Sex with uterine prolapse - any tips or experiences?

[mats]

I have a uterine prolapse - I think Stage 3. It puts me off having sex and it’s affecting my marriage. I have tried in the past to get help from my GP without much success. I’m gearing myself up to try for another appointment but i am hoping for help/advice from fellow sufferers in the meantime please. (For a bit of background I am 51 years old and peri menopausal. I take a combined HRT). Thank you x

Hi, I can’t really offer much help or advice, just wanted to let you know you’re not alone. I have a bladder prolapse and my GP referred me to a pelvic health physio (NHS), so maybe you could request this when you get an appointment? My physio has said it can take a few months to know whether the exercises will help, and if not I will be referred to gynae. To be honest I’m not convinced the exercises will make much difference but I live in hope! However, it makes a difference just knowing someone is actually interested in trying to help so I hope you are able to get this help too. The information she gave me on why this has happened was interesting too. Maybe you could just have a telephone appointment and request a referral?
I feel the same as you about sex, my physio advised that it won’t make any difference and is quite safe but the prolapse feels so awful at times I can’t really bear to think about sex. This may not be the advice for a uterine prolapse but thought I’d share what I was told.

@mats Go back to your GP and insist on a referral to a gynaecologist.
If necessary and to speed it up, pay for a private appt if you can and at least you will know what the next step is, even if you need to wait for that on the NHS.

You'll be looking at either a repair or a hysterectomy depending on how bad it is. There are pros and cons for each. In terms of the prolapse, there is an argument for retaining your womb and having it all 'lifted' as sometimes there can be what they call vaginal vault prolapse, later on, if it's removed.
There is also a lot of success variation with who does the surgery so you need to shop around and get a surgeon who is experienced.

In the short term, you might be able to fix it with a ring pessary which (I understand) can stay in place during sex.