The troublesome endometrial tissue can sometimes be removed with miniature instruments inserted through small incisions made in the abdomen. Hysterectomy may be necessary when symptoms cannot be controlled with other treatments or when endometrial tissue is found within the wall of the uterus. The ovaries and fallopian tubes may also have to be removed if wayward tissue has spread to those organs. If the tissue has already seeded itself throughout the pelvis, removing the ovaries may cause the excess tissue to atrophy. Uterine Prolapse A weakening of the supporting muscles and ligaments of the uterus can cause it to sag into the vagina and eventually protrude from the body.
Symptoms can include a sensation of heaviness in the pelvic area and urinary incontinence.
Treatment options Pelvic floor exercises. If done at the first sign of prolapse, Kegel exercises, which strengthen vaginal muscles, may prevent this condition from worsening. Estrogen replacement therapy for post-menopausal women may lessen symptoms. A minor prolapse may be treated with surgery to repair supporting ligaments. This diaphragm-like device can be inserted around the cervix to help prop up the uterus.