A case report of conservative treatment of pelvic organ prolapse in a 40-year-old pregnant woman

BACKGROUND: Pelvic organ prolapse (POP) is a rare event in pregnancy. Genital organs' prolapse is multi-factorial and can be caused due to weakness of connective tissue and pelvic support muscles and also nerve damage. The purpose of this study is to report a case of conservative treatment of POP in pregnancy. CASE REPORT: A 40-year-old woman with multiparous at week 17 of pregnancy complaining of heaviness, pressure, and mass protrusion from the vagina was referred to the Sayedolshohadaei Hospital in Sanandaj, Iran. On vaginal examination, Grade 3 prolapse based on Pelvic Organ Prolapse Quantification System (POP-Q) was diagnosed. Conservative treatment with pessary was ordered for her and bed rest was recommended followed by personal hygiene. Her pregnancy ended successfully and no complications happened for the mother and the baby. CONCLUSION: Management and treatment of POP in an individualized and separate approach can be adopted based on the patient preferences. Use of pessary to prevent complications would be useful and can be considered as a noninvasive treatment in consulting patients