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The Silent Strain: What Is Uterine Prolapse?

Many women live with uterine prolapse without saying anything about it, thinking it's just normal after childbirth or part of ageing. In fact, it's a medical condition that may be treated. It happens when the pelvic muscles and ligaments get weak and the uterus slips down into or even outside the vaginal canal.

Uterine fibroids are among the most common benign tumours affecting women of reproductive age, yet their impact often goes unnoticed until they interfere with life’s most intimate goals like motherhood.

  • Studies suggest that nearly 50% of women above 50 may experience some degree of pelvic organ prolapse during their lifetime, yet only a fraction seek help.
  • Nearly 70–80% of women develop fibroids by the age of 50, and about 1 in 4 women experience such as heavy bleeding, abdominal pain, or difficulty conceiving.
  • Around 25% of women between 30–50 years are affected, though many remain undiagnosed until fertility challenges emerge.
  • This has been seen as one of the key reasons behind most failed conception attempts.

Symptoms of Uterine Prolapse

The most common signs to look out for are:

  • A sensation of heaviness or pulling in the pelvis
  • Feeling of a lump or bulge in the vaginal area
  • Lower back pain that worsens after standing
  • Urinary incontinence or frequent urge to urinate
  • Pain during intercourse
  • Constipation or difficulty with bowel movements

Uterine prolapse doesn't always happen all at once; it happens slowly as the pelvic muscles get weaker. You might not notice the early indicators, but you should never dismiss them. In later stages, the uterus may stick out of the vaginal opening. Women often say it feels like something falling down within, which may be both physically and emotionally painful.

Dr. Aruna Kalra is one of the most sought-after physicians who offer innovative and caring treatment for uterine prolapse that combines medical accuracy with emotional support. She makes a personalised treatment plan that balances keeping the uterus healthy with getting pregnant using minimally invasive gynaecologic surgery.

Diagnosis of Uterine Prolapse

Diagnosis begins with a detailed pelvic examination. Dr. Aruna Kalra, one of the best gynecologists for uterine prolapse in Gurgaon, carefully assesses the degree of prolapse, ranging from mild (first-degree) to complete (fourth-degree).

Diagnostic tests may include:

  • Pelvic ultrasound or MRI to assess supporting muscles and organs
  • Urodynamic studies if urinary symptoms are present
  • Pelvic floor strength evaluation to plan personalised treatment

This precise diagnosis ensures that every woman gets the most appropriate management - whether conservative, surgical, or combined.

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Dr. Aruna Kalra

Dr. Aruna Kalra

  • 25+ yrs experience in laparoscopic & robotic gynecological surgeries
  • 5,000+ successful procedures | 1-day, scarless, painless recovery

Uterine Prolapse Treatment Options in Gurgaon

Every woman’s body and stage of prolapse are unique. With Dr Kalra’s approach in Gurgaon, treatment focuses on personalised recovery, balancing comfort, fertility goals, and long-term wellness.

Non-surgical Treatments

For mild or moderate prolapse, conservative approaches can be quite helpful:

  • Kegel exercises for the pelvic floor: Make muscles stronger and help with minor prolapse.
  • A pessary device: A small, detachable ring that goes in the vagina and holds the uterus in place.
  • Managing your lifestyle: Keeping your weight in check, eating a lot of fibre, and not lifting heavy things can all help.
  • Hormone therapy: Oestrogen creams may assist menopausal women keep the tone of their pelvic tissue.

Surgical Treatments

When prolapse is moderate to severe, surgery provides lasting relief and structural correction. Some common procedures are:

  • Vaginal or laparoscopic hysterectomy: This is the removal of the uterus when it has prolapsed too far.
  • Uterine Suspension Surgery (Sacrohysteropexy): This surgery lifts and secures the uterus using mesh or natural tissue, keeping the anatomy and fertility intact.
  • Laparoscopic Uterine Prolapse Surgery: A minimally invasive procedure that speeds up healing, causes less pain, and shortens hospital stays.

Patients are fully educated, comfortable, and involved in the decision-making process for each surgery.

Surgery Image

Causes & Risk Factors of Uterine Prolapse

Uterine prolapse can result from several causes that weaken pelvic support structures. The most common include:

  • Childbirth trauma: Vaginal deliveries, especially multiple or complicated ones, can overstretch or injure the pelvic floor.
  • Ageing & menopause: Low oestrogen levels reduce muscle elasticity and pelvic strength.
  • Chronic pressure: Persistent coughing, constipation, or heavy lifting can strain pelvic tissues.
  • Obesity: Extra weight in the stomach puts more pressure on the pelvis.
  • Genetic predisposition: Some women are born with connective tissues that are naturally weaker.

Knowing what causes these problems can help you avoid them and get care early on for long-term pelvic health.

Complications if Left Untreated

Ignoring symptoms of uterine prolapse can have long-term consequences. Without treatment, the condition can worsen over time and lead to:

  • Chronic pelvic pain and discomfort
  • Recurrent urinary tract infections (UTIs)
  • Difficulty urinating or passing stools
  • Vaginal ulcers from tissue exposure
  • Negative impact on sexual health and emotional well-being

Timely intervention not only restores physical health but also safeguards emotional confidence, allowing women to reclaim control over their lives. Uterine prolapse is not just a physical condition, it impacts confidence, mobility, and intimate relationships. But with timely diagnosis and expert care, recovery is entirely possible.

Under the compassionate guidance of Dr. Aruna Kalra, women in Gurgaon have access to world-class uterine prolapse treatment, combining medical expertise with genuine empathy. Whether you need non-surgical support or advanced laparoscopic prolapse surgery in Gurgaon, her team ensures you heal with dignity and regain control over your body.

If you’re experiencing symptoms of prolapse, don’t wait for it to worsen. Book a consultation today and take the first step toward regaining your comfort, confidence, and quality of life.

Treatment Approach for Uterine Prolapse

Uterine Prolapse includes conservative management with pelvic floor exercises and vaginal pessaries, progressing to surgical options such as uterine suspension or hysterectomy based on severity, symptoms, and patient preferences.

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Underlying condition

fibroids, endometriosis, uterine prolapse, cancer, or heavy bleeding.

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Extent of surgery needed

total, partial, or radical hysterectomy.

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Surgical technique

Robotic-Assisted, Laparotomy, or Laparoscopic Ovarian Cystectomy.

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Patient factors

age, medical history, and overall health.

Procedure walkthrough of Uterine Prolapse

Preparation

Pre-surgical evaluation (blood tests, imaging, ECG). Fasting for several hours before surgery.

Incision & Access

May be done in the lower abdomen, through the vagina, or with small camera-guided incisions.

Closure

Incisions or vaginal openings are sutured. Sterile dressing is applied.

Recovery

Hospital stay usually ranges from 1–3 days (may be shorter with minimally invasive surgery).

Why trust Dr. Aruna Kalra?

25+ years of surgical expertise
1,00,000+ successful surgeries
Expert in advanced women’s surgical care
Medical mentor & thought leader

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Why trust Dr. Aruna Kalra?

25+ years of surgical expertise
1,00,000+ successful surgeries
Expert in advanced women’s surgical care
Medical mentor & thought leader

What our patient say about us ?

Do you have any query ?

Here are some frequently asked questions

A feeling of heaviness in the pelvis, urinary leakage, or a bulge in the vagina are early warning signs. Some women also experience discomfort during intercourse or lower back pain.
Mild prolapse can often be managed through Kegel exercises, pessaries, and lifestyle changes. However, advanced prolapse usually requires surgical correction.
The most common cause is weakening of pelvic floor muscles due to childbirth, menopause, or ageing. Chronic coughing or heavy lifting can worsen it
There are four stages — from first-degree (mild descent) to fourth-degree (uterus fully protrudes). Early diagnosis helps prevent progression.
Untreated prolapse can lead to chronic infections, sexual discomfort, and bladder or bowel dysfunction. Timely medical attention prevents complications.
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