Uterine prolapse is a medical condition characterized by the descent or sagging of the uterus from its normal position within the pelvis, leading to it protruding into the vaginal canal or in severe cases, outside the vaginal opening. This condition typically occurs when the supportive structures of the pelvis, including the pelvic floor muscles and ligaments, weaken or become damaged, unable to adequately support the uterus. 

Common causes of uterine prolapse include:

1. Childbirth: The strain of childbirth, particularly vaginal delivery, can stretch and weaken the pelvic floor muscles and tissues, increasing the risk of uterine prolapse.
2. Aging: As women age, hormonal changes and the natural weakening of connective tissues can contribute to the development of uterine prolapse.
3. Menopause: The decrease in estrogen levels during menopause can lead to a loss of muscle tone and elasticity in the pelvic floor muscles, increasing susceptibility to uterine prolapse.
4. Chronic constipation or straining: Regularly straining during bowel movements due to chronic constipation or other gastrointestinal issues can weaken the pelvic floor muscles over time, predisposing individuals to uterine prolapse.
5. Obesity: Excess body weight can put additional strain on the pelvic floor muscles and tissues, increasing the risk of uterine prolapse.

Symptoms 

Symptoms of uterine prolapse can vary depending on the severity of the condition and may include:

• A sensation of pressure or fullness in the pelvis.
• Discomfort or pain in the pelvis or lower back.
• Difficulty urinating or emptying the bladder completely.
• Urinary incontinence or leakage.
• Painful sexual intercourse.
• Visible protrusion of the uterus into the vaginal canal or outside the vaginal opening.

Treatment and Management

Treatment for uterine prolapse depends on the severity of symptoms and may include:

• Pelvic floor exercises (Kegel exercises) to strengthen the pelvic floor muscles.
• Lifestyle modifications, such as weight management and avoiding activities that strain the pelvic floor.
• The use of pessaries, which are supportive devices inserted into the vagina to help hold the uterus in place.
• Surgical intervention, such as uterine suspension or hysterectomy, in severe cases of uterine prolapse that do not respond to conservative treatments.
• Pelvic prolapse support braces, undergarments, and underwear

It's important for individuals experiencing symptoms of uterine prolapse to seek medical evaluation and treatment from a healthcare provider to alleviate discomfort and prevent complications. Early intervention and proper management can help improve quality of life for those affected by uterine prolapse.

Solution for Uterine Prolapse: FemiCushion

FemiCushion is an innovative solution crafted to offer relief and support for individuals grappling with pelvic organ prolapse (POP) or associated pelvic floor challenges. Comprising specially crafted cushions, holders, and prolapse support underwear, this system is designed for external wear to alleviate the discomfort and symptoms linked with POP.

The FemiCushion ensemble features a variety of silicone cushions and fabric holders accompanied by a specialized prolapse underwear. These components are strategically positioned over the pelvic area to provide gentle yet effective support to the prolapsed organs, while simultaneously alleviating pressure on the pelvic floor muscles. Engineered for discretion and comfort, the prolapse undergarment enables individuals to wear it throughout the day without hindrance to their daily activities. 

Recent FemiCushion Medical Study

A research study conducted at Showa University Northern Yokohama Hospital and published in The Journal of Obstetrics and Gynecology Research investigated the effectiveness of FemiCushion in managing pelvic organ prolapse (POP) using magnetic resonance imaging (MRI). The study involved twelve participants aged between 56 and 84 years old, all diagnosed with severe stages 3 or 4 of POP.

The key findings from the study include:

• FemiCushion demonstrated significant success in repositioning prolapsed pelvic organs.
• The device achieved results comparable to those of a pessary, but without the associated risks such as vaginal erosion and bleeding.
• FemiCushion not only lifted the prolapsed organs but also provided support to the perineal body in an upward direction while closing the hiatuses.
• Individuals with severe POP experienced a considerable reduction in prolapse severity after using FemiCushion.
• Even with a short usage period, as little as one month, FemiCushion showed improvements in POP.

These findings highlight the potential of FemiCushion as a non-invasive treatment option for POP, offering benefits similar to a pessary while reducing certain risks. The study's results indicate promising advancements in the management of pelvic organ prolapse, particularly for individuals with severe stages of the condition.

The Stigma Surrounding Pelvic Floor Disorders

Many individuals feels embarrassed or ashamed to seek medical attention. Despite the discomfort and distress caused by symptoms, many people suffer in silence, reluctant to discuss their condition with healthcare providers or even family members. This reluctance to seek medical help can have detrimental effects on their physical and emotional well-being.

Embarrassment about discussing intimate health issues, particularly those related to the pelvic region, is a common barrier that prevents individuals from seeking timely medical attention for uterine prolapse. Cultural taboos, societal expectations, and misconceptions about pelvic floor disorders contribute to feelings of shame and reluctance to seek help. Some individuals may fear judgment or criticism from healthcare providers or worry about being perceived as unclean or abnormal. 

Moreover, symptoms of uterine prolapse, such as pelvic pressure, discomfort, urinary incontinence, and vaginal bulging, can significantly impact daily life and quality of life. However, the fear of discussing these symptoms with others and the belief that they are taboo topics to discuss openly can lead to feelings of isolation and hopelessness. 

Additionally, misinformation or lack of awareness about pelvic floor disorders may cause individuals to dismiss their symptoms as normal aging or changes associated with childbirth, further delaying or preventing them from seeking appropriate medical care. This lack of understanding can perpetuate feelings of shame and embarrassment, exacerbating the reluctance to seek help.

To address this issue, it is essential to break the silence surrounding pelvic floor disorders and create a supportive and inclusive environment where individuals feel comfortable discussing their symptoms and seeking help. Healthcare providers play a crucial role in promoting awareness, offering compassionate care, and providing education about pelvic floor health. By normalizing discussions about pelvic floor disorders and reducing stigma, we can empower individuals to seek timely medical attention and receive the care they need to manage uterine prolapse effectively. 

Supervising Doctor of This Article

Koichi Nagao, MD PhD

Professor, Department of Urology, Toho University Faculty of Medicine
Director of Urinary tract reconstruction center, Toho University Omori Medical Center
Director of Reproduction Center, Toho University Omori Medical Center

Professor Nagao specializes in plastic surgery in the field of reproductive medicine. He completed eight years of plastic surgery training at Showa University before majoring in urology at Toho University. With his meticulous surgical techniques and careful examinations that combines urology and plastic surgery, Professor Nagao became a Board Certified Specialist with multiple associations including the Japanese Urological Association, the Japan Society for Reproductive Medicine, and the Japanese Society for Sexual Medicine.