top of page

Pelvic Organ Prolapse

Pelvic organ prolapse occurs when the pelvic organs descend due to weakened support structures within the pelvis. This can involve the uterus, bladder or rectum and may cause a sensation of heaviness, pressure or a vaginal bulge.

Commonality

Causes

Common contributing factors include:

  • Pregnancy and childbirth

  • Ageing and menopause

  • Pelvic surgery

  • Chronic straining or heavy lifting

  • Genetic weakness of connective tissue

Symptoms

Symptoms may include:

  • Vaginal heaviness or pressure

  • A bulge in the vagina

  • Difficulty emptying the bladder

  • Discomfort during intercourse

Effects on Fertility

Diagnosis

Assessment may include:

  • Medical history – discussion of symptoms, pregnancy history, previous surgery and lifestyle factors

  • Pelvic examination – helps assess pelvic floor strength and identify signs of prolapse

  • Pelvic imaging – helps assess the bladder and support of the pelvic organs

Treatments

Treatment options may include:

  • Pelvic floor physiotherapy

  • Vaginal pessaries

  • Lifestyle modifications


For more severe symptoms:

  • Prolapse repair surgery

  • Laparoscopic surgery

  • Robotic-assisted pelvic floor surgery

Ongoing Care

Living with the Condition

Pelvic organ prolapse can cause discomfort and affect daily activities, exercise and confidence. Many women find symptoms improve significantly with appropriate treatment and support.

When to See a Specialist

You should seek specialist assessment if you experience:

  • Vaginal heaviness or pressure

  • A vaginal bulge

  • Difficulty emptying the bladder

  • Symptoms that interfere with daily activities or quality of life

bottom of page