A prolapse is the falling or sinking of a part or the whole of an organ.

This may be due to an overstretching following pregnancy or through a diminution in the tensile strength because of a loss of oestrogen. Prolapse is therefore more common following multiple pregnancies or menopause.

Any discomfort or symptoms in the vagina or pelvis that do not resolve need to be examined by a gynaecologist.

Pelvic floor exercises taught through yoga, Qi Gong or basic physiotherapy may support and correct a mild prolapse.

Surgical repair may be necessary and this is performed by tightening up the uterine ligaments or, radically, by a hysterectomy.

Before any operative procedure is considered, please see a complementary medical specialist with an interest in herbal medicine and acupuncture because the two in combination may tighten up the ligaments more so than exercises alone.

Uterine retroversion/anteversion

When standing erect a woman should find her uterus in a position with the cervix pointing downwards but the top of the uterus pointing forwards.

This antiverted position of the uterus to some extent prevents gravity from pulling down the fertilised egg and has been enhanced through natural selection during human evolution. Many women, however, have a uterus that is more erect in its position and this condition is called a retroverted uterus. It is an anatomical anomaly and not a disease condition and only rarely causes problems, such as pressure on the sacral nerves leading to discomfort in the lower back, pelvis and legs or infertility. It is caused by a tightness or shortness of the supporting ligaments.

I recommend that all women have a gynaecological examination specifically to ascertain the position of the cervix in relation to the uterus. Ultrasound may be very beneficial as well. Unexplained back pains may be associated with this and prolonged and invasive techniques for investigating infertility may be avoided. If the cervix is pointing too far forward then there is a strong suggestion of a retroverted uterus. Conception may prove difficult because the sperm will pool at the back of the vagina and not have easy access to the cervical opening, the os. In such cases, sexual intercourse with the female on all fours or face down will allow the weight of the uterus to fall forward, therefore bringing the cervix more into a mid-line and available area. It is also worthwhile for the woman to sleep on her front after intercourse in order to maintain the position of the os .

In unusual cases the uterus may be lying to the left or right in the pelvis and the cervical opening will be pushed into the left or right side of the vagina. Again, if this situation is established then corrective positioning through intercourse may well deal with prolonged cases of infertility.


Obtain a gynaecological assessment to recognize the uterine position.

Strengthen pelvic floor muscles through yoga or Qi Gong techniques because this may pull the uterus into a less retroverted position.

In infertility, consider using a variety of positions both for intercourse and sleeping after sex.

For backache, etc consult an osteopath/chiropractor and use in combination with yoga or Qi Gong.

In extreme cases and where necessary, consider operative procedures and remove a section. Both ends are sealed and from then on any sperm produced cannot gain access to the seminal fluid and prostate and will be reabsorbed by the body.

Sperm and testicular function are unaltered, although there have been some recent studies suggesting that vasectomies may cause cancer. These have been further researched and refuted.

Vasectomy is generally performed on a man who has established his family arrangements, having had enough children. It is certainly safer for a man to be sterilized than it is for a woman and is an effective form of contraception .

The downside is that a man may be able to father a family well into his dotage and a vasectomy must be considered irreversible . There is no reason to believe that a vasectomy will alter libido or sexual drive one way or the other and a lot depends upon the psychology of the individual and the reasons why a vasectomy was performed. I have come across no spiritual reasons to interrupt a man’s fertility.


The operation is under local anaesthetic and therefore the insult to the system is reduced.

Prepare the scrotum by applying an Arnica-based cream twice a day for five days before the operation.

Please follow the pre- and post-operative suggestions to help healing because this is a tender operation although discomfort is generally held at bay by the use of Arnica 6 and a painkiller.