Prolapse is caused by weakening of tissues that support the pelvic organs and one or more of the organs slip down from their normal position and bulge into the vagina. Prolapse can be the result of childbirth, especially if instruments were used to deliver the baby. Other predisposing factors are excess weight, heavy lifting, menopause, some chronic conditions like constipation or chronic cough. A prolapse is not life threatening, but it can cause pain and discomfort. Women usually describe the sensation of a bulge or lump in vagina. They also can experience backache, pain on intercourse or dragging sensation in vagina. If the prolapse is more marked then it can rub and become sore, but prolapse does not usually cause pain.
Symptoms can usually be improved with pelvic floor exercises and lifestyle changes such as losing weight or improving chronic conditions. There is good evidence that physiotherapy can help, particularly in less severe cases with biofeedback and use of electrical stimulation. Quite often supportive devices are used.
Different surgical options are also available. The choice depends on the type and stage of your prolapse, age and individual wishes. Further information regarding different surgical interventions for prolapse can be found on https://bsug.org.uk/
