A 72-year-old woman presented to the gynaecology clinic with complaints of pelvic pressure and a sensation of something "falling out" of her vagina over the past six months. She reported that the symptoms worsened throughout the day, especially after prolonged standing or physical activity, and were accompanied by urinary incontinence and occasional back pain. The patient expressed concern about her ability to participate in social activities and manage household tasks due to the
discomfort. The patient had a medical history of hypertension and osteoarthritis and was postmenopausal for over 20 years. She had two vaginal deliveries in her twenties but no surgical history related to her reproductive system. During the examination, a pelvic examination revealed a stage II uterine prolapse, with the cervix descending into the vaginal canal.
The gynaecologist discussed the diagnosis of uterine prolapse and explained the various treatment options available. Conservative management, including pelvic floor exercises (Kegel exercises) and lifestyle modifications, was recommended to strengthen the pelvic muscles. The use of a pessary was also discussed as a non-surgical option to support the uterus. The possibility of surgical intervention was mentioned, depending on the patient’s preferences and response to conservative measures. The patient was encouraged to schedule a follow-up appointment in three months to reassess her symptoms and discuss the effectiveness of the initial
management plan.