Uterine prolapse can be mild or severe depending on how weak the supporting muscles of uterus have become. In an incomplete prolapse, uterus may have slipped enough to be partway in vagina. This creates a lump or bulge. In a more severe case, uterus can slip far enough that it comes out of vagina. This is called a complete prolapse.

Some other types of pelvic organ prolapse are:

• Cystocele: When bladder drops into or out of vagina.
• Rectocele: When rectum bulges into or out of vagina.
• Enterocele: When part of small intestine bulges into vagina.

Stages of uterine prolapse

The stages of uterine prolapse are:

• Stage I: Uterus drops into the upper part of vagina.
• Stage II: Uterus falls into the lower part of vagina.
• Stage III: Uterus is protruding from vagina.
• Stage IV: Entire uterus slips outside of vagina.

Who gets uterine prolapse?

Uterine prolapse is most likely to happen in people with malnutrition. There is not any scientific evidence of prolapsus due to vaginal births, menopause or family history etc.

Menopause occurs when ovaries stop producing hormones that regulate monthly menstrual period. One of these hormones is estrogen. This particular hormone helps keep our pelvic muscles strong.

Mild case of uterine prolapse may not have any obvious symptoms, but as uterus slips farther out of position, it can put pressure on other pelvic organs — such as urinary bladder and/or intestines (bowel) etc — and cause symptoms like:

• Feeling of heaviness, fullness or pressure in pelvis,
• Pain in pelvis, abdomen or lower back,
• Pain during intercourse,
• Uterine tissue that falls through the opening of vagina (could be cause of other infections),
• Constipation.
• Urination problems, including incontinence, polyuria (frequent urination) or the sudden urge to urinate.

Symptoms can get worse when patient stand or walk for long periods of time or when she coughs and/or sneeze.

Causes

A uterus is held in place within pelvis by a group of muscles and ligaments (pelvic floor muscles). When these structures weaken, they become unable to hold your uterus in position and it begins to sag. Several factors can contribute to the weakening of the pelvic muscles, including:

• Loss of muscle tone as the result of menopause (old age malnutrition).
• Pregnancy.
• Malnutrition during pregnancies.
• Obesity.
• Chronic coughing or straining.
• Chronic constipation.
• Repeated heavy lifting.

A doctor should perform a pelvic examination to determine if patient’s uterus has lowered from its normal position. During a pelvic exam, doctor inserts a speculum and examines the vagina and uterus. If a doctor feels for any bulges caused by uterus dropping down into the vaginal canal, ask the patient to cough, strain or act like she holding in her urine/pee. This can help doctors to see how weak the muscles are.

In allopathy, there are surgical and nonsurgical options for treating uterine prolapse. An allopathic doctor will pick the treatment path based on the severity of patient’s prolapse, her general health, age and whether or not she wants children in the future. Allopathic doctor typically recommend treatment when uterine prolapse becomes bothersome. 🤯🤷‍♀️

Treatment options can include:

Nonsurgical options

• Exercise: in mild cases, special exercises, called Kegel exercises, can help strengthen the pelvic floor muscles. To do Kegel exercises ask your patient to tighten her pelvic muscles as if she is trying to hold back urine. Hold the muscles tight for a few seconds and then release. Repeat 10 times. Patient may do these exercises anywhere and at any time (up to four times a day).
• Vaginal pessary: A pessary is a rubber or plastic doughnut-shaped device that fits around or under the lower part of the uterus/cervix. This device helps prop up uterus and hold it in place. A doctor will fit and insert the pessary, which must be cleaned frequently and removed before intercourse.
• Diet and lifestyle: Changes to a good diet and lifestyle will be very helpful in relieving symptoms like constipation, a healthy weight for patient’s body type.

Surgical options

• Hysterectomy and prolapse repair: Allopathically uterine prolapse may be treated by removing the uterus (hysterectomy). Hysterectomy may be done through an incision made in the vagina (vaginal hysterectomy) or through the abdomen (abdominal hysterectomy). Hysterectomy is major surgery, and removing the uterus means pregnancy is no longer possible.
• Prolapse repair without hysterectomy: This procedure involves putting the uterus back into its normal position. Uterine suspension may be done by reattaching the pelvic ligaments to the lower part of the uterus to hold it in place. The surgery can be done through the vagina or through abdomen.

Homeopathic treatment for uterine prolapse

According to allopath’s uterine prolapse is a surgical condition, but it can be corrected by well selected Homoeopathic medicines easily. In Homeopathy, there is not any concept of surgery for almost 99% of diseases. This constitutional approach framing mind and body works at the root-level and will help strengthen all muscles and muscular sphincters.

For uterine prolapse, there are dozens of well proven medicines, very few of them are as under:

Sepia Officianalis

Best choice for uterine prolapse, better, by exercise, pressure, warmth, hot applications, drawing limbs up, cold bathing, after sleep. Acts specially on the portal system, with venous congestion. Stasis and thereby ptosis of viscera and weariness and misery. Weakness, yellow complexion, bearing-down sensation. Tendency to abortion. Hot flashes at menopause with weakness and perspiration. Pelvic organs relaxed. Bearing-down sensation as if everything would escape through vulva; must cross limbs to prevent protrusion or press against vulva. Leucorrhea – yellow, greenish; with much itching. PCODs – Menses Too late and scanty, irregular; early and profuse; sharp clutching pains. Violent stitches upward in the vagina, from uterus to umbilicus. Prolapse of uterus and vagina. Morning sickness. Vagina painful, especially on coition.

Lapathum

Weak feeling in internal genital parts, uterine prolapse. (Leukorrheal flow for five or six days very copious, thick, whitish, with constriction and expulsive efforts from top to bottom of the womb, and pains in the kidneys.

Phosphorus

Chlorosis. Phlebitis. Muscular weakness. Uterine prolapse. Fistulous tracks after mammary abscess. Slight hemorrhage from uterus between periods. Menses too early and scanty-not profuse, but last too long. Weeps before menses. Stitching pain in breasts. Leucorrhea profuse, smarting, corrosive, instead of menses. Amenorrhea, with vicarious menstruation. Suppuration of breast, burning, watery, offensive discharge. Nymphomania.

Eupionum

Marked female symptoms, and backache. Best medicine for uterine displacements/uterine prolapses. Pain in back, followed by a bland leucorrhea. Menses too early and copious; flow thin. Intense sweat from slightest exertion. Disgusting dreams. Sensation as if whole body were made of jelly.

Vertigo. Heat at vertex; stitches from vertex down limbs into abdomen and genitals. Burning in ovary. Gushing leucorrhea. Chronic tubal disease. Uterine flexions. Menses too early and copious. During menses, irritable and disinclined to talk, burning and stitches in chest and heart. After menses, yellow leucorrhea, with severe backache. When pain in back ceases, the discharge gushes out. Sore pain between labia during urination. Pruritus pudenda; labia swollen.

Cramps in the calves. Sacrum pains. Severe backache; must lean against something for support. Pains extended into pelvis.

Lachesis Mutus

Climacteric troubles – menopause, palpitation, flashes of heat, hemorrhages, vertex headache, fainting spells; worse, pressure of clothes. Menses too short, too feeble; pains all relieved by the flow. Ovary very painful and swollen, indurated. Breast(s) inflamed, bluish. Coccyx and sacrum pain, especially on rising from sitting posture.

Natrium Muriaticum

Menses irregular; usually profuse. Vagina dry. Leucorrhea acrid, watery. Uterine prolapse – bearing-down pains. Prolapsus uteri with cutting pain in urethra. Ineffectual labor-pains. Suppressed menses. Hot during menses.

Apis Mellifica

Edema of labia; relieved by cold water. Soreness and stinging ovarian pains. Menses suppressed, with cerebral and head symptoms. Dysmenorrhea, with severe ovarian pains. Metrorrhagia profuse, with heavy abdomen, faintness, stinging pain. Sense of tightness. Uterine prolapse. Bearing down, as if menses were to appear. Ovarian tumors, metritis with stinging pains. Severe tenderness over abdomen and uterine region.

Murex Purpurea

The symptoms of the female sexual organs are most prominent and have been clinically verified. Especially adapted to nervous, lively, affectionate women. Patient weak and run down.

Great sadness, anxiety, and dread. Sinking, all-gone sensation in stomach. Hungry, must eat. Conscious of a womb. Pulsation in neck of womb. Desire easily excited. Feeling as if something was pressing on a sore spot in the pelvis: worse sitting. Pain from right side of womb to right or left breast. Nymphomania – least contact of parts causes violent sexual excitement. Menses irregular, profuse, frequent, large clots. Feeling of protrusion. Uterine prolapse; enlargement of uterus, with pelvic tenesmus and sharp pains, extending toward breasts; aggravated lying down. Dysmenorrhea and chronic endometritis, with displacement. Must keep legs tightly crossed. Leucorrhea green or bloody, alternate with mental symptoms and aching in sacrum. Benign tumors in breasts, pain in them during menstrual period. Urine frequents at night; smells like Valerian constant urging.

Platinium Metallicum

Parts hypersensitive. Tingling internally and externally. Ovaries sensitive and burn. Menses too early, too profuse, dark-clotted, with spasms and painful bearing-down (uterine prolapse), chilliness, and sensitiveness of parts. Vaginismus. Nymphomania. Excessive sexual development; vaginismus. Pruritus vulvae. Ovaritis with sterility. Abnormal sexual appetite and melancholia.

Belladona

Sensitive forcing downwards, as if all the viscera would protrude at genitals. Dryness and heat of vagina. Dragging around loins. Pain in sacrum. Menses increased, bright red, too early, too profuse. Hemorrhages hot. Cutting pain from hip to hip. Menses and lochia very offensive and hot. Labor-pains come and go suddenly. Mastitis pain, throbbing, redness, streaks radiate from nipple. Breasts feel heavy; are hard and red. Tumors of breast, pain worse lying down. Badly smelling hemorrhages, hot gushes of blood. Diminished lochia.

Podophylum

Pain in uterus and right ovary, with shifting noises along ascending colon. Suppressed menses, with pelvic tenesmus. Uterine Prolapse, especially after parturition. Hemorrhoids, with prolapsus ani during pregnancy.

Lillium Tigrinum

Menses early, scanty, dark, clotted, offensive; flow only when moving about. Uterine prolapse – with urgent desire for stool, as though all organs would escape. Ceases when resting. Congestion of uterus, prolapse, and anteversion. Constant desire to support parts externally. Pain in ovaries and down thighs. Acrid, brown leucorrhea; smarting in labia. Sexual instinct awakened. Bloated feeling in uterine region. Sub-involution. Pruritus pudenda.

Helonias Dioica

Dragging in sacral region, with uterine prolapse, especially after a miscarriage. Pruritus vulvae. Backache after miscarriage. Weight and soreness in womb; conscious of womb. Menses too frequent, too profuse. Leucorrhea. Breasts swollen, nipples painful and tender. Parts hot, red, swollen; burn and itch terribly. Albuminuria during pregnancy. Debility attending the menopause.

Palladium Metallicum

Uterine prolapse and retroversion. Subacute pelvic peritonitis, with right-sided pain and backache; menorrhagia. Cutting pain in uterus; relieved after stool. Pain and swelling in region of ovary. Shooting or burning pain in pelvis with bearing down; relieved by rubbing. Soreness and shooting pain from navel of breast. Glairy leucorrhea. Menstrual discharge while nursing. Stitches in right breast near nipple.

It is indicated in that gynecological condition where the disease had its inception in the right ovary, the uterine prolapse and retroversion, the subacute pelvic peritonitis and concomitant symptoms being secondary

Kreosotum

Corrosive itching within vulva, burning and swelling of labia; violent itching between labia and thighs. During menses, difficult hearing; buzzing and roaring; eruption after. Uterine prolapse. Leucorrhea, yellow, acrid; odor of green corn; worse between periods. Hemorrhage after coition. Menses too early, prolonged. Vomiting of pregnancy, with ptyalism. Menstrual flow intermits; ceases on sitting or walking; reappears on lying down. Pain worse after menses. Lochia offensive; intermits.

Natrum Carb

Induration of cervix. Pudenda sore. Bearing-down sensation. Heaviness; worse, sitting; better by moving. Menses late, scanty like meat-washings (Nitric ac). Leukorrheal discharge, offensive, irritating preceded by colic.

Polygonum Hydropiperoides

Aching pains in hips and loins. Sensation as if hips were being drawn together. Sensation of weight and tension within pelvis. Uterine prolapse. Shooting pains through breasts. Amenorrhea.

Joanesia Asoca

Uterine prolapse. Delayed and irregular menses; menstrual colic; amenorrhea, pain in ovaries before flow; menorrhagia, irritable bladder; leucorrhea.