Vaginal prolapse is a very common condition, particularly in women who have given birth. Approximately half of all mothers will experience some degree of pelvic organ prolapse. Although treatment isn’t always required, it is important to see a gynaecologist if you suspect that you have a vaginal prolapse or you’re experiencing any discomfort.
What Causes Prolapse?
A prolapse occurs when the tissue supporting your pelvic organs becomes too weak. The organs can then shift out of place and drop down into your vagina. In severe cases, a bulge created by these organs can be seen outside the body. Prolapse can affect the bladder, uterus, cervix and bowels.
Risk factors include advanced age, childbirth history, being overweight, having fibroids or pelvic cysts, prior pelvic surgery such as hysterectomy, chronic straining from manual labor or constipation, and tissue weakening conditions like joint hypermobility.
Symptoms
Symptoms may include feeling something descending into the vagina, visible bulging, a lump in or around the vagina, sexual discomfort, and urinary problems such as frequency changes or leakage. However, some prolapses produce no noticeable symptoms and are discovered only during routine gynecological examination.
Diagnosis
Diagnosis typically involves a simple gynecological exam where a doctor assesses symptoms and performs an internal pelvic examination to check for lumps or bulges.
Treatment Options
Treatment options include a vaginal pessary device to support the prolapsed organ, surgical intervention, hysterectomy for prolapsed uterus, and lifestyle modifications including weight loss, high-fiber diet, avoiding heavy lifting, and pelvic floor exercises.