Organs within the female pelvis are held in place by the muscles of the pelvic floor and other tissue referred to as “fascia”. 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:
- pelvic fullness
- 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 “Kegel’s”.
Additional therapies include changes in lifestyle, weight loss, devices placed into the vagina to hold organs in place, bladder training, surgeries.