Vaginal Problems and Female Genital Prolapse
A feeling of pelvic organs bulging (prolapse) into your vagina or
increased pelvic pressure with movement is a symptom of female genital
prolapse, which is experienced almost entirely by adult women. Although many
women who have pelvic organ prolapse do not have symptoms, the most common and
bothersome symptom is bulging of the uterus into the vagina or outside of the
body. Other common symptoms include:
- A feeling of pelvic pressure, or feeling as if
something is actually falling out of the vagina.
- A pulling or
stretching in the groin area or a low backache.
- Painful intercourse
(dyspareunia), for you or your partner.
- Spotting or bleeding from
- Urinary problems, such as incontinence or a frequent or
urgent need to urinate, especially at night.
- Trouble with bowel
movements. A woman may have to support the back (posterior) of her vaginal wall
to have a bowel movement. Constipation is frequently a problem for women who
have certain types of pelvic organ prolapse.
Symptoms of pelvic organ prolapse are made worse by standing,
jumping, and lifting and usually are relieved by lying down.
Female genital prolapse is caused most commonly by pregnancy, labor,
and childbirth. It also can be related to diseases that cause increased
pressure in the abdomen, such as
obesity, respiratory problems with a long-lasting
(chronic) cough, constipation, and pelvic organ cancers. Pelvic organ prolapse
can occur after
William H. Blahd, Jr., MD, FACEP - Emergency Medicine
H. Michael O'Connor, MD - Emergency Medicine
September 6, 2011