I have an embarassing issue. I have had a prolapsed uterus since my 1st
child was born, now I’m pregnant with my 3rd. I have tried doing kegels. I can do them laying down, but I can’t when I’m standing because the weight of my uterus makes it really hard to do kegels. AndI don’t now why I have a prolapsed uterus. I gave birth vaginally for my 1st and 2nd. Can you help me understand why I would have a prolapsed uterus, and what can I do about it. Is surgery my only option?
A prolapsed uterus is one that’s no longer supported by the usual cradle of ligaments, which can happen when the basket of pelvic muscles, ligaments and connective tissue that support the uterus become damaged or weaken over time. Surgery or delivering an especially large infant can cause prolapse, or one can develop more gradually as the result of continual stresses like multiple pregnancies and deliveries, obesity, an ongoing severe cough or lots of heavy lifting. Kegels support the muscles of the pelvic floor, and they are great for preventing urinary incontinence and loss of vaginal muscle tone, but at this point they will not be able to do much to affect the position of your uterus.
Surgery is an option to repair the prolapse, though keep in mind you will need at least three months of not lifting anything heavier than 10 pounds to keep from re-injuring the area. There are also devices called pessaries that are designed to hold the uterus in place for a mild prolapse, which you may want to ask your health care provider about if the discomfort bothers you. If your prolapse is greater than first-degree, though, and makes using the bathroom difficult and sex impossible, surgery is really your only option.