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Warning-sign checks

Uterine prolapse: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Seek urgent or emergency care if you cannot pass urine at all, especially if your lower abdomen is painful or swollen.

    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Ask for a prompt review if you develop:

    • New vaginal bleeding, especially after menopause
    • Bleeding, sores, or discharge from tissue outside the vagina
    • Burning during urination, fever, or repeated urinary infections
    • Increasing trouble emptying your bladder
    • New pain or a rapid change in the size of the prolapse
    • Pain, bleeding, or offensive discharge while using a pessary

    Heavy bleeding, fainting, severe pelvic pain, or severe illness with fever also requires urgent assessment.

    These symptoms are not typical of an uncomplicated prolapse and may have another cause.

  3. 3

    Does any of this apply?

    Book an appointment

    Arrange a routine appointment if you notice a vaginal bulge, pelvic heaviness, or bladder or bowel changes.

    Assessment is also appropriate if symptoms are affecting exercise, sex, work, or other daily activities.

Every sign above is quoted from the sofidex article on Uterine prolapse. If you are not sure, err upward — it is always reasonable to be checked.