What is the best & safest procedure for uterine prolapse?

I was diagnosed with uterine prolapse when I was 68. I’m guessing you have made a gyn appointment. I was fitted with a pessary (mine is a rubbery, round disc with two larger holes opposing each other and two smaller holes also opposing). The gyn showed me how to fold it in half and insert it. Gravity and activity works the pessary down, every two to two and a half weeks I remove it at night, wash, air-dry, insert the next morning. At first it feels really weird to do this, but once in, you feel so much more comfortable. I needed reassurance my insides weren’t going to fall out (they won’t). You remove for intimacy. Hope this helps, happy to answer any other questions. Gyn told me surgery doesn’t last that long (5yrs?), I figure I’ll wait for improvements in that option.

Welcome @jbogob, in addition to the helpful post from @centre, I'd like to tag fellow members like @jeanne5009 @baxtersmom @ellen307 @donnacarp @sallysunshine and @harper7745 on this discussion about uterine prolapse.

Jbogob, what options are you considering?

I tried the Emsella chair, 6 treatments. It worked about 60% but 3 months later the bladder was coming down again. It's $200 and at first you need 6 treatments. Insurance doesn't pay. Ready to go try a pessary, and if I don't like it, probably opt for surgery. Louise Harper

@harper7745

Hi,
When you are ready for a pessary, please try several styles and sizes until you get the right fit.
I tried 2 rings...different sizes...and they were not comfortable. The next style had a little nubby
handle and, on the second size try, I knew it was an immediate fit. You should not be able to feel
anything. It should not fall out or irritate you in any way. I had a very patient AARNP in the OBY/GYN office.
Best thing I ever did. She should make sure you can insert and remove on your own before you leave
the office. She will probably recommend a vaginal RX cream (I use a low dose estrogen cream twice a week
which means I remove at night, use the cream, and re insert the following day. Use of some kind of
vaginal cream will also make removing and inserting easier....think of it like a moisutrizer.

Good luck
FL Mary

I will like to be tagged
@jbogob

Thanks, Judy

Of course, Judy. You are in the discussion. I tagged or @mentioned the other members to bring them into the discussion to share with you. I hope that makes sense.

Thanks Colleen!
Judy

Hi! I am now 72 and had a hysterectomy when I was 30. First bladder lift at 35 second around 40. I have had pelvic floor therapy and not had much of a problem since. I have some leakage but I have other issues that are taking precedence right now. Find a doc that deals with the therapy methods...there are new techniques out there. The pessary thing sounds messy and like something my grandmother had...lol. But, don't give up...no reason we older women can't age gracefully.

Thank you for your input. I went to the bladder institute and saw the AARNP. She didn't explain anything because I opted for the Emsella chair. I feel she will be good if I decide on the pessary. The pessary sounds messy, but it beats surgery. I appreciate your positive comments.
Louise Harper

@harper7745

Hi,

As a ps…the pessary is not messy at all. I forget to mention that I use a little lubricating gel on the edge of the device for easier insertion. Boom..it’s in. Beats surgery in my opinion…which is a route I am not willing to undergo.

FLMary