Complete OBGYN Care
Nezhat Solimani, MD
OB-GYN located in Bay Area, Mountain View, CA
Pelvic organ prolapse is very common among women of childbearing age. Fortunately, it often resolves on its own or requires minimal treatment. When treatment is necessary, women in the Bay Area can trust Dr. Nezhat Solimani at her Mountain View practice, Complete OBGYN Care.
Pelvic Organ Prolapse Q & A
What happens during pelvic organ prolapse?
The strain of vaginal childbirth is most often linked to pelvic organ prolapse, when the muscles supporting the pelvic organs become weakened and stretched. It can be worsened by obesity, a prolonged cough, constipation, or even pelvic tumors. If the pelvic muscles are no longer able to support the pelvic organs in their proper position, they slip, or prolapse. The most common organs involved in pelvic organ prolapse include:
- the bladder (the most common prolapse, also called a cystocele)
- the uterus
- the urethra
- the vagina
- the small bowel
- the rectum
Pelvic organ prolapse isn't usually a major health problem, but it can be painful. Occasionally, a prolapse will heal on its own over time.
When should I call the doctor if I suspect pelvic organ prolapse?
If you notice any of the following, make an appointment with your doctor:
- Bulging inside or outside the vagina
- Pulling or pelvic pressure that goes away when you lie down
- Painful intercourse
- Vaginal spotting or bleeding
- Urinary incontinence
- Trouble passing a bowel movement
A gynecologist is your best source of medical care if you suspect pelvic organ prolapse.
How is pelvic organ prolapse treated?
In many cases, when symptoms are mild and do not interfere with daily activities, women can reduce their symptoms with nonsurgical treatments, such as targeted exercises, lifestyle changes, or use of a pessary, which helps support the pelvic organs. However, in the case of more severe symptoms, such as incontinence, painful intercourse, or severe pain and pressure, surgery may be required to correct the prolapse.
Surgical treatment for pelvic organ prolapse may include:
- Repair of the tissues and muscles that support the prolapse organ
- Vaginal wall surgery
- Removal of the uterus (hysterectomy), most often performed when it is causing prolapse of the vagina and other organs
You can prevent or minimize symptoms of pelvic organ prolapse by performing Kegel exercises to strengthen the pelvic muscles, preventing constipation, avoiding heavy lifting, and maintaining a healthy body composition.
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Words from our patients
"I liked seeing Dr. Solimani! She is such a warm and nice person! I trust in her experience as a doctor!"
"Dr. Solimani was able to diagnose my ovarian cancer although I was in her office for a different issue. She performed surgery on me, and I've been cancer free so far."
"Dr. Solimani is an incredible physician. I have been her patient for 6 years - through all 3 pregnancies. Dr. Solimani is very polite, kind, humble, and considerate."
"She is absolutely one of the best in the bay area!"
"Listens carefully and takes into account the needs of the individual and their family. Very considerate."