Pelvic Organ Prolapse in Women

Pelvic organ prolapse (POP) occurs when the muscles and ligaments that support a woman’s pelvic organs weaken over time, allowing one or more organs to sag into the vaginal canal. While bladder prolapse (cystocele) is the most common, other organs such as the uterus, rectum, bowel, or vaginal walls may also be affected.

Women with pelvic organ prolapse may experience a range of symptoms, including:

  • A noticeable bulge or lump at the vaginal opening, which may interfere with tampon use or sexual activity

  • Pelvic or lower back pressure, discomfort, or a sense of fullness

  • Vaginal dryness or irritation from clothing

  • Pain during sexual activity

  • Symptom worsening with standing, coughing, or physical exertion

  • Urinary difficulties, including leakage, urgency, or increased frequency, as well as constipation

Several factors can increase the likelihood of developing pelvic organ prolapse:

  • Childbirth, particularly vaginal deliveries

  • Prior pelvic surgeries, including hysterectomy

  • Menopause and decreased estrogen levels

  • Obesity, which adds pressure to the pelvic floor

Diagnosis usually begins with a thorough history and physical examination. In some cases, imaging studies may be used to evaluate the extent of organ prolapse and guide treatment decisions.

Treatment for pelvic organ prolapse depends on severity and symptoms. Options include:

  • Pelvic floor physical therapy: Targeted exercises strengthen the supporting muscles to reduce symptoms and improve bladder and bowel function

  • Pessary use: A custom-sized vaginal support device that alleviates prolapse symptoms and helps prevent incontinence

  • Surgical intervention: Procedures to restore support for sagging pelvic organs and improve quality of life when conservative measures are insufficient

Take the Next Step

If you are experiencing symptoms of pelvic organ prolapse, the expert team at AUCNY can provide a personalized evaluation and treatment plan. Early intervention can improve comfort, bladder and bowel function, and overall quality of life.

Schedule a consultation today to regain pelvic health and confidence.

Take the Next Step

If you are experiencing symptoms of pelvic organ prolapse, the expert team at AUCNY can provide a personalized evaluation and treatment plan. Early intervention can improve comfort, bladder and bowel function, and overall quality of life.

Schedule a consultation today to regain pelvic health and confidence.