Does prolapse repair affect fertility?
Most types of prolapse repair have little or no effect on fertility. However, some surgical procedures—such as hysterectomy or vaginal vault closure—will prevent future pregnancy, so surgical planning is important for women who wish to preserve fertility.
Detailed Medical Explanation
Native tissue repairs (such as anterior or posterior vaginal wall repair) generally preserve the uterus and ovaries, leaving fertility intact. Surgeries involving removal of the uterus (hysterectomy) or closing off the vaginal vault (colpocleisis) will make pregnancy impossible. Women considering repair should discuss their fertility wishes with their surgeon. Many prolapse procedures are delayed until after family completion for this reason. (NHS: Prolapse treatment | RCOG Green-top guideline)
Clinical Context
All women of childbearing age should discuss their future pregnancy plans with their consultant before any prolapse surgery. Conservative options can help manage symptoms until family is complete.
Evidence-Based Approaches
NICE and RCOG guidelines advise individualised care and family planning discussions before prolapse surgery. (NICE NG123)