Surgery is often not the first step
For many women, prolapse can be managed effectively without surgery — and non-surgical options are usually tried first, especially for mild to moderate prolapse. While these treatments may not put everything back exactly as it was, they can significantly reduce symptoms and improve quality of life, and for many women that's enough.
So a prolapse diagnosis doesn't automatically mean an operation is coming.
Non-surgical options
Pelvic floor muscle training, ideally guided by a pelvic floor physiotherapist, is a mainstay and can improve symptoms and prevent worsening. A pessary — a small silicone device fitted into the vagina to support the pelvic organs — is a very effective non-surgical option that many women use long term. Lifestyle measures help too: avoiding heavy lifting and straining, treating constipation, managing weight, and vaginal oestrogen after menopause.
These can be used alone or in combination, and can be very successful, particularly for milder prolapse.
When surgery is considered
Surgery tends to be considered when symptoms are more severe, when non-surgical measures haven't given enough relief, or based on your preferences and circumstances. Even then, it's a shared decision — there's no single right answer, and what matters is what works for your symptoms and life.
A GP can assess your prolapse, start non-surgical treatment, and refer you if needed. A telehealth consult is an easy, private way to explore your options.
References & sources
- 1.Pelvic floor exercises — healthdirect
- 2.Prolapsed uterus — healthdirect
- 3.Bladder health — Jean Hailes for Women's Health
This content is general information and not a substitute for individual medical advice. Please consult a GP for your personal situation.
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