Condition guide
Prolapse
When one or more pelvic organs slip from their normal position into or out of the vagina.
Up to 50%
Of women who've given birth
1 in 10
Will need surgery
Higher
Risk with age, menopause, heavy lifting
What it is
Pelvic organ prolapse happens when weakened pelvic floor muscles and ligaments allow the uterus, bladder or bowel to descend. It is common after childbirth and around menopause.
Infographic
Organ descent
Pelvic floor weakness lets organs slip downward.
Common symptoms
- Heaviness or dragging in the pelvis
- A bulge in or out of the vagina
- Urinary leakage or difficulty emptying
- Constipation
- Discomfort during sex
Causes & risk factors
- Vaginal childbirth, especially multiple
- Menopause and lower oestrogen
- Chronic constipation or coughing
- Heavy lifting
- Obesity
Diagnosis
- Pelvic examination, often while bearing down
- Urodynamic tests if leakage
- Imaging in selected cases
Treatment & management
Pelvic floor physiotherapy
First-line treatment that strengthens supporting muscles.
Vaginal pessary
A device that supports the organs and avoids surgery.
Lifestyle changes
Weight, constipation, and lifting habits all matter.
Surgery
Repair or suspension procedures when conservative care isn't enough.
When to seek urgent help
A visible bulge with bleeding, severe pain, or inability to pass urine needs urgent care.
Frequently asked
Will exercise make it worse?
Low-impact exercise and physio help. Avoid heavy lifting without core engagement.
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