Conservative First-Line Treatment of Uterovaginal Prolapse
Uterovaginal prolapse (ICD-11 GC40.3 / ICD-10 N81.2) is managed initially through non-surgical strategies that address contributing factors and strengthen pelvic floor support.
Treatment approach — partial overview
The first-line approach is conservative and centres on targeted lifestyle adjustments together with a structured course of pelvic floor physiotherapy supervised by a specialist. For women who have been through the menopause, local hormonal therapy may also form part of the plan. The full regimen — including the specific interventions, sequencing, and escalation criteria — is available in the complete protocol.
References
- losing weight if you are overweight
- managing a long-standing cough if you have one
- stopping smoking
- avoiding constipation
- avoiding heavy lifting
- avoiding physical activity that impacts on the pelvic floor, like running or trampolining.
- Pelvic floor muscle exercises: to strengthen your pelvic floor muscles you may be referred to a specialist women's health physiotherapist for a course of physiotherapy treatment (3–6 months).
- Vaginal hormone treatment (estrogen): if you have gone through the menopause, your doctor may recommend vaginal estrogen treatment in the form of tablets, cream or a ring that is inserted into your vagina.