Understanding Pelvic Organ Prolapse

Understanding Pelvic Organ Prolapse: Causes, Symptoms & Treatment Options from a Women’s Health Clinic

It’s not something women often talk about openly, but if you’ve ever felt like something is “falling” or “bulging” in your pelvic area, you’re not imagining things. You may be experiencing a common but under-discussed condition known as pelvic organ prolapse.

At Phase II Center for Women’s Health, we specialize in compassionate, expert care for conditions like prolapse that affect your daily comfort and quality of life. And the good news is—there are more solutions than you might think.

What Is Pelvic Organ Prolapse?

Pelvic organ prolapse occurs when the muscles and tissues supporting the pelvic organs (like the bladder, uterus, or rectum) become weak or stretched, allowing those organs to drop or press into the vaginal wall.

There are different types, including:  

• Vaginal prolapse (general bulging of vaginal walls)  
• Cystocele (bladder prolapse into the vagina)  
• Rectocele (rectum pressing into the back vaginal wall)  
• Uterine prolapse (descent of the uterus)

According to the NIH, an estimated 50% of women who have given birth vaginally will experience some degree of pelvic organ prolapse in their lifetime.

What Causes Prolapse?

There’s no single cause but several factors increase your risk:  

• Vaginal childbirth (especially multiple or traumatic deliveries)  
• Menopause, due to the drop in estrogen  
• Chronic constipation or straining  
• Heavy lifting  
• Obesity  
• Previous pelvic surgeries, like a hysterectomy

Aging also plays a role. In fact, a 2020 study found that nearly 40% of women over age 60 show some signs of prolapse, though many don’t realize it.

Signs You May Have Prolapse

If you’re experiencing any of the following, it’s time to talk to a women’s health provider:  

• A heavy or pulling sensation in your pelvis  
• Feeling or seeing a bulge from your vagina  
• Pressure that worsens after standing or lifting  
• Trouble emptying your bladder or bowels  
• Urinary incontinence or urgency  
• Pain or discomfort during intimacy

While prolapse isn't life-threatening, it can significantly interfere with daily life and lead to more serious issues if left untreated.

Real-Life Patient Stories

Susan, 57, came to us after years of dealing with bladder pressure and leaking when sneezing or exercising.

“I assumed it was just part of getting older. I didn’t even know there was a name for it, let alone a treatment. I finally mentioned it to my gynecologist, and everything changed.”

After a pelvic exam, we diagnosed Susan with mild bladder prolapse and fitted her with a pessary - an internal support device that instantly eased her symptoms without surgery. She’s now back to her active lifestyle without worry.

Another patient, Maria, 45, had dealt with pressure and discomfort for months after her third child.

“I knew something was off. It felt like a constant weight. I was afraid it meant surgery, but I’m so glad I came in when I did.”

For Maria, pelvic floor therapy combined with some simple lifestyle adjustments made all the difference...and she avoided invasive procedures altogether.

Diagnosis: What to Expect at Our Women’s Health Clinic

At Phase II Center for Women’s Health, we start with a gentle, respectful pelvic exam. This helps us determine what type and severity of prolapse you may have.

We’ll also talk through your symptoms, lifestyle, and future goals (like whether you want to preserve fertility or avoid surgery), so we can personalize your care.

Treatment Options for Prolapse

There is no one-size-fits-all approach, but here’s a look at the most common treatments:

Conservative (non-surgical) options:  

• Pelvic floor physical therapy to strengthen supportive muscles  
• Pessaries, small devices inserted into the vagina to support organs  
• Lifestyle changes, like weight management or avoiding heavy lifting

Surgical options:  

• Vaginal or laparoscopic repairs  
• Uterine suspension or hysterectomy (in more severe cases)

We’ll walk you through all your options. No pressure, just facts.

When Should You Seek Help?

If your symptoms are affecting your day-to-day life, your comfort, or your confidence, it’s time. Prolapse is common, but you don’t have to just live with it.

Our women’s health clinic in Millcreek is uniquely focused on issues like vaginal prolapse and pelvic organ prolapse...and we’re here to help you feel like yourself again.

Let’s Talk About What’s Right for You

Whether your symptoms are mild or severe, Dr. Elizabeth Graul and our team at Phase II Center for Women’s Health are ready to help. You’ll be heard, respected, and supported every step of the way.

Schedule your consultation today and take the first step toward lasting relief.

Contact Us at Phase2Women.com 

You deserve to feel strong, supported, and in control of your body. Let’s get you there.