Quick answer
What is pelvic organ prolapse?
Pelvic organ prolapse happens when the womb, bladder or bowel bulges into the vagina because supporting tissues have weakened. It may cause heaviness, a vaginal lump, bladder or bowel difficulty or discomfort during sex. Pelvic-floor physiotherapy, a pessary or surgery can help.
Symptoms
People may notice dragging or heaviness, a lump inside or outside the vagina, incomplete bladder emptying, leakage, constipation or discomfort during sex.
Assessment
A GP or specialist may examine the pelvis and ask how symptoms affect daily life. You can request a female clinician or chaperone.
Treatment options
Mild symptoms may need only pelvic-floor training and lifestyle measures. Pessaries and different operations are available when symptoms remain troublesome.
Common questions about pelvic organ prolapse
- Can pelvic organ prolapse improve without surgery?
- Yes. Pelvic-floor training, managing constipation and weight, and a vaginal pessary can control symptoms.
- Can I exercise with prolapse?
- Many activities are possible, but high-impact or heavy-straining exercise may worsen symptoms. A pelvic-health physiotherapist can tailor advice.
- What is a pessary?
- A pessary is a removable device placed in the vagina to support prolapsed organs. It needs fitting and regular care.