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Vaginal prolapse is a condition where your vagina slips out of position. It happens when the tissues and muscles in your pelvis weaken and overstretch. It’s more common in people who have had multiple vaginal deliveries during childbirth and have gone through menopause.
The American College of Obstetricians and Gynecologists. Pelvic Support Problems. (https://www.acog.org/womens-health/faqs/pelvic-support-problems) Accessed 9/15/2022.
InformedHealth.org [Internet]. Pelvic organ prolapse: Overview. (https://www.ncbi.nlm.nih.gov/books/NBK525783/) 2018 Aug 23. Cologne, Germany: Institute for Quality and Efficiency in Health Care (IQWiG); 2006-. Accessed 9/15/2022.
Kuncharapu I, Majeroni B, Johnson D. Pelvic Organ Prolapse. (https://www.aafp.org/afp/2010/0501/p1111.html) American Family Physician . May 2010; 81(9): 1111-1117. Accessed 9/15/2022.
Merck Manual Professional Version. Uterine and Apical Prolapse. (https://www.merckmanuals.com/professional/gynecology-and-obstetrics/pelvic-organ-prolapse-pop/uterine-and-apical-prolapse) Accessed 9/15/2022.
The Women’s, The Royal Women’s Hospital Victoria Australia. Vaginal Prolapse. (https://www.thewomens.org.au/health-information/vaginal-prolapse) Accessed 9/15/2022.
Women’s Health Concern. Prolapse: Uterine and vaginal. (https://www.womens-health-concern.org/help-and-advice/factsheets/prolapse-uterine-vaginal/) Accessed 9/15/2022.
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Vaginal prolapse (also called a vaginal vault prolapse) is when the top of your vagina falls from its normal location in your body. Your vagina, also called your birth canal, is the tunnel that connects your uterus to the opening of your vagina. When the top of your vagina becomes weak, the organs that they should be supporting collapse into your vagina, creating the sensation of a lump or bulge.
Your vagina is one of several organs that rests in the pelvic area of your body. These organs are held in place by muscles and other tissue. These muscles come together to create a support structure called your pelvic floor . Throughout your life, this support structure can start to weaken. This can happen for a variety of reasons, but the result is a sagging of your organs. When your organs sag or droop out of their normal position, this is called a prolapse. Vaginal prolapse is when the top of your vagina weakens and falls into your vaginal canal.
Prolapses can be small or large. A small prolapse is called an incomplete prolapse. A bigger prolapse (a complete prolapse) happens when your organ has shifted significantly. A complete prolapse can cause your organs to come out of your vaginal opening. This is a very severe prolapse.
Vaginal prolapse can cause painful symptoms. Mild to moderate vaginal prolapse may not require surgery. However, more severe cases may need surgical repair.
Your pelvis is comprised of your uterus, vagina, rectum, bladder and urethra. These organs are held up by your pelvic floor muscles, which look like an upside-down umbrella. The umbrella holds your pelvic organs up, but over time or due to other factors like vaginal deliveries, this upside-down umbrella can begin to collapse.
There are several different types of prolapse that have different names depending on where the organ has dropped from. The different types of pelvic organ prolapse can include:
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Vaginal prolapse is fairly common. More than one-third of women or people assigned female at birth (AFAB) have some type of pelvic area prolapse during their lifetime. You’re more likely to experience vaginal prolapse later in life, especially if you’ve had multiple pregnancies with a vaginal birth.
You may not know you have a prolapsed vagina until vaginal tissue from your vaginal wall protrudes from your vaginal opening. Some people have symptoms like pain or feeling like they are sitting on a ball. Others find out about a prolapsed vagina during a routine pelvic exam.
Several other pelvic organs can slip out of position, not just your vagina. Depending on the type of prolapse you have and its severity, other nearby organs may be affected. For example, you may have problems with your kidneys, urethra (the hole you pee from) and rectum (the hole you poop from). Because a prolapse can cause other problems, it’s important to get it checked out by your healthcare provider.
Symptoms of vaginal prolapse can include:
Some people don’t feel a prolapsed vagina because the prolapse is mild. Your healthcare provider may discover a mild prolapse during a routine gynecological exam. In other cases, you may feel like a ball is hanging from your vagina or experience pain when peeing or when having sexual intercourse.
Your vagina is held in place within your pelvis by a group of muscles and other tissue — creating a support structure, of sorts. This structure keeps your organs in your pelvis in place. Over time, this structure can weaken. When that happens, your vagina might slip down out of place, causing a prolapse. Several common causes of vaginal prolapse can include:
Activities or conditions that place extra pressure on your abdominal area can also cause a prolapse. These can include:
A gynecologist usually diagnoses vaginal prolapse during an appointment. They will do a physical exam and talk to you about any symptoms of fullness in your pelvic area or urinary incontinence (leaking pee). You may also be asked about any previous pregnancies and deliveries. In most cases, your provider can feel a prolapse by inserting a gloved finger in your vagina or upon a visual inspection of the area.
In some cases, you may not have any symptoms and your provider discovers a prolapse during a pelvic exam.
If you have problems peeing, your provider may order tests to check your bladder function. They may also order an MRI (magnetic resonance imaging) or pelvic ultrasound if they need a better view of all the other pelvic organs.
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.
Vaginal prolapse treatment can vary depending on the severity of your prolapse. In some cases, your healthcare provider may want to just watch it over time to make sure it doesn’t get worse.
There are nonsurgical and surgical treatment options for vaginal prolapses. There are a few things your healthcare provider will take into account when forming a treatment plan. These can include:
It’s important to have an open and honest conversation with your healthcare provider about these topics. Talk to your healthcare provider about any questions or concerns you have regarding these treatments.
Nonsurgical treatments are typically used as a first option and work best with minimal or mild prolapses. Specific treatment options can include:
For more severe cases, surgery to correct vaginal prolapse can be an option. These options include:
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.
No, you can’t push a prolapsed vagina back up. Your healthcare provider is the only person who should treat a prolapsed vagina. You may be able to feel a prolapse, and you may need to push the prolapse back up to poop or pee, but pushing the prolapse back up is temporary and will not permanently fix the prolapse.
You can’t always prevent vaginal prolapse. There are good lifestyle habits you can adopt to decrease your risk of developing vaginal prolapse. These can include:
When you lift something heavy, you can strain your muscles. This strain can lead to a pelvic organ prolapse. By following a few tips, you can lower your risk of prolapse.
Vaginal prolapse can happen again after treatment. However, most treatment plans are very successful. If you have multiple prolapses or a severe prolapse, your healthcare provider may talk to you about surgical treatment options.
In most cases, the outlook for vaginal prolapse is positive. Treatment and lifestyle changes typically work well. Talk to your healthcare provider about all treatment options and what each option would mean for you. Your provider can help you develop good lifestyle habits that might help lower your risk of developing vaginal prolapse in the future.
Contact your healthcare provider if you have symptoms of prolapse like:
Don’t let symptoms of vaginal prolapse interfere with your daily life. See your healthcare provider if you have symptoms of vaginal prolapse like a bulging from your vagina or a feeling of fullness in your pelvis. Prolapse isn’t a serious condition, but it can cause problems if it’s left untreated or worsens. Mild cases of a prolapsed vagina can be fixed with Kegel exercises or a vaginal pessary. Surgery is needed in more severe cases.
Last reviewed by a Cleveland Clinic medical professional on 09/15/2022.
Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services.
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It was a Colorado winter afternoon when the boys spotted a big crossbred cow wobblin’ along with her calf trailing behind and a prolapse as big as an army issue duffle bag!
When they got closer they could see the calf had sucked but the prolapse looked a little worse for the wear. Merle and Earl were a’horseback two miles from the corrals. The cow was domesticated but certainly not tame! She was a range cow. They’re like K-Mart employees; you can’t actually walk up to one!
Using the time-tested Temple Grandin technique, they pushed her down the trail until she wore out and sort of collapsed. Our duo dismounted and eased up on the tired cow. He also carried a small medicine bag, primarily to treat calf scours. Earl walked up to drop a loop over the cow’s head.
“You won’t need that,” said Merle, “There’s some of that obstacle tape, that and a shot of ‘anorexic’ medicine will put her to sleep.”
Earl found a bottle with 5 cc of lidocaine left in it. He drew it into a syringe and handed it to Merle who injected it directly into the prolapse. The boys knelt down and began trying to stuff the bulbous, slippery, inverted uterus back through the pelvic opening.
NOTE: this process has been compared to stuffing a smoked ham down a sink drain.
Four hands were thrusting, spelunking, grasping, groaning, winching, clinching…push one galoop in and another would pop out the other side! Through twenty minutes of heaving, breathing, scooting, slewing, and trying to find something with your foot to push against, the monstrous appendage kept growling and snarling, fighting back with all its might! Merle had the best grip.
“Earl, pull off your boot and see if you can shove it in with your foot!
“I read about it somewhere, it gives you more leverage!”
With a suspicious eye, Earl unbooted, lay back against a hummock, placed his sticky sock into the rubbery protuberance and pushed. “Slurp…” It disappeared before their eyes!
Merle took command. He rifled in the medicine box and found a bottle of umbilical tape and a needle.
“Keep pushin’ till I git’er stitched up!” instructed Merle.
Even though she was still straining some, the cow began to relax. So did Earl, twisted in up to the knee. Merle threaded the S-curved needle and plunged into the sensitive area. “WHAAAAAA!”
The cow rose from the ground like a missile being fired from a Titan submarine! The movement put tremendous pressure on the anterior cruciate ligament in Earl’s knee joint. He didn’t even make the 8-second buzzer.
EPILOGUE: The prolapse stayed in, the calf was not fazed, it ended Earl’s potential soccer career, and Merle lived to tell me the story!
Wanted full time employee for a feeding and ranching company located south of Cheyenne, WY. Experience/knowledge of feeding, operating equipment,…
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Park AJ, et al. Clinical manifestations, diagnosis, and nonsurgical management of posterior vaginal defects. https://www.uptodate.com/contents/search. Accessed Oct. 8, 2017.
Ferri FF. Pelvic organ prolapse. In: Ferri's Clinical Advisor 2018. Philadelphia, Pa.: Elsevier; 2018. https://www.clinicalkey.com. Accessed Oct. 1, 2017.
American Urogynecologic Society best practice statement: Evaluation and counseling of patients with pelvic organ prolapse. Silver Spring, Md. Female Pelvic Medicine and Reconstructive Surgery. 2017;23:281. Accessed Oct. 1, 2017.
Information for health care providers for POP. Food and Drug Administration. https://www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/ImplantsandProsthetics/UroGynSurgicalMesh/ucm345204.htm. Accessed Oct. 10, 2017.
Lobo RA, et al. Anatomic defects of the abdominal wall and pelvic floor. In: Comprehensive Gynecology. 7th ed. Philadelphia, Pa.: Elsevier; 2017. https://www.clinicalkey.com. Accessed October 1, 2017.
Hoffman BL, et al. Pelvic organ prolapse. In: Williams Gynecology. 3rd ed. New York, N.Y.: McGraw-Hill Education; 2016. http://accessmedicine.mhmedical.com. Accessed Oct. 1, 2017.
What are kegel exercises? National Association for Continence. https://www.nafc.org/kegel/. Accessed Oct. 10, 2017.
Warner KJ. Allscripts EPSi. Mayo Clinic. Dec. 16, 2020.
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Small bowel prolapse (enterocele) occurs when muscles and tissues that hold the intestines (small bowel) in place inside the pelvic cavity weaken, causing the small bowel to descend and bulge into the vagina.
Small bowel prolapse, also called enterocele (EN-tur-o-seel), occurs when the small intestine (small bowel) descends into the lower pelvic cavity and pushes at the top part of the vagina, creating a bulge. The word "prolapse" means to slip or fall out of place.
Childbirth, aging and other processes that put pressure on your pelvic floor may weaken the muscles and ligaments that support pelvic organs, making small bowel prolapse more likely to occur.
To manage small bowel prolapse, self-care measures and other nonsurgical options are often effective. In severe cases, you may need surgery to fix the prolapse.
Mild small bowel prolapse may produce no signs or symptoms. However, if you have significant prolapse, you might experience:
Many women with small bowel prolapse also experience prolapse of other pelvic organs, such as the bladder, uterus or rectum.
See your doctor if you develop signs or symptoms of prolapse that bother you.
Increased pressure on the pelvic floor is the main reason for any form of pelvic organ prolapse. Conditions and activities that can cause or contribute to small bowel prolapse or other types of prolapse include:
Pregnancy and childbirth are the most common causes of pelvic organ prolapse. The muscles, ligaments and fascia that hold and support your vagina stretch and weaken during pregnancy, labor and delivery.
Not everyone who has had a baby develops pelvic organ prolapse. Some women have very strong supporting muscles, ligaments and fascia in the pelvis and never have a problem. It's also possible for a woman who's never had a baby to develop pelvic organ prolapse.
Factors that increase your risk of developing small bowel prolapse include:
You may be able to lower your chances of small bowel prolapse with these strategies:
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