Vaginal prolapse: lifestyle changes to improve symptoms

Vaginal prolapse is a condition that affects many women, particularly as they age or after childbirth. It occurs when the muscles and ligaments that support the pelvic organs weaken, causing these organs to descend or bulge into the vagina. While not life-threatening, vaginal prolapse can significantly impact a woman's quality of life, affecting daily activities and intimate relationships.

Understanding the causes, symptoms, diagnosis, and treatment options for vaginal prolapse is crucial for effective management and relief of symptoms. Revered consultant obstetrician and gynaecologist Mr Rami Atalla recommends lifestyle changes to improve symptoms.

What is vaginal prolapse?

Vaginal prolapse occurs when the muscles and tissues supporting the pelvic organs weaken, causing the organs to drop from their normal position. This condition often involves the bladder, rectum, or uterus, leading to discomfort and various symptoms. Women experiencing vaginal prolapse may feel a bulge or pressure in the vaginal area, along with urinary problems, difficulty with bowel movements, and pain during intercourse.

What causes vaginal prolapse?

Several factors can contribute to the development of vaginal prolapse. Childbirth, particularly multiple or complicated deliveries, can weaken the pelvic floor muscles. Ageing and menopause also play a role, as the decrease in oestrogen weakens the tissues. Other contributing factors include obesity, chronic coughing, heavy lifting, and genetic predisposition. These elements can cumulatively stress the pelvic floor, leading to prolapse over time.

How is vaginal prolapse diagnosed?

Early intervention can help halt the progression of the condition and enhance quality of life diagnose vaginal prolapse through a pelvic examination. During the exam, the doctor will ask about your symptoms and medical history. They may use tools like a speculum to get a better view of the vaginal walls and assess the extent of the prolapse. In some cases, imaging tests such as an MRI or ultrasound might be used to provide a clearer picture of the pelvic organs' positioning.

What are the treatment options for vaginal prolapse?

Treatment for vaginal prolapse varies based on the severity of the condition and the patient's overall health. Conservative treatments include pelvic floor exercises, also known as Kegel exercises, which strengthen the pelvic muscles. Vaginal pessaries, devices inserted into the vagina to support the pelvic organs, can also be effective. Hormone therapy may be considered to improve tissue strength and elasticity.

In more severe cases, surgical options may be necessary. Surgery aims to repair the supporting tissues or, in some instances, remove the prolapsed organ. The type of surgery will depend on the specific organs involved and the patient's personal circumstances.

How can lifestyle changes help?

Making certain lifestyle changes can help manage both vaginal prolapse and diverticular disease. Maintaining a healthy weight reduces pressure on the pelvic floor. Eating a high-fibre diet can prevent constipation and reduce straining during bowel movements. Regular physical activity can strengthen muscles throughout the body, including the pelvic floor. Avoiding heavy lifting and practising proper lifting techniques can also minimise strain on the pelvic area.

When should you seek medical advice?

If you suspect you may have vaginal prolapse or are experiencing symptoms such as vaginal bulging, pelvic pressure, or urinary problems, it is important to seek medical advice. Your doctor can provide a thorough evaluation, discuss treatment options tailored to your needs, and help you manage this common condition effectively. With timely intervention and appropriate management, many women find relief from the symptoms of vaginal prolapse and can improve their quality of life.

If you would like to book a consultation with Mr Atalla, do not hesitate to do so by visiting his Top Doctors profile today.