Przepuklina macicy
Objawy

Przepuklina macicy (wypadanie macicy) to patologiczne obniżenie macicy do pochwy, które w zaawansowanych stadiach może prowadzić do jej wystawania poza ujście pochwy. Objawy kliniczne są zróżnicowane i zależą od stopnia zaawansowania, klasyfikowanego w czterech stopniach: I – macica obniżona do górnej połowy pochwy, II – do ujścia pochwy, III – szyjka macicy wystaje przez ujście, IV – całkowite wypadnięcie macicy. Typowe symptomy obejmują uczucie ciężkości i ciągnięcia w miednicy, ból w podbrzuszu i dolnej części pleców, dyspareunię oraz problemy z aplikacją tamponów. Często współistnieją zaburzenia układu moczowego (nietrzymanie moczu, częstomocz, nagłe parcie, trudności w opróżnianiu pęcherza) oraz jelitowego (zaparcia, uczucie niepełnego wypróżnienia, konieczność „splintingu”). Objawy nasilają się w ciągu dnia, przy długotrwałym staniu, kaszlu czy wysiłku, a ustępują po odpoczynku w pozycji leżącej.

Objawy przepukliny macicy

Przepuklina macicy (wypadanie macicy) to stan, w którym macica obniża się i wsuwa do pochwy, a w poważniejszych przypadkach może wystawać przez jej ujście. Objawy przepukliny macicy mogą znacznie się różnić w zależności od stopnia nasilenia problemu. W łagodnych przypadkach pacjentki mogą nie odczuwać żadnych dolegliwości, podczas gdy poważniejsze przypadki mogą powodować znaczny dyskomfort i wpływać na codzienne funkcjonowanie.12

Najczęstsze objawy przepukliny macicy

Do najczęściej zgłaszanych objawów przepukliny macicy należą:

  • Uczucie ciężkości, pełności lub ucisku w miednicy, które często nasila się w ciągu dnia12
  • Uczucie ciągnięcia w okolicy miednicy12
  • Ból w miednicy, podbrzuszu lub dolnej części pleców12
  • Widoczny lub wyczuwalny guz lub wybrzuszenie w pochwie lub poza ujściem pochwy12
  • Uczucie siedzenia na małej piłce12
  • Ból podczas stosunku płciowego (dyspareunia)12
  • Problemy z wprowadzeniem tamponów lub innych aplikatorów dopochwowych12

Objawy urologiczne

Problemy z układem moczowym są powszechne przy przepuklinie macicy i mogą obejmować:12

  • Nietrzymanie moczu lub wysiłkowe nietrzymanie moczu (wyciek moczu podczas kaszlu, kichania lub wysiłku)12
  • Częstomocz (częsta potrzeba oddawania moczu)12
  • Nagłe parcie na mocz12
  • Trudności z całkowitym opróżnieniem pęcherza12
  • Nawracające infekcje układu moczowego12

Objawy ze strony układu pokarmowego

Przepuklina macicy może również wpływać na funkcje jelitowe, powodując:

  • Zaparcia12
  • Uczucie niepełnego wypróżnienia12
  • Konieczność uciskania pochwy palcami, aby pomóc w wypróżnieniu (tzw. „splinting”)12
  • Trudności z oddawaniem stolca12

Stopnie przepukliny macicy

Przepuklina macicy jest klasyfikowana w zależności od tego, jak daleko macica obniżyła się w pochwie. Znane są różne systemy klasyfikacji, ale najczęściej używa się następującego podziału na cztery stopnie:12

  • Stopień I: macica obniżyła się do górnej połowy pochwy12
  • Stopień II: macica obniżyła się prawie do ujścia pochwy12
  • Stopień III: szyjka macicy wystaje przez ujście pochwy12
  • Stopień IV: macica całkowicie wypadła poza pochwę12

Przepuklina macicy może być również opisywana jako niepełna (macica obniżyła się częściowo do pochwy) lub pełna (macica wystaje przez ujście pochwy).12

Zmienność objawów w czasie

Charakterystyczną cechą przepukliny macicy jest zmienność objawów w ciągu dnia oraz w zależności od aktywności:1

  • Objawy zwykle nasilają się w ciągu dnia i są gorsze wieczorem, a lepsze rano12
  • Stanie lub chodzenie przez dłuższy czas pogarsza dolegliwości12
  • Kaszel, kichanie i wysiłek fizyczny nasilają objawy12
  • Objawy zwykle zmniejszają się po położeniu się12

Progresja przepukliny macicy

Przepuklina macicy zazwyczaj rozwija się stopniowo, choć niektóre pacjentki mogą odczuwać, że pojawiła się ona nagle. W rzeczywistości proces obniżania się macicy często trwa miesiące lub lata.12

Badania wskazują, że roczna częstość występowania wypadania macicy wynosi około 1,5 przypadków na 100 kobiet, natomiast wskaźnik progresji dla przepukliny macicy pierwszego stopnia wynosi 1,9 na 100 kobiet rocznie.1

Wbrew powszechnemu przekonaniu, wypadanie macicy nie zawsze jest stanem przewlekłym i postępującym. Badania sugerują, że spontaniczna regresja jest częsta, szczególnie w przypadku przepukliny pierwszego stopnia.1

Czynniki wpływające na progresję

Progresja przepukliny macicy może być przyspieszona przez następujące czynniki:12

  • Podwyższony wskaźnik masy ciała (BMI) – kobiety z otyłością mają prawie trzykrotnie większe ryzyko progresji przepukliny o 1 cm lub więcej w ciągu roku1
  • Wielokrotne porody drogą pochwową12
  • Przewlekły kaszel1
  • Napinanie się podczas defekacji12
  • Wiek powyżej 60 lat1

Współistnienie innych zaburzeń dna miednicy

Przepuklina macicy często współwystępuje z innymi zaburzeniami dna miednicy. Badania pokazują, że osłabienie mięśni dna miednicy często wpływa na więcej niż jeden obszar.1

Wśród kobiet z wypadaniem narządów miednicy:1

Jeśli jeden z narządów miednicy ulega przepuklinie, istnieje większe prawdopodobieństwo, że dojdzie do przepukliny innych narządów.1

Komplikacje i powikłania

Nieleczona przepuklina macicy może prowadzić do różnych powikłań:12

  • Problemy seksualne i dyskomfort podczas stosunku12
  • Negatywny obraz własnego ciała12
  • Stany lękowe i depresja12
  • Obniżenie jakości życia z powodu problemów z pęcherzem i jelitami1
  • Owrzodzenia i infekcje szyjki macicy i ścian pochwy w ciężkich przypadkach12
  • Nasilenie problemów z układem moczowym i pokarmowym1

W rzadkich przypadkach poważna przepuklina może powodować zatrzymanie moczu w pęcherzu i nerkach, prowadząc do uszkodzenia nerek lub infekcji.1

Szczególne cechy objawów w zależności od stopnia zaawansowania

Łagodna przepuklina macicy

W przypadku łagodnej przepukliny macicy (stopień I):12

  • Objawy mogą być minimalne lub niewystępujące12
  • Pacjentka może odczuwać tylko lekki dyskomfort lub ciężkość w miednicy1
  • Mogą wystąpić łagodne problemy z układem moczowym, takie jak częstomocz1

Umiarkowana przepuklina macicy

Przy umiarkowanej przepuklinie macicy (stopień II):1

  • Uczucie ciężkości lub ciągnięcia w miednicy staje się bardziej wyraźne12
  • Może pojawić się ból w dolnej części pleców1
  • Mogą wystąpić problemy z oddawaniem moczu i stolca1
  • Dysfunkcje seksualne stają się bardziej zauważalne1

Zaawansowana przepuklina macicy

W przypadku zaawansowanej przepukliny macicy (stopnie III i IV):12

  • Widoczny guz lub wybrzuszenie w pochwie lub poza jej ujściem12
  • Pacjentka może odczuwać, jakby siedziała na małej piłce12
  • Znaczne trudności z oddawaniem moczu i stolca12
  • Tkanka macicy może wystawać poza pochwą i być widoczna12
  • W przypadku najcięższych przepuklin pacjentka może zobaczyć czerwoną kulę wychodzącą z pochwy1
  • Wysuszona, zgrubiała, przewlekle zapalona, obrzęknięta lub owrzodzona błona śluzowa pochwy lub szyjki macicy1

Kiedy należy skonsultować się z lekarzem

Należy skontaktować się z lekarzem, jeżeli:12

  • Pojawią się objawy przepukliny macicy, które przeszkadzają w codziennych czynnościach12
  • Widoczne jest wybrzuszenie lub tkanka wystająca z pochwy12
  • Występują problemy z oddawaniem moczu lub stolca12
  • Pojawia się ból w miednicy lub dolnej części pleców12
  • Występuje dyskomfort podczas stosunków płciowych12

W nagłych przypadkach, takich jak silny ból brzucha, niemożność oddania stolca lub moczu, lub niekontrolowane wymioty, należy natychmiast szukać pomocy medycznej.1

Warto zauważyć, że wiele kobiet z łagodną przepukliną macicy nie wymaga leczenia. Jednak bez odpowiedniej interwencji objawy często nasilają się z czasem.12

Rozpoznanie i diagnostyka

Przepuklina macicy jest diagnozowana poprzez badanie ginekologiczne podczas spoczynku i napinania. Lekarz może poprosić pacjentkę o napięcie się, jakby podczas wypróżniania, aby ocenić stopień przepukliny.12

Warto zauważyć, że niekiedy łagodna przepuklina macicy może zostać wykryta przypadkowo podczas rutynowego badania ginekologicznego przeprowadzanego z innego powodu, na przykład podczas badania cytologicznego.12

Istotne jest, by pamiętać, że przepuklina macicy wpływa nie tylko na fizyczny aspekt zdrowia, ale może również znacząco obniżać jakość życia poprzez ograniczenie aktywności fizycznej, negatywny wpływ na życie seksualne i powodowanie dyskomfortu psychicznego.12

Kolejne rozdziały

Zapraszamy do dalszego czytania naszego leksykonu.

Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.

  1. 09.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Uterine Prolapse: Stages, Symptoms, Treatment & Surgery
    https://my.clevelandclinic.org/health/diseases/16030-uterine-prolapse
    Uterine prolapse can be mild or severe depending on how weak the supporting muscles of your uterus have become. In an incomplete prolapse, your uterus may have slipped enough to be partway in your vagina. This creates a lump or bulge. In a more severe case, your uterus can slip far enough that it comes out of your vagina. This is called a complete prolapse. […] Uterine prolapse can disrupt normal activities and be uncomfortable. Very mild cases may not require treatment or cause any discomfort. However, severe cases may make it difficult to pee or have a normal bowel movement. Uterine prolapse is typically a quality of life issue, and healthcare providers treat it when symptoms of the condition begin to interfere with your daily life. […] If you have a mild case of uterine prolapse, you may not have any obvious symptoms. But as your uterus slips farther out of position, it can put pressure on other pelvic organs such as your bladder or bowel and cause symptoms like: A feeling of heaviness, fullness or pressure in your pelvis. Pain in your pelvis, abdomen or lower back. Pain during sex (intercourse). Uterine tissue that falls through the opening of your vagina. Trouble inserting tampons or other applicators into your vagina. Constipation. Urination problems, including leaking pee (incontinence), the need to pee frequently (urinary frequency) or the sudden urge to pee (urinary urgency). […] Symptoms can get worse when you stand or walk for long periods of time or when you cough and sneeze. In these positions, gravity puts extra pressure on your pelvic muscles.
  • #1 Uterine Prolapse: Stages, Causes, Symptoms, and Treatment,
    https://www.webmd.com/women/prolapsed-uterus
    Uterine prolapse can be mild or severe, depending on how weak the pelvic support structures become. […] Signs and symptoms of a prolapsed uterus can include: Feeling like you are sitting on a small ball, Feeling that something is coming out of your vagina, Tissue bulging out of your vagina, Fullness, heaviness, or pressure in your pelvis, Pain in your pelvis or lower back, Pain during sex, Trouble inserting tampons or vaginal applicators, Leaking pee, Trouble emptying your bladder, Constipation or trouble finishing a bowel movement (You might have to press your fingers in your vagina to get poop out.), Discomfort when you walk. […] If it’s a severe prolapse, you might see what looks like a red ball coming out of your vagina. […] Uterine prolapse happens when the muscles and tissues that support your uterus get weak.
  • #1 Pelvic organ prolapse – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/pelvic-organ-prolapse/symptoms-causes/syc-20360557
    Sometimes, pelvic organ prolapse has no symptoms. When symptoms happen, they might include: […] Seeing or feeling a bulge of tissue at or beyond the opening of the vagina. […] Pelvic pressure, heaviness or pain. […] Lower back pain. […] Not being able to keep in a tampon. […] Urinary changes. These might include urinating more, feeling an urgent need to urinate, not being able to empty the bladder all the way or having a weak urine stream. […] Bowel changes, such as not emptying stool all the way or having to put fingers in the vagina to support the bulge to be able to pass stool. This is called splinting. […] Sexual issues, such as pain with sex. […] Weakness of the pelvic floor often affects more than one area. For instance, if one of your pelvic organs is prolapsed, you’re more likely to have another type of pelvic organ prolapse.
  • #1 Uterine prolapse – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/uterine-prolapse/symptoms-causes/syc-20353458
    Uterine prolapse most often affects people after menopause who’ve had one or more vaginal deliveries. […] Mild uterine prolapse usually doesn’t require treatment. But uterine prolapse that causes discomfort or disrupts daily life might benefit from treatment. […] Symptoms of moderate to severe uterine prolapse include: Seeing or feeling tissue bulge out of the vagina, Feeling heaviness or pulling in the pelvis, Feeling like the bladder doesn’t empty all the way when you use the bathroom, Problems with leaking urine, also called incontinence, Trouble having a bowel movement and needing to press the vagina with your fingers to help have a bowel movement, Feeling as if you’re sitting on a small ball, Feeling as if you have vaginal tissue rubbing on clothing, Pressure or discomfort in the pelvis or low back, Sexual concerns, such as feeling as though the vaginal tissue is loose. […] See a health care provider to talk about treatment options if symptoms of uterine prolapse bother you and keep you from doing daily activities.
  • #1 Uterine prolapse: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/001508.htm
    Uterine prolapse occurs when the womb (uterus) drops down and presses into the vaginal area. […] Symptoms may include: Pressure or heaviness in the pelvis or vagina, Problems with sexual intercourse, Leaking urine or sudden urge to empty the bladder, Low backache, Uterus and cervix that bulge into the vaginal opening, Repeated bladder infections, Vaginal bleeding, Increased vaginal discharge. […] Symptoms may be worse when you stand or sit for a long time. Exercise or lifting may also make symptoms worse. […] Most women with mild uterine prolapse do not have symptoms that require treatment. […] Vaginal pessaries can be effective for many women with uterine prolapse. […] Surgery often provides very good results. However, some women may need to have the treatment again in the future. […] Ulceration and infection of the cervix and vaginal walls may occur in severe cases of uterine prolapse. […] Contact your provider if you have symptoms of uterine prolapse.
  • #1 Prolapsed uterus: Stages, symptoms, and home remedies
    https://www.medicalnewstoday.com/articles/305971
    A uterine prolapse is when the uterus descends toward or into the vagina. It happens in stages, which doctors grade in severity from first to fourth grade, with first grade being the lowest in severity. […] Symptoms vary depending on how severe the prolapse is. […] Typical symptoms include: pelvic heaviness or pulling, vaginal bleeding or an increase in vaginal discharge, difficulties with sexual intercourse, urinary leakage, bladder infections, bowel movement difficulties, such as constipation, lower back pain, uterine protrusion from the vaginal opening, sensations of sitting on a ball or that something is falling out of the vagina, weak vaginal tissue. […] In mild cases, there may be no symptoms, or symptoms may change in severity throughout the day. […] Although it can be uncomfortable, uterine prolapse is not a life threatening condition. In fact, many patients may not experience symptoms or show signs of the condition until it has advanced to a later stage. […] Catching the condition in early stages may allow a person more time to strengthen the pelvic floor muscles and prevent more significant prolapse.
  • #1 Prolapsed uterus | Better Health Channel
    https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/prolapsed-uterus
    Uterine prolapse occurs when weakened or damaged muscles and connective tissues such as ligaments allow the uterus to drop into the vagina. […] The symptoms of uterine prolapse include: a sensation of heaviness and pressure in the vagina, a distinct lump or bulge within the vagina, a bulge protruding out of the vagina, painful sexual intercourse. […] Uterine prolapse is described in stages, indicating how far it has descended. […] The four categories of uterine prolapse are: Stage I the uterus is in the upper half of the vagina, Stage II the uterus has descended nearly to the opening of the vagina, Stage III the uterus protrudes out of the vagina, Stage IV the uterus is completely out of the vagina. […] Common causes of uterine prolapse include vaginal childbirth, obesity, severe coughing, straining on the toilet and hormonal changes after menopause which can damage the pelvic organ support structures. […] First line treatment should include pelvic floor muscle strengthening exercises, taught by a pelvic floor physiotherapist. […] A pessary can be inserted to support the uterus and reduce the symptoms associated with the prolapse. […] Surgery may be needed in severe cases.
  • #1 Prolapsed uterus – symptoms and treatment | healthdirect
    https://www.healthdirect.gov.au/prolapsed-uterus
    Your symptoms may feel worse at the end of the day and feel better after lying down. […] Without treatment, your symptoms are likely to get worse. But if your symptoms are not affecting your usual activities, you can choose to not have any treatment. You can always change your mind if your symptoms start to bother you.
  • #1 Uterovaginal prolapse: What’s that? – Mayo Clinic Health System
    https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/uterovaginal-prolapse-whats-that
    Women may experience issues, such as pelvic or vaginal pressure, and may notice a sensation of a bulge near or through the vaginal opening. These are common symptoms of a condition called uterovaginal prolapse. […] Although some women may feel that they suddenly notice the prolapse, it typically develops slowly. However, the prolapse may only be obvious once it can be seen or felt. […] Women can have one or a combination of symptoms related to a prolapse, including: Inability to empty the bowels or bladder fully or easily, Difficulty holding urine or stool, and noticing leakage from the bladder or bowels, Needing to physically push the vaginal bulge in when they urinate or have a bowel movement, Seeing tissue that protrudes through the vagina opening. […] Roughly half of women have some degree of prolapse, and it can affect women of various ages. Prolapse can be associated with naturally occurring changes in women’s bodies, such as childbirth and menopause. However, it’s most commonly diagnosed after menopause when the body’s estrogen levels fall, ligaments and muscles weaken or stretch, and pelvic organs shift. […] While there is no way to cure prolapse, there are ways to treat it and improve symptoms. […] There is hope for women who experience prolapse.
  • #1 Progression and remission of pelvic organ prolapse: a longitudinal study of menopausal women – PubMed
    https://pubmed.ncbi.nlm.nih.gov/14749630/
    Objective: The purpose of this study was to describe the natural history of pelvic organ prolapse after menopause. […] The annual incidences of cystocele, rectocele, and uterine prolapse were 9.3, 5.7, and 1.5 cases per 100 women-years, respectively. […] The progression rates for grade 1 pelvic organ prolapse (per 100 women-years) were 9.5 for cystocele, 13.5 for rectocele, and 1.9 for uterine prolapse. […] Our data suggest that pelvic organ prolapse is not always chronic and progressive as traditionally thought. Spontaneous regression is common, especially for grade 1 prolapse.
  • #1 Pelvic Organ Prolapse | AAFP
    https://www.aafp.org/pubs/afp/issues/2017/0801/p179.html
    Pelvic organ prolapse is defined by herniation of the anterior vaginal wall, posterior vaginal wall, uterus, or vaginal apex into the vagina; descent may occur in one or more structures. Prolapse of pelvic structures can cause a sensation of pelvic pressure or bulging through the vaginal opening and may be associated with urinary incontinence, voiding dysfunction, fecal incontinence, incomplete defecation, and sexual dysfunction. […] Most patients with pelvic organ prolapse are asymptomatic. Seeing or feeling a bulge that protrudes to or past the vaginal opening is the most specific symptom. […] Pelvic organ prolapse is dynamic, and symptoms and examination findings may vary day to day, or within a day depending on the level of activity and the fullness of the bladder and rectum. […] Elevated body mass index is a risk factor for pelvic organ prolapse. In one study, women who were obese were more likely to have progression of prolapse by 1 cm or more in one year (odds ratio = 2.9).
  • #1 Uterine Prolapse: Stages, Causes, Symptoms, and Treatment,
    https://www.webmd.com/women/prolapsed-uterus
    Uterine prolapse itself can lead to: Sexual problems, Poor body image, Anxiety and depression, A lower quality of life because of bowel and bladder problems. […] Treatment for uterine prolapse is usually successful. It is possible, though, to have a repeat prolapse, especially if you have had a severe case. A repeat is more likely if you are over 60 or have obesity. Following prevention advice, like managing your weight, can help prevent a new prolapse.
  • #1 Pelvic Organ Prolapse | AAFP
    https://www.aafp.org/pubs/afp/issues/2017/0801/p179.html
    Prolapse often coexists with other pelvic floor disorders. Of those with prolapse, 40% have stress urinary incontinence, 37% have overactive bladder, and 50% have fecal incontinence. […] Limited data suggest that prolapse progresses until menopause, with low rates of progression and regression thereafter.
  • #1 Vaginal Prolapse: Causes, Symptoms, Diagnosis & Treatment
    https://my.clevelandclinic.org/health/diseases/17597-vaginal-prolapse
    Symptoms of vaginal prolapse can include: […] A feeling of fullness, heaviness or pain in the pelvic area. This feeling often gets worse as the day goes on or after standing, lifting or coughing. […] Bulging in your vagina. […] Feeling like something is slipping out of your vagina. […] Vaginal prolapse can cause painful symptoms. Mild to moderate vaginal prolapse may not require surgery. However, more severe cases may need surgical repair. […] A prolapsed vagina is more likely to happen after menopause and after multiple vaginal childbirths. This is more likely to occur if you’re older than 50, but it can happen at any age. […] Not treating vaginal prolapse can cause the condition to worsen. In addition to more pain, you may also get sores on your vagina, infection and increase your risk for injury to other pelvic organs.
  • #1 Uterine Prolapse: Causes, Symptoms, Treatment | Pantai Hospitals
    https://www.pantai.com.my/medical-specialties/gynaecology/uterine-prolapse
    Uterine prolapse can cause urinary tract infection (UTIs). When the uterus descends, it can press on the bladder, making it difficult to fully empty, leading to residual urine that fosters bacterial growth. Additionally, urinary symptoms like urgency and incontinence can raise infection risk. […] Many women with uterine prolapse have no symptoms. However, if the symptoms start showing, they may include: Pressure or heaviness in the pelvis or vagina, Leaking urine or sudden urge to empty the bladder, Repeated bladder infections, Uterus and cervix bulging into the vaginal opening, Lower back pain, Vaginal bleeding, Constipation, Increased vaginal discharge. […] While uterine prolapses are not inherently life-threatening, the severity of symptoms may increase over time, leading to greater pelvic pressure, discomfort, and urinary or bowel problems. Living with prolapse can lead to anxiety, depression, and reduced quality of life due to pain and concerns about sexual function or body image. In severe cases, leaving prolapse untreated may complicate future surgical options if surgical intervention becomes necessary later.
  • #1 Pelvic Organ Prolapse | Condition | UT Southwestern Medical Center
    https://utswmed.org/conditions-treatments/pelvic-organ-prolapse/
    Pelvic organ prolapse usually does not appear quickly. Over time, patients may experience: […] In severe cases, the vagina or uterine cervix can be felt or seen as a bulge outside the body. […] However, the condition typically worsens when left untreated. […] In rare cases, severe prolapse can cause urine to be retained in the bladder and the kidneys, leading to kidney damage or infection. […] The goal of treatment is to recreate normal anatomy. However, treatment does not have a 100 percent success rate. […] Traditional repairs correcting pelvic organ prolapse often weaken over time and have required revisional surgery. […] Promising results from the pilot study led to UT Southwestern securing a grant from the National Institute on Aging for a new clinical trial, Investigation to Minimize Prolapse Recurrence of the Vagina Using Estrogen (IMPROVE). The goal of the trial is to determine whether vaginal estrogen also could help prevent recurrence of pelvic organ prolapse, thereby reducing the need for additional procedures.
  • #1 Pelvic Prolapse is a Painful but Treatable Condition | University of Utah Health
    https://healthcare.utah.edu/the-scope/health-library/all/2020/10/pelvic-prolapse-painful-treatable-condition
    Commonly the cervix may be as low as at the entrance to the vagina and occasionally the cervix and uterus may actually be positioned outside the vagina. This is called pelvic organ prolapse. Not only can the uterus come down, but the bladder can come down leading to urinary leaking or difficulty urinating. Both situations can be uncomfortable. […] Prolapse symptoms usually peak right around age 60, but about half of the women that seek care for prolapse symptoms are usually between the ages of 30 and 60. So it is quite common. […] Well, the most common early symptom is kind of this mild pelvic pressure or maybe a mild kind of a backache at the end of the day. Maybe some mild urinary frequency, maybe feeling like they need to go to the bathroom a little bit more frequently. […] And then, later on, they may start to notice a bulge coming from their vagina, or they may start struggling with a bowel movement and that is usually what brings women to seek care.
  • #1 How Do I Tell If I Have a Uterine Prolapse? – Huey & Weprin Ob/Gyn
    https://www.hueyandweprin.com/2020/05/how-do-i-tell-if-i-have-a-uterine-prolapse/
    The symptoms of uterine prolapse will be more apparent the more severe the condition. A minor prolapse may only cause a feeling of pelvic heaviness or lower back pain. As the condition progresses, you may experience vaginal bleeding, an increase in vaginal discharge, and difficulties with having intercourse. Most women will experience difficulty with bowel movements and eventually feel the protrusion as the uterus begins to push out of the vagina. […] If you have a grade 3 or 4 prolapse, in which the uterus is beginning to protrude from the vagina, you may need surgery.
  • #1 Pelvic Organ Prolapse Symptoms: Doctors Explain the Variations | First For Women
    https://www.firstforwomen.com/health/menopause/pelvic-organ-prolapse-cystocele-repair-167082
    Pelvic organ prolapse symptoms are so variable (and often so personal) that they often get missed by doctors. […] For some women, this happens all at once and feels almost like ball dropping into the vagina or a tampon sliding down too low; but for others, the signs are more subtle and include unexplained constipation and/or feelings of discomfort during sex. […] A common symptom includes a vaginal bulge, which patients often describe to her as a ball sensation. […] Although prolapse is rarely painful, Dr. Zeno says it can cause a feeling of pressure that worsens over the course of the day or during certain movements like squatting, bending over, or lifting something heavy. […] In addition to the bulge and other symptoms above, women experience: Increased need to urinate, Feeling like you need to empty your bladder when you already have, Painful intercourse. […] When the rectum is more involved, Dr. Zeno says you may experience difficulty evacuating your bowels, which can lead to straining and constipation or the opposite, with accidental bowel leakage.
  • #1 Uterine and Apical Prolapse – Gynecology and Obstetrics – Merck Manual Professional Edition
    https://www.merckmanuals.com/professional/gynecology-and-obstetrics/pelvic-organ-prolapse-pop/uterine-and-apical-prolapse
    Uterine prolapse is descent of the uterus toward or past the introitus. Symptoms include vaginal pressure and fullness. Symptoms tend to be minimal with mild uterine or apical prolapse. In more severe uterine or apical prolapse, vaginal or pelvic fullness, pressure, sexual dysfunction, and a sensation of organs falling out are common. The most common presenting symptom is a vaginal bulge, although this may be intermittent because spontaneous reduction can occur. Lower back pain may develop. Incomplete emptying of the bladder and constipation are possible. […] If vaginal or cervical mucosa protrudes beyond the vagina, it may become dried, thickened, chronically inflamed, edematous, and ulcerated. Ulcers may be painful or bleed and need to be differentiated from vulvovaginal infection or dermatosis.
  • #1 Uterine Prolapse – Symptoms, Causes, Treatments
    https://resources.healthgrades.com/right-care/pelvic-prolapse-surgery/uterine-prolapse
    You may experience symptoms of uterine prolapse daily or only occasionally. Any of these symptoms can be severe: Abdominal, pelvic, or lower back pain, Bulging sensation at the vagina, Difficulty urinating (dysuria) and urinary retention, Loss of bladder or bowel control, Loss of tone in the vagina, Pain or discomfort during sexual intercourse, Pelvic discomfort, including pressure or pulling, Protrusion of organs through the vaginal opening, Vaginal bleeding (mucosal irritation). […] In some cases, uterine prolapse can significantly interfere with bladder or bowl function, which can lead to serious complications that can be life threatening. Seek immediate medical care (call 911) if you, or someone you are with, have any of these symptoms: Inability to have a bowel movement, Inability to urinate, Severe abdominal pain, Uncontrollable vomiting.
  • #1 Uterine prolapse – Symptoms, diagnosis and treatment | BMJ Best Practice
    https://bestpractice.bmj.com/topics/en-gb/659
    Uterine prolapse is caused by the loss of anatomical support for the uterus. […] Late-stage prolapse usually presents as a palpable protruding cervix with vaginal tissue, which is often noticed by the patient. […] Symptoms include sensation of vaginal bulging, pelvic pressure, urinary frequency or incontinence, incomplete bladder emptying, defecatory dysfunction, and dyspareunia. […] Diagnosis is made by vaginal examination during resting and straining.
  • #1
    https://www.nhs.uk/conditions/pelvic-organ-prolapse/
    Pelvic organ prolapse symptoms include: […] feeling like there’s something coming down into your vagina it may feel like sitting on a small ball […] feeling or seeing a bulge or lump in or coming out of your vagina […] discomfort or numbness during sex […] problems peeing such as feeling like your bladder is not emptying fully, needing to go to the toilet more often, or leaking a small amount of pee when you cough, sneeze or exercise (stress incontinence). […] Sometimes pelvic organ prolapse has no symptoms and is found during an internal examination carried out for another reason, such as cervical screening. […] If the prolapse is more severe or your symptoms are affecting your daily life, there are several further treatment options to consider. […] The recommended treatment will depend on the type and severity of the prolapse, your symptoms and your overall health.
  • #2 Uterine prolapse – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/uterine-prolapse/symptoms-causes/syc-20353458
    Uterine prolapse most often affects people after menopause who’ve had one or more vaginal deliveries. […] Mild uterine prolapse usually doesn’t require treatment. But uterine prolapse that causes discomfort or disrupts daily life might benefit from treatment. […] Symptoms of moderate to severe uterine prolapse include: Seeing or feeling tissue bulge out of the vagina, Feeling heaviness or pulling in the pelvis, Feeling like the bladder doesn’t empty all the way when you use the bathroom, Problems with leaking urine, also called incontinence, Trouble having a bowel movement and needing to press the vagina with your fingers to help have a bowel movement, Feeling as if you’re sitting on a small ball, Feeling as if you have vaginal tissue rubbing on clothing, Pressure or discomfort in the pelvis or low back, Sexual concerns, such as feeling as though the vaginal tissue is loose. […] See a health care provider to talk about treatment options if symptoms of uterine prolapse bother you and keep you from doing daily activities.
  • #2 Content – Health Encyclopedia – University of Rochester Medical Center
    https://www.urmc.rochester.edu/encyclopedia/content?contenttypeid=134&contentid=223
    Uterine prolapse occurs when the muscles and tissue in your pelvis weaken. The weakness lets the uterus drop down into your vagina. Sometimes it comes out through your vaginal opening. […] Many with this condition have no symptoms. If symptoms start, they may include: Leaking urine, Unable to completely empty your bladder, Heavy or full feeling in your pelvis, Bulging in your vagina or feeling like something is falling out, Low back pain, Aching or a feeling of pressure in your lower belly (abdomen) or pelvis, Constipation, accidentally leaking stool, or straining when moving the bowels, Bleeding or discharge. […] Common symptoms include urine leaking, fullness in your pelvis, bulging in your vagina, low back pain, and constipation.
  • #2 Prolapsed uterus – symptoms and treatment | healthdirect
    https://www.healthdirect.gov.au/prolapsed-uterus
    A prolapsed uterus is when your uterus (womb) comes out of place and slowly drops down towards the opening of your vagina. […] A prolapsed uterus is when your uterus (womb) gradually comes out of place and drops down towards the opening of your vagina. A prolapsed uterus is also called uterine prolapse. […] Prolapse usually worsens without treatment. […] If you have a prolapsed uterus, you may: feel a sensation of fullness or pressure inside your vagina, feel a lump or bulge in, or out of, your vagina, have a sensation of heaviness or dragging in your pelvis or vagina. […] You may also: not be able to completely empty your bladder (wee) or bowel (poo) when going to the toilet, need to strain to get urine (wee) flow started, or to empty your bowel (do a poo), have bowel or bladder urgency (needing to go to the toilet very suddenly), have incontinence, have urinary tract infections that keep coming back, have pain during sex or less sensation during sex, have lower back pain.
  • #2 Uterine prolapse: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/001508.htm
    Uterine prolapse occurs when the womb (uterus) drops down and presses into the vaginal area. […] Symptoms may include: Pressure or heaviness in the pelvis or vagina, Problems with sexual intercourse, Leaking urine or sudden urge to empty the bladder, Low backache, Uterus and cervix that bulge into the vaginal opening, Repeated bladder infections, Vaginal bleeding, Increased vaginal discharge. […] Symptoms may be worse when you stand or sit for a long time. Exercise or lifting may also make symptoms worse. […] Most women with mild uterine prolapse do not have symptoms that require treatment. […] Vaginal pessaries can be effective for many women with uterine prolapse. […] Surgery often provides very good results. However, some women may need to have the treatment again in the future. […] Ulceration and infection of the cervix and vaginal walls may occur in severe cases of uterine prolapse. […] Contact your provider if you have symptoms of uterine prolapse.
  • #2 Uterine Prolapse: Stages, Causes, Symptoms, and Treatment,
    https://www.webmd.com/women/prolapsed-uterus
    Uterine prolapse can be mild or severe, depending on how weak the pelvic support structures become. […] Signs and symptoms of a prolapsed uterus can include: Feeling like you are sitting on a small ball, Feeling that something is coming out of your vagina, Tissue bulging out of your vagina, Fullness, heaviness, or pressure in your pelvis, Pain in your pelvis or lower back, Pain during sex, Trouble inserting tampons or vaginal applicators, Leaking pee, Trouble emptying your bladder, Constipation or trouble finishing a bowel movement (You might have to press your fingers in your vagina to get poop out.), Discomfort when you walk. […] If it’s a severe prolapse, you might see what looks like a red ball coming out of your vagina. […] Uterine prolapse happens when the muscles and tissues that support your uterus get weak.
  • #2 Uterine Prolapse: Risk Factors, Symptoms, and Diagnosis
    https://www.healthline.com/health/uterine-prolapse
    Uterine prolapse occurs when the uterus sags or slips from its normal position and into the vagina (birth canal). […] Women who have a minor uterine prolapse may not have any symptoms. Moderate to severe prolapse may cause symptoms, such as: the feeling that you’re sitting on a ball, vaginal bleeding, increased discharge, problems with sexual intercourse, the uterus or cervix protruding out of the vagina, a pulling or heavy feeling in the pelvis, constipation or difficulty passing stool, recurring bladder infections or difficulty emptying your bladder. […] If you develop these symptoms, you should see your doctor and get treatment right away. Without proper attention, the condition can impair your bowel, bladder, and sexual function.
  • #2 Pelvic organ prolapse – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/pelvic-organ-prolapse/symptoms-causes/syc-20360557
    Sometimes, pelvic organ prolapse has no symptoms. When symptoms happen, they might include: […] Seeing or feeling a bulge of tissue at or beyond the opening of the vagina. […] Pelvic pressure, heaviness or pain. […] Lower back pain. […] Not being able to keep in a tampon. […] Urinary changes. These might include urinating more, feeling an urgent need to urinate, not being able to empty the bladder all the way or having a weak urine stream. […] Bowel changes, such as not emptying stool all the way or having to put fingers in the vagina to support the bulge to be able to pass stool. This is called splinting. […] Sexual issues, such as pain with sex. […] Weakness of the pelvic floor often affects more than one area. For instance, if one of your pelvic organs is prolapsed, you’re more likely to have another type of pelvic organ prolapse.
  • #2 Uterine and Apical Prolapse – Gynecology and Obstetrics – Merck Manual Professional Edition
    https://www.merckmanuals.com/professional/gynecology-and-obstetrics/pelvic-organ-prolapse-pop/uterine-and-apical-prolapse
    Urinary incontinence is also commonly present. Alternatively, the descending pelvic organs may intermittently obstruct urine flow, causing urinary retention and overflow incontinence and masking stress incontinence. Urinary frequency and urge incontinence may accompany uterine or vaginal prolapse. […] Symptoms include pelvic or vaginal fullness, pressure, and a sensation of organs falling out. Organs may bulge into the vaginal canal or through the vaginal opening (introitus), particularly during straining or coughing. […] The descending pelvic organs may intermittently obstruct urine flow, causing urinary retention and overflow incontinence and masking stress incontinence.
  • #2 Pelvic Organ Prolapse | UVA Health
    https://uvahealth.com/services/pelvic-floor-disorders/pelvic-organ-prolapse
    Uterine prolapse (fallen uterus) happens when the uterus drops down into the vagina and causes discomfort and difficulty having bowel movements. It’s the second most common type of prolapse and is classified into three grades depending on how far the uterus has fallen. […] Physical symptoms can include: A bulge or lump on the outside of the vagina, Feeling as though something is bulging out of the vagina, like a tampon is about to fall out, Lower back pain or increased pelvic pressure that interferes with daily activities, Irregular vaginal spotting or bleeding, Frequent urinary incontinence, urinary tract infections, difficulty urinating, frequent urination or any of the above that interfere with a daily routine, Difficult or painful sexual intercourse, Difficult bowel movements, constipation or liquid stools.
  • #2 Pelvic Organ Prolapse Symptoms: Doctors Explain the Variations | First For Women
    https://www.firstforwomen.com/health/menopause/pelvic-organ-prolapse-cystocele-repair-167082
    Pelvic organ prolapse symptoms are so variable (and often so personal) that they often get missed by doctors. […] For some women, this happens all at once and feels almost like ball dropping into the vagina or a tampon sliding down too low; but for others, the signs are more subtle and include unexplained constipation and/or feelings of discomfort during sex. […] A common symptom includes a vaginal bulge, which patients often describe to her as a ball sensation. […] Although prolapse is rarely painful, Dr. Zeno says it can cause a feeling of pressure that worsens over the course of the day or during certain movements like squatting, bending over, or lifting something heavy. […] In addition to the bulge and other symptoms above, women experience: Increased need to urinate, Feeling like you need to empty your bladder when you already have, Painful intercourse. […] When the rectum is more involved, Dr. Zeno says you may experience difficulty evacuating your bowels, which can lead to straining and constipation or the opposite, with accidental bowel leakage.
  • #2 8 Symptoms of Pelvic Prolapse
    https://compurocare.com/8-symptoms-of-pelvic-prolapse/
    Pelvic organ prolapse is a disorder that affects nearly 3% of women in the United States. […] A pelvic organ prolapse means one or more of those organs has moved out of place (usually downwards) and possibly bulged into or out of the vagina. […] Symptoms depend on which organ is affected and may worsen when active or standing for long periods. […] Some women don’t have any symptoms, but when symptoms are noticeable, they may include: Bulging or heavy feeling in the vagina that worsens throughout the day and during bowel movements. Discomfort, pressure, or feeling of fullness in the pelvis, lower abdomen, groin, or lower back. Constipation or loss of bowel control. Leaking urine or a constant urge to urinate. Inability to completely empty the bladder. Frequent urinary tract infections. Vaginal spotting or bleeding. Painful intercourse. […] Pelvic organ prolapse can be uncomfortable and can affect your quality of life.
  • #2 What are symptoms of pelvic organ prolapse?
    https://www.urineincontinence.com.au/prolapse/what-are-symptoms-pelvic-organ-prolapse
    Many women with less severe (or low grade/ stage) prolapse have no symptoms at all and are unaware of their prolapse. […] Women with more severe forms of prolapse may experience some of the following symptoms: A sensation of a vaginal lump or bulge which may be associated with a feeling of discomfort or pressure. […] The most common symptom caused by prolapse is the sensation of a vaginal bulge or heaviness. […] Prolapse symptoms often vary with a womans level of activity and are usually worse at the end of the day, after prolonged standing or walking and after more strenuous physical activity or lifting. […] About 1 in 3 women who have prolapse surgery will also need surgery for urinary incontinence. […] It is important to look for this hidden form of urinary incontinence particularly with a larger prolapse as it helps determine if surgical treatment for urinary incontinence will also be needed.
  • #2 5 Things I Wish All Women Knew About Pelvic Organ Prolapse | ACOG
    https://www.acog.org/womens-health/experts-and-stories/the-latest/5-things-i-wish-all-women-knew-about-pelvic-organ-prolapse
    Pelvic organ prolapse (POP) happens when one or more pelvic organs drop from their normal position. […] When a pelvic organ drops, it may bulge into another organ. In some cases, the organ may bulge out of the vagina. Women may accidentally leak urine or bowel contents (stool), or their vagina may make noises during exercise or sex. These symptoms and others can be isolating. Some women dont seek treatment until they start having serious problems with bladder, bowel, or sexual function. […] There are many symptoms of POP, which usually develop over time. […] More often, POP starts with symptoms such as leaking urine or not being able to empty the bladder completely. You may have back pressure or pain. Sex may hurt. You may have a feeling of laxity (looseness) within the vagina, or you may have more difficulty reaching orgasm. […] POP can worsen or lead to constipation. If a womans rectum has bulged into her vagina, she may have other bowel problems. For example, she may need to insert her fingers into her vagina and push against the walls of the vagina to move stool out through the anus.
  • #2 The Causes, Symptoms and Treatment of Uterine Prolapse – Fleur Women’s Health
    https://fleurhealth.com/blog/the-causes-symptoms-and-treatment-of-uterine-prolapse/
    Uterine prolapse can be categorized as incomplete or complete: […] Symptoms of uterine prolapse can vary depending on its severity. […] Typical symptoms of uterine prolapse include: Pelvic heaviness or pulling, Vaginal bleeding or an increase in vaginal discharge, Difficulties with sexual intercourse, Urinary leakage, retention or bladder infections, Bowel movement difficulties, such as constipation, Lower back pain, Uterine protrusion from the vaginal opening, Sensations of sitting on a ball or that something is falling out of the vagina, Lax vaginal tissue. […] Mild cases of uterine prolapse may be asymptomatic. Symptoms that do present often become worse in the latter part of the day. […] Uterine prolapse is graded by its severity, determined by how far the uterus has descended: 1st grade: descended to the upper vagina, 2nd grade: descended to the introitus, 3rd grade: cervix has descended outside the introitus, 4th grade: cervix and uterus have both descended outside the introitus.
  • #2 Pelvic Organ Prolapse | UVA Health
    https://uvahealth.com/services/pelvic-floor-disorders/pelvic-organ-prolapse
    The stages of pelvic organ prolapse include: Stage 0: no prolapse, and the pelvic organs are perfectly supported by the ligaments in the pelvis, Stage 1: virtually no prolapse, and the pelvic organs are very well-supported by the ligaments in the pelvis, Stage 2: the pelvic organs are not as well supported by the ligaments and have begun to fall down but are still inside the vagina, Stage 3: the pelvic organs are beginning to bulge to or beyond the opening of the vagina, Stage 4: the pelvic organs are completely outside of the vagina.
  • #2 Uterine Prolapse: Stages, Symptoms, Treatment & Surgery – Arjang Naim, MD
    https://drarjangnaim.com/uterine-prolapse-stages-symptoms-treatment-surgery/
    Uterine prolapse can be complete or incomplete. […] Mild uterine prolapse usually does not require treatment. But uterine prolapse that causes discomfort or interferes with daily life needs treatment. […] Women with minor uterine prolapse may not have any symptoms. Moderate to severe prolapse may cause symptoms, such as: […] You should immediately see a doctor and be treated if these symptoms occur. This condition can impair bowel, bladder, and sexual function without proper attention. […] The prolapsed uterus can disrupt normal activities and be uncomfortable. Very mild cases may not require treatment or cause discomfort. However, severe cases may make urinating or having a normal bowel movement difficult. Health care will treat it when the symptoms of the disease begin to interfere with daily life.
  • #2 How to Avoid Your Uterine Prolapse Symptoms Worsening – Pelvic Exercises
    https://www.pelvicexercises.com.au/uterine-prolapse-symptoms/?srsltid=AfmBOoqPbnwsgA8ji6S2ymADeCFtw3zvNzwyygewJTgSJdNuSr_vWp0L
    Uterine prolapse symptoms can occur suddenly (for example after childbirth) or progressively worsen over time as the tissues that suspend and support the uterus weaken and stretch (for example chronic straining with constipation). […] Uterine prolapse symptoms usually become more troublesome as the prolapse worsens. Symptoms typically include: […] Uterine prolapse symptoms usually worsen towards the end of the day as the uterus and supporting tissues stretch inside especially with moderate to severe prolapse. […] Uterine prolapse symptoms usually worsen towards the end of the day as the uterus and supporting tissues stretch inside especially with moderate to severe prolapse.
  • #2
    https://www.sgh.com.sg/patient-care/conditions-treatments/utero-vaginal-prolapse-female-urinary-disorders
    Utero-vaginal prolapse involves the descent of the uterus and/or vagina. […] Some women with a very mild degree of prolapse may not have any symptoms at all. However most women with significant prolapse may experience some of the followings: Dragging sensation or discomfort in the lower abdomen or pelvis, Sensation of swelling or fullness in the vagina, Backache, Vaginal discharge or bleeding, Difficulty in passing motion or urine, Urinary symptoms which include passing urine more frequently, a sensation of incomplete emptying of the bladder or leakage of urine during coughing, sneezing and straining. […] Many of the above symptoms are relieved when lying down. The symptoms are worse in the evening and better in the morning.
  • #2 What is Pelvic Organ Prolapse? – Urology, Women’s Health
    https://healthmatters.nyp.org/what-is-pelvic-organ-prolapse/
    Symptoms include pressure in the vagina, lower back pain, the feeling of sitting on a small ball. In some cases, pelvic organs will protrude outside the vagina. […] In addition to urinary and bowel problems, people feel pressure in the pelvis, and when particularly advanced, the prolapsed uterus can block the kidneys. […] Prolapse tends to happen gradually, Dr. Rodrguez says. But the patient might experience it all of a sudden, because when its mild people might not even be aware they have it, she says. Its not unusual for patients to say, I was coughing really hard, and all of a sudden I felt something. The truth is that they probably had some level of descent, but something pushed the organ to fall further, so that they went from no symptoms to a lot of symptoms.
  • #2 Pelvic Organ Prolapse | AAFP
    https://www.aafp.org/pubs/afp/issues/2017/0801/p179.html
    Pelvic organ prolapse is defined by herniation of the anterior vaginal wall, posterior vaginal wall, uterus, or vaginal apex into the vagina; descent may occur in one or more structures. Prolapse of pelvic structures can cause a sensation of pelvic pressure or bulging through the vaginal opening and may be associated with urinary incontinence, voiding dysfunction, fecal incontinence, incomplete defecation, and sexual dysfunction. […] Most patients with pelvic organ prolapse are asymptomatic. Seeing or feeling a bulge that protrudes to or past the vaginal opening is the most specific symptom. […] Pelvic organ prolapse is dynamic, and symptoms and examination findings may vary day to day, or within a day depending on the level of activity and the fullness of the bladder and rectum. […] Elevated body mass index is a risk factor for pelvic organ prolapse. In one study, women who were obese were more likely to have progression of prolapse by 1 cm or more in one year (odds ratio = 2.9).
  • #2
    https://www.gleneagles.com.sg/conditions-diseases/pelvic-organ-prolapse/symptoms-causes
    Difficulty in passing urine or stools. […] Difficulty in walking or sitting. […] A prolapse is caused by the continuous weakening of the supporting tissues of the pelvic organs. This weakening may be caused by: […] Menopause, where the supporting tissues become weaker with age and menopause. […] Pregnancy and childbirth, especially after a difficult and prolonged labour.
  • #2 Prolapse after birth | Pregnancy Birth and Baby
    https://www.pregnancybirthbaby.org.au/prolapse-after-birth
    Symptoms may worsen throughout the day or after standing, but often improve when you rest. […] Prolapse is most often caused by pregnancy and childbirth. Your first vaginal birth can increase your risk of prolapse by 4 times. […] When your baby moves through the vagina during birth, it can stretch and tear the tissues and muscles supporting your pelvic organs, particularly if you had an assisted birth with forceps or your baby was larger. […] The more vaginal births you have, the higher your risk of prolapse. […] Prolapse can also happen to females who haven’t experienced childbirth. Other causes may include persistent coughing, heavy lifting, and chronic constipation with straining. […] Prolapse can affect future pregnancies, but its possible to have a healthy pregnancy. During pregnancy, prolapse symptoms may worsen due to increased pressure on the pelvic floor. You may experience more discomfort.
  • #2 Uterine Prolapse: Stages, Causes, Symptoms, and Treatment,
    https://www.webmd.com/women/prolapsed-uterus
    Uterine prolapse itself can lead to: Sexual problems, Poor body image, Anxiety and depression, A lower quality of life because of bowel and bladder problems. […] Treatment for uterine prolapse is usually successful. It is possible, though, to have a repeat prolapse, especially if you have had a severe case. A repeat is more likely if you are over 60 or have obesity. Following prevention advice, like managing your weight, can help prevent a new prolapse.
  • #2 Uterine Prolapse: Early Warning Signs and Effective Treatments – Southeast Urogyn
    https://www.seug.com/blog/uterine-prolapse-early-warning-signs-and-effective-treatments
    If your uterus presses on your vagina, the sensations associated with intercourse may change, making sex less pleasurable and even uncomfortable. […] If you think you may be suffering from uterine prolapse, book an appointment over the phone with Southeast Urogyn to get a thorough evaluation and go over your potential treatment options.
  • #2 Uterine Prolapse: Causes, Symptoms, Treatment | Pantai Hospitals
    https://www.pantai.com.my/medical-specialties/gynaecology/uterine-prolapse
    Uterine prolapse can cause urinary tract infection (UTIs). When the uterus descends, it can press on the bladder, making it difficult to fully empty, leading to residual urine that fosters bacterial growth. Additionally, urinary symptoms like urgency and incontinence can raise infection risk. […] Many women with uterine prolapse have no symptoms. However, if the symptoms start showing, they may include: Pressure or heaviness in the pelvis or vagina, Leaking urine or sudden urge to empty the bladder, Repeated bladder infections, Uterus and cervix bulging into the vaginal opening, Lower back pain, Vaginal bleeding, Constipation, Increased vaginal discharge. […] While uterine prolapses are not inherently life-threatening, the severity of symptoms may increase over time, leading to greater pelvic pressure, discomfort, and urinary or bowel problems. Living with prolapse can lead to anxiety, depression, and reduced quality of life due to pain and concerns about sexual function or body image. In severe cases, leaving prolapse untreated may complicate future surgical options if surgical intervention becomes necessary later.
  • #2 Uterine and Apical Prolapse – Gynecology and Obstetrics – Merck Manual Professional Edition
    https://www.merckmanuals.com/professional/gynecology-and-obstetrics/pelvic-organ-prolapse-pop/uterine-and-apical-prolapse
    Uterine prolapse is descent of the uterus toward or past the introitus. Symptoms include vaginal pressure and fullness. Symptoms tend to be minimal with mild uterine or apical prolapse. In more severe uterine or apical prolapse, vaginal or pelvic fullness, pressure, sexual dysfunction, and a sensation of organs falling out are common. The most common presenting symptom is a vaginal bulge, although this may be intermittent because spontaneous reduction can occur. Lower back pain may develop. Incomplete emptying of the bladder and constipation are possible. […] If vaginal or cervical mucosa protrudes beyond the vagina, it may become dried, thickened, chronically inflamed, edematous, and ulcerated. Ulcers may be painful or bleed and need to be differentiated from vulvovaginal infection or dermatosis.
  • #2 6 Common Symptoms of Vaginal Prolapse: Healthcare for Women, LLC: OB-GYNs
    https://www.oakparkobgyn.com/blog/6-common-symptoms-of-vaginal-prolapse
    Uterine prolapse: Uterus begins to move into the vagina. […] If your pelvic area feels full or heavy or you have a sensation of pulling or tugging, your uterus may have prolapsed. It may be dropping down into the vagina.
  • #2 How Do I Tell If I Have a Uterine Prolapse? – Huey & Weprin Ob/Gyn
    https://www.hueyandweprin.com/2020/05/how-do-i-tell-if-i-have-a-uterine-prolapse/
    The symptoms of uterine prolapse will be more apparent the more severe the condition. A minor prolapse may only cause a feeling of pelvic heaviness or lower back pain. As the condition progresses, you may experience vaginal bleeding, an increase in vaginal discharge, and difficulties with having intercourse. Most women will experience difficulty with bowel movements and eventually feel the protrusion as the uterus begins to push out of the vagina. […] If you have a grade 3 or 4 prolapse, in which the uterus is beginning to protrude from the vagina, you may need surgery.
  • #2 Pelvic Organ Prolapse: Symptoms & Treatment Options
    https://www.riversideonline.com/patients-and-visitors/healthy-you-blog/blog/p/pelvic-organ
    A bulging sensation in your vagina is a good indicator that you might have pelvic organ prolapse (POP) a common yet under-discussed condition. […] If youre experiencing symptoms of POP, know that its a common part of aging or childbirth. […] Patients dont have to live with uncomfortable bulging, urinary urgency or incontinence. […] Pelvic organ prolapse is categorized by the affected organ: […] Uterine: The uterus descends into the vaginal canal. […] Besides a sensation of bulging or heaviness in the pelvic area, women with pelvic organ prolapse may experience vaginal pressure or pain that worsens with standing or walking. […] Speak to your doctor if you experience symptoms of pelvic organ prolapse such as: […] Vaginal bulging, pressure or protrusion […] A feeling like something is falling in your vagina […] Urinary incontinence or leakage […] Urgency with peeing […] Difficulty with bowel movements. […] Its important to see a doctor early to prevent the worsening of POP and begin treatment.
  • #2 Pelvic Organ Prolapse: Symptoms and Treatment Options | Temple Health
    https://www.templehealth.org/about/blog/recognizing-pelvic-organ-prolapse
    Pelvic organ prolapse symptoms start early […] The early symptoms of pelvic organ prolapse may be mild, but you might notice: A feeling of constant heaviness, aching, or fullness in the pelvis, which may be worse after exercise, coughing, or standing for long periods […] Symptoms may intensify as the prolapse worsens. You may feel a small bulge in the vagina or at the vaginal opening. Many of my patients describe the sensation as feeling like they’re sitting on a small ball. You may even be able to feel a bulge, or see it if you examine your vagina with a mirror.
  • #2
  • #2 Pelvic organ prolapse | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/sexual-and-reproductive/pelvic-organ-prolapse/
    Some women with a pelvic organ prolapse dont have any symptoms at all. […] Other women will experience symptoms. Its normal for your symptoms to feel more or less severe at different times of the day. […] You think you might have a prolapse or you have symptoms of a prolapse such as: a feeling of a bulge or something coming down the vagina, a feeling of a bulge or something coming out the vagina, which sometimes needs pushed back up (you may be able to see this with a mirror), discomfort during sex, problems peeing a slow stream, a feeling of not emptying your bladder fully, needing to go to the toilet a lot or leaking. […] Treatment will depend on how much the issue is affecting your normal day to day activities. […] In mild cases of prolapse, your doctor may recommend lifestyle changes. For example, regular pelvic floor exercises and maintaining a healthy weight.
  • #2 Pelvic Organ Prolapse | University of Iowa Health Care
    https://uihc.org/services/pelvic-organ-prolapse
    Pelvic organ prolapse can cause incontinence, pelvic pain, and other problems. […] Symptoms include: A feeling of heaviness, pressure, or pulling in your pelvis, Seeing or feeling a bulge at your vaginal opening, Lower back pain, Painful sex, Frequent or urgent urination, Bladder control problems, Trouble emptying your bladder, Trouble having bowel movements. […] Uterine prolapse: The support around the uterus or cervix weakens, allowing the uterus to drop down. In some cases, the cervix can bulge into the lower vagina or through the vaginal opening.
  • #2 Prolapsed uterus – symptoms and treatment | healthdirect
    https://www.healthdirect.gov.au/prolapsed-uterus
    Your symptoms may feel worse at the end of the day and feel better after lying down. […] Without treatment, your symptoms are likely to get worse. But if your symptoms are not affecting your usual activities, you can choose to not have any treatment. You can always change your mind if your symptoms start to bother you.
  • #2 How Do You Fix a Prolapsed Uterus?
    https://www.medicinenet.com/how_do_you_fix_a_prolapsed_uterus/article.htm
    To diagnose a prolapsed uterus, your doctor will perform a vaginal exam. They may ask you to bear down as though you are pushing out a bowel movement. They will look to see how much tissue is prolapsed into or out of the vagina. […] Any treatment for a prolapsed uterus may not be effective if you do not address the root cause of the condition, such as a chronic cough or constipation. […] Experts recommend that women wait until they are done having children to have surgery to repair a prolapsed uterus, because it is likely that giving birth again will cause another prolapse.
  • #2
    https://www2.hse.ie/conditions/pelvic-organ-prolapse/
    Pelvic organ prolapse symptoms include: […] womb bulging or hanging down into the vagina (uterine prolapse) […] Sometimes pelvic organ prolapse has no symptoms. Your GP or nurse may find it during a routine internal exam, such as when you go for cervical screening.