P.G. was a 54-year-old mother of three. All three of her children had been natural, vaginal deliveries. Her youngest is now 14. She had been complaining of increasing pelvic pressure for the past six or seven years, but since menopause (at age 52), her symptoms had been getting worse.
She had some leaking of urine, again worsening the past few years. P.G. could no longer play tennis, which she loved, let alone do any real physical activity without discomfort. She scheduled an urgent appointment since she felt that something was “falling out.”
I had a suspicion about what I would find when she showed up for her exam. She had a grade three uterine prolapse, which is pretty significant. We grade them from one to four, with three being the uterus peeking out of the vagina. At 4, the whole uterus is hanging outside the vagina….