You feel a heaviness that gets worse as the day goes on, or you can feel or see a bulge, and someone has used the word surgery. For many women the fear arrives before any facts do: will I be cut open, will something be taken out, where would it happen, and is this the end of the road? It is common to feel this way, and prolapse is a common condition, not something to quietly put up with.
The first step is not an operation. It is an assessment: a conversation about what you notice and how it affects your day, and an internal examination that shows which part of the pelvic floor has dropped and by how much. Which treatment is right is decided after that examination, not from symptoms and not over a message. Anyone who names your operation before examining you is guessing.
Ask whether you need to be seen
Message us with what you are experiencing and we will tell you whether an examination is worth making, and what the appointment involves.
Where in Bangkok: THE FIT CLINIC, 8th Floor, EM Tower (EMSPHERE), at BTS Phrom Phong, with specialists in urogynecology and female pelvic reconstructive surgery. A female doctor can be chosen. Open daily 10:00–19:00.
WhatsAppLINEAfter the assessment the options are laid out for you. Mild to moderate prolapse is usually managed without an operation, with supervised pelvic floor training and sometimes a pessary, a support fitted in the vagina. Surgery is considered when those are not enough, or when the examination points to it. Nothing has to be decided in the room, and you can go away and think.
If surgery is the right discussion, it is also a discussion about the route. Most prolapse surgery is done through the vagina, with no abdominal wound and no scar on the outside. Whether the uterus can stay or is better removed is a separate decision, and keeping it is a real option for some women. Your surgeon explains what applies to you, including the risks and the fact that prolapse can come back after any repair. Results differ between individuals and no outcome is guaranteed.
The clinic does not operate on its premises. Assessment, planning and follow-up happen at the clinic, and operations are performed at our partner hospitals, Praram 9 Hospital and Vimut Hospital, by the clinic's urogynecologists. Which hospital is used depends on the operation planned, the surgeon's schedule and, where relevant, which hospital your insurance works with.
See a doctor sooner if you cannot pass urine, if you have bleeding after menopause, if the bulge becomes painful or cannot be eased back, or if there is fever with pelvic pain.
If you are worried about the operation itself, or even about being examined, say so. Message us on WhatsApp or LINE with a few lines about what you are feeling and what you have been told. The team replies with whether an examination is worth making and what the appointment involves, and you can speak with the doctor in Thai or English at EMSPHERE by BTS Phrom Phong. You decide at each step.