Pelvic Prolapse

Pelvic organ prolapse happens when the muscles and tissues that support the pelvic organs become weak. This allows organs like the bladder, uterus, or rectum to shift downward. Pelvic prolapse is common, especially after childbirth or menopause, but many women delay treatment because they feel embarrassed or unsure of what is happening.

Early evaluation can make a big difference.

Types of Pelvic Prolapse

Pelvic prolapse can affect different organs, including:

Bladder prolapse (cystocele)
Uterine prolapse)
Rectal prolapse (rectocele) )
Vaginal vault prolapse)

Some women experience more than one type at the same time.

Causes of Pelvic Prolapse

Pelvic prolapse often develops due to:

Vaginal childbirth
Aging and menopause
Chronic straining or constipation
Heavy lifting
Obesity
Previous pelvic surgery

Lower estrogen levels after menopause can weaken pelvic tissues over time.

Symptoms

Symptoms vary from mild to severe and may include:

A feeling of heaviness or pressure in the pelvis
A bulge or sensation of something falling out of the vagina
Difficulty emptying the bladder or bowels
Lower back pain
Discomfort during intercourse

Symptoms may worsen after standing for long periods or at the end of the day.

Treatment Options

Treatment depends on symptoms, lifestyle, and severity. Options may include:

Pelvic floor physical therapy
Vaginal support devices such as pessaries
Lifestyle changes
Minimally invasive or surgical procedures

Many women find relief without surgery. Early care can prevent symptoms from worsening and improve daily comfort.

FAQS

Many women describe a feeling of pressure, heaviness, or fullness in the pelvis. Some notice a bulge in the vagina or discomfort that worsens throughout the day.

Pelvic prolapse is usually not life-threatening, but it can affect comfort, bladder and bowel function, and quality of life if left untreated.

Yes. Without treatment, symptoms may worsen, especially with continued strain or aging. Early care can help manage symptoms and slow progression.

No. Many women manage symptoms with pelvic floor therapy, support devices, or lifestyle changes. Surgery is considered only when symptoms are severe or not improving.

Yes. Pelvic prolapse may develop or worsen years after delivery, especially as pelvic tissues weaken with age or menopause.

Pelvic prolapse can be uncomfortable and frustrating, but you are not alone. Early care can help relieve symptoms and prevent them from getting worse.

The experienced providers at Fairfax Gynecology Group offer compassionate, personalized care to help you feel comfortable and confident again.

Call Fairfax Gynecology Group today to schedule an evaluation and discuss your treatment options.