Q: My 44 years old wife has a bulky uterus and has been experiencing irregular periods. She also experiences continuous pain around her lower abdomen and waist. The doctor has asked her to do some exercises and avoid load etc. She is a housewife and has to perform various activities at home. I have learnt that removal of uterus through surgery is also an option. Is that true?

A:If it is an early and slight prolapse, exercises for three months may help in 60-70% cases. If the prolapse is troublesome, surgery can be done later. If she is older than 35 years and does not want to have more children, removal of uterus and repair of prolapse can be a treatment option. This can be done by the vaginal route and is associated with minor problems in 1-2% of cases. The problems may include excessive bleeding, urine infection, pelvic infection or injury - all of which are also treatable.