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Uterine Prolapse


Lt Col Flemings
Uterine or vaginal prolapse is a condition in which the uterus or vaginal walls drop down and press into the vaginal area. Dr. Malone, can you tell us what causes uterine prolapse?

Dr. Malone
Definitely, Dr. Flemings. Normally, the uterus is held in place by the muscles and ligaments that make up the pelvic floor. Prolapse of the pelvic organs is a normal part of the aging process and is present in most patients. It often doesn’t cause any symptoms.

Symptomatic uterine prolapse results when pelvic floor muscles and ligaments weaken or are damaged, providing inadequate support for the uterus. The uterus then descends into the vaginal canal. If the descent is significant, it can cause noticeable symptoms.

Uterine prolapse often affects women who’ve had one or more vaginal deliveries and is more common as women age. Damage to supportive tissues incurred during pregnancy and childbirth, plus the effects of gravity, loss of estrogen, and repeated straining over the years can weaken pelvic floor muscles and lead to symptomatic prolapse.