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Uterine Prolapse

Causes of Uterine Prolapse

A weakening of the pelvic muscles and ligaments that hold the uterus in position causes uterine prolapse. The condition most commonly affects women who have had vaginal births. Other factors during birth may also play a role. Among these are birth of a very large baby (macrosomia), a long second stage of labor, an episiotomy, an epidural and injury to the anal sphincter muscle.

Known risk factors for uterine prolapse include:
•    Aging – with the risk doubling with each decade of life
•    Trauma during childbirth
•    Being overweight or obese
•    Family history
•    Race
•    Muscle strain associated with long-term constipation
•    Increase pressure in the abdomen such as from a chronic cough
•    Tumor in the pelvic cavity

Menopause is often cited as one of the causes of uterine prolapse due to reduced estrogen. However, some studies of women following a hysterectomy have found no relation between the condition and estrogen loss.

Locations for Uterine Prolapse