Sexuality is normal and healthy. Although many medical conditions may make it more challenging to have sex, there are often workarounds that can help individuals and couples successfully enjoy sexuality. I will post another blog later regarding sexuality and disability.
There are many misconceptions about prolapse and sexuality; this article is designed to help clear some of them up and perhaps get a dialog started on the subject.
First, intercourse does not cause prolapse, nor will it damage anything to have intercourse when uterine or vaginal wall prolapse is present. As orgasm brings more blood flow to the area, it may help strengthen the tissues and encourage better and stronger collagen growth around the vagina. That doesn’t mean it will cure prolapse, but it certainly won’t hurt!
Second, prolapse does not always worsen. While progression of prolapse is common, it is also quite common to have it remain relatively unchanged for many years.
Third, having a pessary placed to treat prolapse does not automatically end the ability to have intercourse. While some pessaries may make intercourse difficult or impossible, there are several that are quite compatible with penetrative sex, notably the ring or dish types. Since these are the most common pessaries used and are very similar to the diaphragm used for contraception, it is often possible to be able to continue to enjoy intercourse while the pessary remains in place.
Finally, as long as sex is not painful, is mutually enjoyable and comfortable, it can be enjoyed despite the presence of prolapse. When there is a lack of desire, it should be addressed appropriately regardless of other medical conditions. Furthermore, all medical conditions should be taken into account when reviewing both treatment of prolapse and issues with sexuality. Please feel free to discuss this with your doctor. If you are uncomfortable, please find a doctor with whom you feel comfortable discussing your concerns. There is definitely help available!