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Possibilities of pregnancy with a fallen uterus

by Alivia Nyhan
Published: Last Updated on
Possibilities of pregnancy

The fallen uterus or uterine prolapse is a condition that affects Caucasian women between 40 and 60 years of age in a more significant proportion, although it can present at any age. It is the sliding of the uterus into the vagina due to weakening the ligaments that support it.

This condition can affect women’s lives depending on prolapse, ranging from mild to severe. Depending on the case, this can have different consequences and treatments, ranging from exercises to strengthen the pelvic floor to surgeries. When women suffer from this condition and are still of childbearing age, they often wonder what the chances of pregnancy with a dropped uterus are. In the following FastlyHealarticle, we will explain it to you!

The fallen uterus or uterine prolapse

Uterine prolapse is caused by the weakening and stretching of the pelvic floor muscles and ligaments, so they cannot adequately support the uterus. The consequence is that the uterus begins to fall towards the vagina, being able to protrude through it.

  • The displacement of the uterus is first towards the vagina, being, in this case, a mild prolapse.
  • This can progress and become a moderate prolapse when the uterus completely occupies the vagina.
  • It becomes serious when the uterus protrudes from the vagina and women have the sensation of a ball between the labia; they can even touch it. However, it is not often that this condition progresses that far.

Uterine prolapse affects women between 40 and 60 who have usually had multiple vaginal deliveries. This condition is generally associated with postmenopause when there is a decrease in estrogen production. Depending on the severity of the situation, it will require treatment or not. Treatment will also depend on how it affects the daily lives of the affected women.

Causes of the fallen uterus

The uterus is held in place by specific muscles, ligaments, and tissues, but when these are stretched or weakened, it collapses into the vagina. The weakening of the support system of the uterus can be due to different reasons. The leading causes of a fallen uterus include:

  • Trauma after many complicated vaginal deliveries, deliveries of large babies, and multiple pregnancies.
  • The elderly led to the aging of all tissues and a decrease in estrogen levels after menopause began.
  • Permanent stresses on the pelvic floor as in cases of obesity, frequent constipation, and chronic cough—efforts related to lifting heavy objects.
  • It can rarely be due to a pelvic tumor.

Causes of the fallen uterus

Symptoms of a fallen uterus

Prolapse of the uterus can range from mild to severe. Your symptoms will depend on their severity. Generally, a mild prolapse can go unnoticed, but it will begin to produce symptoms if it progresses to moderate or severe. The symptoms of the uterus fallen may include:

  • Pressure or heaviness in the pelvis or vagina.
  • Problems with sexual intercourse.
  • I was leaking urine or a sudden urge to urinate.
  • Lumbago.
  • Protrusion of the uterus and cervix towards the vaginal opening.
  • Repetitive bladder infections.
  • Vaginal bleeding
  • They have increased vaginal discharge.

Uterine prolapse may be associated with prolapse of other pelvic organs, such as the bladder and rectum.

Symptoms of a fallen uterus

Possibilities of pregnancy with a fallen uterus

The chances of getting pregnant and carrying a pregnancy to fruition when you have a fallen uterus will depend on the degree of the prolapse. Uterine prolapse is a silent disease that initially shows no symptoms in many cases. A physical exam will be necessary to see the protrusion of the cervix into the vagina when it is a first-degree or mild prolapse.

In general, in these cases, you can get pregnant, but, without a doubt, the increase in weight that the pelvic floor will have to support can make the situation worse, and delivery may not be so easy. For women who have a first-degree prolapse and wish to become pregnant, it is best to follow your doctor’s advice to tone the pelvic floor. Among others, they will surely recommend exercises to strengthen the pelvic floor.

In more severe cases, when the prolapse is second degree, and there is already a protrusion coming out of the vagina or third-degree, and the whole uterus comes out through the vagina, it is not advisable to get pregnant. It would undoubtedly be complicated to achieve it. In these cases, it is essential to go to other treatments that solve the uterine prolapse and then get pregnant.

Usually, in these more severe cases, the doctor will evaluate the possibility of doing surgery. The womb can be left in or removed entirely or partially, depending on the patient. It must also be taken into account that other organs such as the bladder and rectum can also prolapse, which must be corrected at the operation time.

Surgery for fallen uterus

Three different surgeries are generally contemplated :

  • Hysteropexy: allows reinforcing the ligaments so that the uterus returns to its place.
  • Trachelectomy or Manchester surgery: the uterus is preserved, but the neck often regrown with this condition is removed. In this way, the body of the uterus is preserved.

These first two surgeries will allow young women to get pregnant again or for the first time without being mothers yet.

  • Hysterectomy with colpopexy: in this third surgery, the entire uterus is removed, and the upper part of the vagina is fixed so that it does not prolapse later. This surgery is not recommended for women who wish to become pregnant.

In any case, when faced with symptoms of a fallen uterus or uterine prolapse, it is advisable to consult a specialist who will be able to recommend the most appropriate treatment in your case, especially if you wish to become pregnant.

This article is merely informative. At FastlyHeal .com, we do not have the power to prescribe medical treatments or make any diagnosis. We invite you to see a doctor in the case of presenting any condition or discomfort.

If you want to read more articles similar to Possibilities of pregnancy with a fallen uterus, we recommend that you enter our category of Female reproductive system.

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