Organs within the female pelvis are held in place by the muscles of the pelvic floor and other tissue referred to as â€œfasciaâ€. These supportive muscles and fascia may weaken with age, trauma, intense physical activity, or childbirth. As a result, the pelvic organs can drop downward.
Many women have no symptoms with prolapse; however, symptoms commonly encountered include:
-a bulge in the vagina
-pulling or aching feeling in lower abdomen or pelvis -low back pain -urinary incontinence -constipation or other bowel problems -difficulty inserting tampons -sexual difficulties or pain -having to push a bulge back into the vagina in order to void or have a bowel movement
Management of pelvic organ prolapse may start with exercises to strengthen the muscles of the pelvic floor called â€œKegelâ€™sâ€.
Additional therapies include changes in lifestyle, weight loss, devices placed into the vagina to hold organs in place, bladder training, surgeries.