PREVENTION OF PELVIC ORGAN PROLAPSE

There are a number of things that you can do to reduce your risk of prolapse or help prevent a mild prolapse from getting worse.

  • Pelvic Floor Exercises, also called Kegel exercises, are one of the most effective ways to strengthen the muscles of your pelvic floor.  Stronger muscles will reduce your risk of prolapse and urinary incontinence. 
  • Eat a diet high in fiber to help prevent constipation and reduce straining when having a bowel movement. 
  • Try to keep your weight under control.  Excess pounds will place additional pressure on your pelvic floor muscles and increase the chances of pelvic organ prolapse as your muscles age.
  • Stop smoking.   A smoker’s cough places chronic strain on the pelvic floor muscles.  Smoking may also weaken the ligaments supporting the pelvic floor or limit the effects of estrogen on pelvic floor tissues.
  • Don’t chronically lift heavy objects.  If your job requires chronic lifting of heavy objects, consider other positions within your company that do not require such activities.  This is especially important for preventing recurrences of pelvic organ prolapse after successful reconstructive pelvic surgery.  Remember, McDonalds is not the kind of place to be returning after successful heart bypass surgery.
  • Consider whether your children or grandchildren over 30-40 pounds really need to be picked up as much, especially when lifting them may compromise your pelvic floor. 
  • If you are post-menopausal, your physician may recommend hormone replacement, either in the form of a pill, a patch, vaginal cream or vaginal tablet.  Some physicians believe that local hormone therapy (in the vagina) may strengthen the tissues of the vagina.
  • Choose alternative options other than hysterectomy for treatment of abnormal uterine bleeding or pain.
 

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