Vaginal Prolapse Care Instructions

Your Care Instructions for Vaginal Prolapse

When the top of the vagina sags near or through the opening of the vagina, it is called vaginal prolapse.

This may happen after surgery to remove the uterus. This is because the uterus no longer supports the vagina.

Vaginal prolapse may cause you to leak urine or stool. Or you may have trouble passing urine or stool. You may feel pain during sex. Or you may feel pressure on your genitals.

Medicine may help you feel better. You can also talk to your doctor about a device you put in your vagina. It may help with symptoms.

Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take.

How can you care for yourself at home if you have vaginal prolapse?

  • Do not do activities that put pressure on your pelvic muscles. This includes heavy lifting and straining.
  • Do exercises to tighten and strengthen your pelvic muscles. These are called Kegel exercises. To do them:
    • Squeeze the muscles you use to stop urine. Your belly and thighs should not move.
    • Hold the squeeze for 3 seconds. Then relax for 3 seconds. Start with 3 seconds. Then add 1 second each week until you are able to squeeze for 10 seconds.
    • Repeat this 10 to 15 times. Do these exercises 3 or more times a day.
    • Take an over-the-counter pain medicine, such as acetaminophen (Tylenol), ibuprofen (Advil, Motrin), or naproxen (Aleve), to relieve pain. Read and follow all instructions on the label.
    • Do not take two or more pain medicines at the same time unless the doctor told you to. Many pain medicines have acetaminophen, which is Tylenol. Too much acetaminophen (Tylenol) can be harmful.
    • Talk with your doctor about a vaginal pessary. This is a device that you put in your vagina to support it. Your doctor can teach you how and when to remove it. You will also learn how to clean it and put it back in.
    • If your doctor prescribes estrogen cream for your vagina, use it exactly as prescribed.
    • To relieve pressure on your vagina, lie down and put a pillow under your knees. Or you can lie on your side and bring your knees up to your chest.
    • If you are overweight, talk to your doctor about safe ways to lose weight.

When should you call for help?

Call your doctor now or seek immediate medical care if:

  • You have new urinary symptoms, such as pain when urinating or urinating often.
  • You have pain in your lower back or belly.

Watch closely for changes in your health, and be sure to contact your doctor if:

  • You feel something bulge outside of your vagina.
  • You have irregular vaginal bleeding.
  • You have a new vaginal discharge.
  • You are leaking urine.
  • Your symptoms keep you from doing your daily activities.
  • You have pain during sex.