Q:

What is the treatment for grade 3 uterine prolapse aside from surgery?

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Quick Answer

Kegel exercises, medications such as estrogen, and a supportive device called a pessary are nonsurgical treatments for third-degree uterine prolapse, a condition in which the cervix is outside the vagina, states WebMD. Tightening the pelvic muscles while performing Kegel exercises strengthens the pelvic diaphragm and provides support.

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Full Answer

In performing Kegel exercises, the pelvic muscles are isolated and squeezed as if trying to stop the flow of urine, explains WebMD. In some postmenopausal women, estrogen cream or suppository rings are inserted into the vagina to help restore the tissue vitality and strength. A pessary can be worn inside the vaginal canal to support the sagging uterus, either permanently or temporarily. A pessary must be fitted to a woman’s specifications, and if the prolapse is severe, the treatment may be ineffective. Pessaries can irritate the vagina and cause a foul-smelling discharge.

Reducing body weight and avoiding constipation by eating a diet high in fiber are recommended to prevent uterine prolapse, according to WebMD. Women should avoid heavy lifting and straining. Symptoms of a prolapsed uterus include low back pain, painful intercourse, difficulty walking, a feeling of pressure in the pelvis, and difficulty urinating or moving the bowels. A woman may also feel as if something is coming out of her vagina.

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