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What is Pelvic Organ Prolapse?

Pelvic Organ Prolapse (POP) occurs when the pelvic muscles and tissue become weak and cannot hold your pelvic organs – uterus, vagina, bladder, and rectum – in place. As a result, the organs may move or shift downward in your pelvis. Sometimes it feels like something has fallen or come down in your pelvis.

Approximately 50% of women experience some form of pelvic prolapse and some require surgical treatment. Although more common in women that have children, women that have not given birth may also be at risk following menopause.

Signs & Symptoms:
  • Feeling of heaviness or fullness or as if something falling out of the vagina
  • Pulling or aching or a “bulge” in the lower abdomen or pelvis
  • Feeling “full” in your stomach
  • May also cause a kinking in the urethra, which makes it harder for a woman to urinate or cause urinary tract infections.
  • Discomfort during intercourse
  • Female Stress Urinary Incontinence
  • Bowel problems
Common Causes:
  • Pregnancy and childbirth
  • Obesity
  • Menopause
Types of Prolapse:
  • Cystocele: Also known as bladder prolapse, the bladder pushes through the front vagina wall and causes it to go into the vagina. This type of prolapse is the most common.
  • Rectocele: The rectum pushes upon the back vaginal wall and causes it to protrude into the vagina.
  • Uterine Prolapse: The uterus presses down in to the vagina causing it to invert or even come through the vagina.
  • Vaginal Vault Prolapse (Enterocele): The top of the vagina loses support from underlying tissues.
Sources:

National Institutes of Health
American Urogynecological Society

Picture Source: National Institutes of Health
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