The pelvic muscles and tissues support the pelvic organs like a hammock. The pelvic organs include the bladder, uterus and cervix, vagina, and rectum, which is part of the bowel. A prolapse happens when the pelvis muscles and tissues can no longer support these organs because the muscles and tissues are weak or damaged. This causes one or more pelvic organs to drop or press into or out of the vagina.
Pelvic organ prolapse is a type of pelvic floor disorder. The most common pelvic floor disorders are:
Urinary incontinence (leaking of urine)
Fecal incontinence (leaking of stool)
Pelvic organ prolapse (weakening of the muscles and tissues supporting the organs in the pelvis)
Pelvic organ prolapse happens when the muscles and tissues supporting the pelvic organs (the uterus, bladder, or rectum) become weak or loose. This allows one or more of the pelvic organs to drop or press into or out of the vagina.
The most common risk factors are:
Vaginal childbirth, which can stretch and strain the pelvic floor. Multiple vaginal childbirths raise your risk for pelvic organ prolapse later in life. u can prolapse even if you have never had children or if you had a cesarean, or C-section, delivery.
Long-term pressure on your abdomen, including pressure from obesity, chronic coughing, or straining often during bowel movements
Giving birth to a baby weighing more than 8½ pounds
Aging. Pelvic floor disorders are more common in older women. About 37% of women with pelvic floor disorders are 60 to 79 years of age, and about half are 80 or older.1
Hormonal changes during menopause. Loss of the female hormone estrogen during and after menopause can raise your risk for pelvic organ prolapse. Researchers are not sure exactly why this happens.
Family history. Researchers are studying how genetics can play a role in pelvic organ prolapse.
Treatment for pelvic organ prolapse depends on the type of prolapse you have, your symptoms, your age, other health problems, and whether you are sexually active.
The pressure from prolapse can cause a bulge in the vagina that can sometimes be felt or seen. Women with pelvic organ prolapse may feel uncomfortable pressure during physical activity or sex.
Other symptoms of pelvic organ prolapse include:
Seeing or feeling a bulge or "something coming out" of the vagina
A feeling of pressure, discomfort, aching, or fullness in the pelvis
Pelvic pressure that gets worse with standing or coughing or as the day goes on
Leaking urine (incontinence) or problems having a bowel movement
Problems inserting tampons
Some women say that their symptoms are worse at certain times of the day, during physical activity, or after standing for a long time. Talk to your doctor or nurse about your symptoms.
We will talk to you about your symptoms and do a pelvic exam. You may be asked to strain or cough during the exam so your doctor can see whether these actions cause prolapse or urine leakage. We may also do other tests to see whether you can completely empty your bladder when you go to the bathroom.
Researchers are studying ways to prevent pelvic organ prolapse. The following steps may reduce your risk of getting a pelvic floor problem:
Maintain a healthy weight or lose weight (if you are overweight). Women who have overweight or obesity are more likely to have pelvic floor problems.
Choose foods with fiber. Fiber helps prevent constipation and straining during bowel movements. Preventing constipation may reduce the risk of some pelvic floor disorders.
Do not smoke. Smoking can lead to chronic cough, which puts stress on the pelvic floor muscles.