If you have little in the way of symptoms, you may choose to wait and see if they become worse. It is a good idea to visit your doctor for regular check-ups in case you develop any new symptoms.
There are a number of things that you may be able to do to help prevent the prolapse from getting any worse:
- If you are overweight, it may help to lose weight.
- If you smoke, try to give up. Coughing can make prolapse worse.
- Eat a high-fibre diet and drink plenty of water to help avoid or relieve constipation.
- Try to avoid heavy lifting.
- Try to take a frequent breaks during the day, where you can put your feet up and rest.
Pelvic floor exercises
Pelvic floor exercises are recommended for all women with GU prolapse, however they are not likely to improve prolapse that is already present. The exercises help to stop mild degrees of prolapse from getting any worse and to relieve symptoms such as abdominal discomfort and backache.
Vaginal oestrogen creams
For mild prolapse, oestrogen cream applied to the vagina may help ease feelings of discomfort. Symptoms may return once the cream is stopped.
A vaginal pessary is recommended for women who do not wish to have surgery, are waiting for surgery, or who have other illnesses that make surgery risky.
The pessaries are usually in the shape of a ring and made of silicone or plastic. They are inserted into the vagina and left in place to help lift up the walls of your vagina and any prolapse of your womb. They should be changed every 6 to 12 months.
Vaginal pessaries rarely cause any problems but have been known to affect the skin inside the vagina, which can become ulcerated. Some women experience some discomfort during sexual intercourse.