Living with Uterine Prolapse: Knowing the Signs, Seeking Help, and Reclaiming Comfort

“I thought I was just ageing. No one told me my body could feel like it’s slipping away.”

That’s how one woman described her early experience with uterine prolapse—a condition far more common than most realise, yet rarely spoken about without discomfort or misunderstanding.

At Paul’s Hospital, we believe silence shouldn’t be part of your healthcare journey. This article aims to shed gentle, practical light on uterine prolapse—what it is, the early signs, and when it’s time to reach out for help.

What Is Uterine Prolapse?

Uterine prolapse occurs when the muscles and ligaments that support the uterus weaken, allowing it to drop from its usual position and press into, or even protrude from, the vaginal canal. It’s classified by degrees of severity—ranging from mild descent (first degree) to complete protrusion outside the vagina (fourth degree).

Though it’s often associated with postmenopausal women, uterine prolapse is not solely a “later-life” condition. It can occur in women as young as their 30s, particularly those who’ve experienced:

• Vaginal childbirth (especially multiple or difficult deliveries)

• Hormonal changes during menopause

• Chronic constipation or straining

• Repetitive heavy lifting

• Obesity or sudden weight fluctuations

• Connective tissue disorders

Recognising the Early Signs of Uterine Prolapse

Uterine prolapse doesn’t always announce itself loudly. In fact, the earliest symptoms are often subtle—easy to dismiss or misattribute to ageing, stress, or “just being tired.”

Here are signs to look out for:

• A sensation of heaviness or pressure in the lower pelvis

• A feeling that something is “falling out” or bulging from the vagina

• Difficulty using tampons or inserting menstrual cups

• Leaking urine when coughing, laughing, or sneezing (stress incontinence)

• Recurring lower back ache without a clear cause

• Discomfort or pain during sex

If you recognise more than one of these signs, it may be time to speak with a gynaecologist. Early diagnosis can make a significant difference in treatment options and outcomes.

When Should You Seek Help?

Simply put: now.

Waiting for symptoms to worsen isn’t a strategy—it’s a disservice to your well-being. Too many women delay seeking help, thinking they are overreacting, imagining it, or waiting until “life is less busy.”

At Paul’s Hospital, we want you to know:

• You are not overreacting.

• You are not imagining it.

• You do not need to wait for things to get worse to deserve care.

Your comfort, mobility, and confidence matter—right now.

How We Care for Uterine Prolapse at Paul’s Hospital

Every woman’s experience of uterine prolapse is unique, so our care is too. At Paul’s, we offer a tailored, compassionate approach:

1. Comprehensive Assessments

Initial consultations are conducted by experienced gynaecologists. We take time to listen, understand your symptoms, and assess the severity of the prolapse using physical examination and imaging if needed.

2. Non-Surgical Management Options

For many women, especially in the early stages, surgery isn’t the first step. We explore options such as:

• Pelvic floor physiotherapy and non surgical treatment

• Lifestyle adjustments (managing weight, constipation, and lifting habits)

• Pessary fittings—a small device placed in the vagina to support the uterus

3. Surgical Options, When Needed

If conservative management doesn’t provide relief or the prolapse is advanced, surgical repair may be discussed. Our specialists provide honest, balanced information about the risks, benefits, and recovery involved.

4. Ongoing Support and Counselling

We know this journey can be emotionally overwhelming. That’s why we offer support groups, psychological counselling, and follow-up care that honours not just your body, but your mental wellbeing too.

Let’s End the Silence Around Uterine Prolapse

Far too many women live with uterine prolapse without knowing they’re not alone—or that treatment exists. It’s time to replace embarrassment with empowerment.

• There is no shame in your body changing.

• There is strength in seeking help.

• There is support waiting for you.

Addressing uterine prolapse doesn’t just restore physical comfort—it can improve your daily life, your relationships, and how you feel in your own skin.

Final Thoughts

If you’re experiencing the signs of uterine prolapse, don’t wait until your symptoms become unmanageable. At Paul’s Hospital, you’ll find not only clinical expertise but also a team that treats you with dignity and compassion from the first appointment.

You don’t have to live quietly with discomfort. Let’s start the conversation and the healing.

Paul’s Hospital, Kerala — Where Your Health Has a Voice.

For appointments or confidential enquiries, our women’s health team is just a phone call away.