump at vaginal entrance

If your uterine prolapse is mild (Stage I above) you may not notice prolapse symptoms.

Uterine prolapse symptoms usually worsen towards the end of the day as the uterus and supporting tissues stretch inside especially with moderate to severe prolapse.

How to Relieve Uterine Prolapse Symptoms

There are a number of things you can do at home to reduce symptoms of prolapsed uterus.

The key to reducing your prolapse symptoms is being aware of the activities that place downward pressure and strain on your uterus and cervix during the course of the day.

To relieve prolapse symptoms:

  • Do your pelvic floor exercises or Kegels at the start of your day (before your prolapsed tissues stretch)
  • Rest when you can – sitting with feet up on a low stool and lying down are preferable to prolonged standing
  • Wear support briefs that are well fitted over the  low abdomen (without lace or thick elastic waist)
  • Use the correct bowel emptying technique
  • Keep your stool consistency soft and well formed with appropriate diet, fluid intake or medication as required
  • Manage coughing with hay fever, chest conditions (e.g. asthma) using appropriate medication
  • Speak with your doctor about the use of a support pessary.

Simple Ways to Avoid Uterine Prolapse Symptoms Worsening

Cycling for uterine prolapse

  • Commit to doing pelvic floor exercises (Kegels) long-term
  • Avoid heavy lifting
  • Avoid repetitive lifting 
  • Choose low impact supported general exercises e.g. stationary bike
  • Avoid high impact exercises
  • Avoid intense abdominal core exercises
  • Spread working activities during the course of the day e.g. housework
  • Reduce prolonged standing by sitting or lying down during the course of the day
  • Avoid straining with constipation or diarrhoea
  • Avoid smoking
  • Manage your body weight
  • Lose weight if you’re overweight
  • Wearing a well fitted support pessary may reduce uterine prolapse worsening.

Further Reading

» Uterine Prolapse – The Do’s and Don’ts Women Want to Know

» How to Manage Uterine Prolapse after Childbirth

» How Pessaries Can Help Prolapse Symptoms And Support

Prolapse Exercises Book

This complete exercise guide is especially for women with prolapse and after prolapse surgery seeking to exercise safely, reduce the risk of prolapse worsening and improve prolapse support.

Prolapse Exercises Book

Prolapse Exercises teaches you how to:

  • Relieve prolapse symptoms
  • Avoid unsafe exercises
  • Choose pelvic floor safe exercises
  • Reduce your risk of prolapse worsening
  • Improve prolapse support
  • Increase your strength and fitness
  • Recover after prolapse surgery
  • Return to exercise safely
  • Strengthen your core
  • Lose weight

    Learn More

ABOUT THE AUTHOR, Michelle Kenway

Michelle Kenway is an Australian Pelvic Floor Physiotherapist. Michelle lectures to health professionals and promotes community health through her writing, radio segments, online exercise videos and community presentations. She holds dual post graduate physiotherapy qualifications in women’s health and exercise.

We Welcome Your Comments

Comments

  1. Hi Michelle,
    Your exercise video, book, and website have been invaluable to me.

    I retired last year and have been able to wear my pessary less. If I feel I am dropping, I immediately put it in. If I feel asymptomatic, I do not wear it. I have worn a pessary for 5 years (first 4 years with ring; now ring with block design).

    1. Is daily pessary use better in terms of supporting the pelvic floor rather than waiting to feel symptomatic before inserting the pessary?
    2. What is the trade off between pessary use and erosion?
    3. Does inserting/removing the pessary contribute to further stretching? To prevent erosion, I remove the pessary each night.
    4. Are pelvic floor exercises more effective done with the pessary in or out? I like to do my pelvic floor exercises in the early morning without the pessary. I seem to feel each contraction more. I am 67 years old.
    Thank you.

    • Michelle Kenway Physiotherapist says:

      Hi Carol
      Thanks for your questions & feedback.
      In reply:
      1. Yes daily wearing would be optimal
      2. Erosion isn’t a given, it can happen in some cases however erosion isn’t assumed with pessary use, it’s an unfortunate side effect for some wearers particularly when the vaginal walls are thinned which can be addressed with vaginal oestrogen
      3. Good question on on further stretching, I’ve often wondered this myself, no research to my knowledge
      4. There is a reasonable hypothesis that pelvic floor exercises are better with the pessary in as the pelvic floor tissues are held up rather than dragging however your technique sounds very reasonable, especially if you can feel your exercises better
      Hope this answers some of your queries
      Cheers
      Michelle