Pelvic organ prolapse

In pelvic organ prolapse, the uterus, bladder, bowel or top of the vagina moves down into or towards the vagina because supporting tissue and the pelvic floor have weakened. A heavy or bulging sensation, urinary or bowel problems and discomfort during sex may occur. Treatment is needed only if it causes problems and may include pelvic floor therapy, a pessary or surgery.

• A heavy, dragging or pressure sensation in the pelvis or vagina, often worse after prolonged standing and later in the day.
• A soft bulge that can be felt or seen inside or outside the vagina, sometimes with rubbing, dryness, an ulcer or slight bleeding.
• Avoid hard straining with enough fibre, appropriate fluids, activity and treatment of chronic constipation if needed.
• Seek treatment for cough and asthma and support for smoking, and stop smoking to reduce repeated pressure increases and surgical risk.
• Arrange an appointment for a new vaginal bulge, pressure sensation, difficulty urinating or passing stool, bleeding or discomfort during sex.
• For urgent GP care outside normal opening hours, call HAP 9252. Call Ambulance 912 only for an immediately life-threatening situation.