What to do if the vagina falls

If you feel your vagina is falling, then you may need to consider whether it is a problem of vaginal prolapse. Vaginal prolapse includes surgical and non-surgical treatments. Non-surgical treatments include lifestyle intervention therapy and pelvic floor rehabilitation therapy.

Nonsurgical treatment

Generally, non-surgical treatment is the preferred treatment option for patients with mild to moderate disease. Non-surgical treatment is also suitable for patients who cannot tolerate surgery, are waiting for surgery, or are unwilling to undergo surgery. Current non-surgical treatments include: lifestyle intervention therapy, pelvic floor rehabilitation (pelvic floor muscle training, biofeedback therapy, etc.), pessary, etc. The treatment goals are to prevent worsening of prolapse; increase the strength, endurance, and support of the pelvic floor muscles, and avoid or delay surgical intervention.

Surgery

Surgical treatment is suitable for patients with moderate to severe prolapse, those who have failed conservative treatment, or those who are unwilling to undergo conservative treatment. It is mainly symptomatic prolapse, or prolapse of grade II or above with obvious progression. All patients should be given the opportunity to try conservative treatment.

Surgical routes include vaginal, abdominal, and laparoscopic, or a combination of these. Depending on the extent and location of prolapse, surgery should include repair of the anterior vaginal wall, vaginal apex, posterior vaginal wall, and perineal body. It is also possible to have surgery to treat urinary incontinence and fecal incontinence at the same time.

Rehabilitation care

After surgery, patients should avoid strenuous physical activities or lifting heavy objects within three months. If necessary, local vaginal estrogen can be used to promote wound healing.

Vaginal prolapse should be intervened and treated early, and prevention should be done before it occurs. Since injuries caused by pregnancy and childbirth are the main causes of prolapse, it is recommended that female friends undergo pelvic floor function screening in the early postpartum period, and conduct early pelvic floor training, biofeedback therapy, and electrical stimulation therapy. Early intervention before the appearance of typical clinical symptoms can reduce the occurrence of prolapse.