What is the first treatment tried for uterine prolapse?

A pessary is a removable device placed in the vagina to support the uterus and nearby pelvic organs. A clinician selects its shape and size, then checks that it is comfortable and stays in position. Some people use it during the day, while others keep it in for longer periods with scheduled removal and cleaning.

The first option is not the same for everyone. Mild symptoms may be managed with observation and pelvic-floor exercises, while a larger prolapse or troublesome pressure may need a pessary or a surgical discussion. Treatment can change if the device irritates the vaginal tissue or does not control symptoms.

Arrange a gynaecology or pelvic-floor assessment to confirm the prolapse and discuss fitting. Tell the clinician about pressure, difficulty emptying your bladder or bowel, leakage, vaginal discomfort and whether you hope to become pregnant. Avoid forcing a device into place yourself. If a pessary is fitted, follow the cleaning and review plan and report bleeding, discharge, pain or trouble passing urine.

Surgery may be considered when symptoms remain disruptive, a pessary is unsuitable, or you prefer a repair after discussing its effects. Possible procedures include hysterectomy or sacrocolpopexy; these are specialist decisions rather than automatic first steps.

Seek prompt medical advice for new bleeding, a sore or ulcerated area, severe pelvic pain, fever, inability to pass urine, or a prolapse that cannot be gently reduced. Urgent care is appropriate if pain is severe or you feel faint. A clinician can check for tissue injury, infection or bladder obstruction.

Ask which prolapse compartment is affected, whether a pessary is suitable, how it will be cleaned, when it needs review, and which symptoms would make surgery worth considering.