What is it?
Vaginal prolapse (also called pelvic organ prolapse) happens when the muscles and tissues that support the pelvic organs weaken, allowing the bladder, uterus, or rectum to drop down into the vagina. It is common, especially after childbirth or with ageing, and can range from mild to severe.
Key Symptoms:
- A sensation of bulging, heaviness, or “something coming down” in the vagina
- Pressure or discomfort in the pelvic area
- Difficulty emptying the bladder or bowel
- Urinary symptoms (leakage, urgency, or incomplete emptying)
- Problems with sexual function
- Symptoms often worsen with standing, lifting, or at the end of the day
Causes & Risk Factors:
- Pregnancy and vaginal childbirth
- Menopause (loss of oestrogen weakens tissues)
- Ageing and reduced muscle strength
- Chronic coughing, constipation, or heavy lifting
- Being overweight
- Previous pelvic surgery
Diagnosis:
- Medical history and pelvic examination by a doctor
- Sometimes imaging or urodynamic testing if symptoms are complex
Treatment Options:
- Lifestyle measures: Weight loss, managing constipation, avoiding heavy lifting
- Pelvic floor physiotherapy: Exercises to strengthen support muscles
- Pessaries: A silicone device inserted into the vagina to support prolapsed organs
- Surgery: Various procedures to repair or support weakened tissues, sometimes including hysterectomy if the uterus is involved
Why seek help?
Vaginal prolapse is common and not life-threatening, but it can significantly affect quality of life.
Safe and effective treatments are available, and early management can prevent symptoms from worsening.