Most impoant suppo of uterus for preventing prolapse is:
Pelvic diaphragm is the most impoant suppo for the uterus. It comprises of levator ani muscle: ischio-coccygeus, ilio-coccygeus and pubo-coccygeus (most impoant) coccygeus superior and inferior fascia Prolapse of uterus occurs usually in old age in a multiparous woman. A neglected or imperfectly repaired perineal tear is an impoant cause of such a prolapse. It is also ored by hard manual or domestic labor, subinvolution of uterus, injury or idiopathic weakness of transverse cervical and uterosacral ligaments and a persistent rise in intra-abdominal pressure.
Pelvic floor
Round ligament of ovary
Round ligament of uterus
Transverse cervical ligament
Genital Prolapse - various presentation of prolapse and management of urinary stress incontinence (I am hanging by my nails !)