Mega Prolapse
![](/file/0aa04defda813d1ef0ac0.gif)
🛑 ALL INFORMATION CLICK HERE 👈🏻👈🏻👈🏻
Mega Prolapse
Health Navigator New Zealand
About
Get involved
News
Languages
Menu
Home
Health A-Z
Medicines
Healthy living
Apps
News
Newsletters
Videos
Tools
Services
Support
Clinicians
Healthcare in NZ
About
Contact
Get involved
LinkedIn
Twitter
Common conditions
Asthma
Cancer
Depression
Diabetes
Gout
Pain
View all
Common tests and procedures
Cervical screening
Colonoscopy
CT scan
Endoscopy
Full blood count (FBC)
X-ray
View all
Common medicines
Diabetes type 2 medicines
Pain relief medications
Puffers and other inhaler devices
View all
Medicine topics
Medicine use & safety
Medicines – questions to ask
Non-medicine treatments for pain
View all
Health and wellbeing
Mental health
Quitting smoking
Physical activity
Eating & drinking
Sleep
Self management
Immunisation and vaccines
View all
Ages and stages
Pregnancy
Baby health & nutrition
Parenting
Teens & young adults
Women's health
Men's health
Senior health
View all
Services
Find a health service
Support services
Healthcare in NZ
Health Consumer Advisory Service
Disability services
View all
Looking for
Where to get medical help
A health professional or service
Patient portals
Newsletters
View all
Continuing professional development
National Health Content Hub
Conferences & workshops
Wellness support education series
Clinical skills, cases and OSCEs
View all
Health literacy
Health coaching
Programmes & courses
Languages
View all
App library
New Zealand-based apps
Mental health and wellbeing apps
Mental health and wellbeing apps (for teenagers and young people)
Nutrition and fitness apps
View all
Tools & resources
Tools
Pregnancy calculator
Medication dose calculators
Health App Library News
View all
Breastfeeding videos
COVID in the community
Depression videos
Diabetes
Ear health
Eye care & eye conditions
View all
Feeding your baby
Healthy eating
Immunisation
Inhaler use
Kidneys - videos
NZ Sign Language videos
Pain videos
View all
Tools
BMI calculator
Pregnancy calculator
Medication dose calculators
Paracetamol dose calculator
Kessler scale
Sleep quizzes & self tests
View all
Resources
Te Kete Haerenga – Wellness toolkit
Take Charge is now Te Kete Haerenga
Care plans & action plans
Pain toolkit
Languages
View all
Pelvic organ prolapse
Print
A
A
A
You will now be redirected to the download link.
Sign up to get access to "My Health Plan" and get the latest news about health.
Email* First name* Last name* Role ——— ——— Member of the public Academic GP Nurse Specialist Pharmacist Health Manager Health Professional - Other Other Company or organisation
You will be sent to the download link once you've signed up.
You will now be redirected to the download link.
Sign up to get access to the toolkit and get the latest news about health.
Email* First name* Last name* Role* ——— ——— Member of the public Academic GP Nurse Specialist Pharmacist Health Manager Health Professional - Other Other Company or organisation
You will be sent to the download link once you've signed up.
Your message is very important to us.
Use the form below to share your experiences while using this app.
App name How would you rate this app? (1 poor - 5 excellent) What did you like OR not like about this app? Role ——— ——— Health professional Member of the public
Your message is very important to us.
Did you find this information useful?
Pelvic organ prolapse (also called vaginal prolapse or genitourinary prolapse) is a condition where the organs in your pelvis (womb, bladder and rectum) slip down from their usual position into your vagina.
The pelvic organs are held in place by ligaments and pelvic floor muscles. If the ligaments are torn or stretched for any reason, and if your pelvic floor muscles are weak, then your pelvic organs might not be held in their right place and they may bulge or sag down into your vagina.
Pelvic organ prolapse is caused by either a weakness in the supports of the pelvis or by an increase in the pressure inside the abdominal cavity.
The most common causes of weakness of the supports are:
The most common causes of an increase in abdominal pressure are:
Often it is a combination of these factors that result in you having a prolapse.
This is the most common cause of weakening of the pelvic floor support muscles, especially if your baby was large, you had an assisted birth (forceps/ventouse) or your labour was very long.
The more births a woman has, the more likely she is to develop a prolapse in later life; however, you can still get a prolapse even if you haven’t given birth.
Performing pelvic floor exercises is very important after childbirth but may not prevent prolapse from occurring and will not restore a large prolapse.
Prolapse is more common as women get older, particularly after menopause.
A decrease in the female hormone oestrogen, that occurs after the menopause, affects the pelvic floor muscles and structures around the vagina. This makes them less springy and supportive.
The word ‘prolapse’ means a falling down or slipping of a body part from its usual position. There are different types of prolapse depending on which pelvic organ might have dropped down into the vagina.
There are a number of signs that you may have a prolapse. These signs depend on the type of prolapse and how much pelvic organ support has been weakened or lost.
If the prolapse is mild, you may not know you have a prolapse as there will be no symptoms, but your doctor or nurse might be able to see your prolapse when you have your routine cervical smear test . Not all woman undergo regular smear tests, for example if your cervix has been removed, so it is important to recognise these symptoms.
When a prolapse is larger, you may notice things such as:
These signs can be worse at the end of the day and may feel better after lying down. If the prolapse bulges right outside your body, you may feel sore and bleed as the prolapse rubs on your underwear.
To diagnose a prolapse your doctor will need to perform a vaginal examination. You can choose if this happens on your initial visit. Some people may find this stressful especially for those who previously have had a traumatising experience, particularly a sexual assault. It can be helpful for your doctor to know if this is the case. The examination will be done in a private and respectful way and you are welcome to bring a support person. A speculum, a plastic or metal instrument, may be inserted. This is used to separate the walls of the vagina so your doctor can see into your vaginal cavity to diagnose exactly which organ(s) are prolapsing.
You may be told you have a mild prolapse with little or no symptoms, meaning no treatment is needed at this stage. However, some degree of prolapse is quite common and if it doesn't trouble you there's no need to get it regularly checked. There are many self-care tips that you can follow to help prevent further prolapse, ease any symptoms you may have, or prevent the prolapse from becoming bothersome.
Things you can do to improve your symptoms
If your symptoms are more severe, your doctor will discuss the following treatment options with you:
The following links provide further information on pelvic organ prolapse. Be aware that websites from other countries may contain information that differs from New Zealand recommendations.
A pessary is a small silicone or plastic support that is inserted into your vagina. It helps to lift up the walls of your vagina and any prolapse of your womb (uterus).
Pessaries come in a number of sizes and shapes. You may need to try a few before you find one that is comfortable and provides the right support . It is left in place in your vagina. Pessaries don’t fix prolapses but they can reduce or lessen the symptoms of prolapse and help you live more comfortably. Vaginal pessaries are easily inserted but must be inserted by a trained and experienced health professional – your GP or a gynaecologist (a doctor specialising in the female reproductive system). T hey need to be checked every 6–12 months, depending on the type. If you have pain or difficulty passing urine (peeing) after you have a vaginal pessary inserted, you should speak to your doctor as soon as possible as t he pessary may need to be chang ed for a different size. If you have a pessary that is the right size and in the right position, you won’t be able to feel it and you’ll be able to do all your normal activities. It’s also okay to have sex with a pessary and your partner should not be able to feel it. A pessary that is the wrong size can fall out but it cannot end up anywhere else in your body.
It can be an option for women who do not wish to have surgery. This includes if you are:
Vaginal pessaries do not usually cause any problems, but may affect the sensitive skin inside your vagina which can be painful. Some women notice some discomfort during sex. Other side effects include :
If you experience any of the things listed below, d on’t wait for a follow-up appointment, but talk to you r doctor or nurse .
Vaginal pessary Family Doctor, American Academy of Family Physicians
I love the outdoors. I’m a keen tramper. I enjoy stand up paddleboarding (SUP) and surfing, kiteboarding, sailing. I run bush skills courses for women. I can spend hours working in the garden. I feel fit and active.
In July 2019, my peeing felt a little bit different for a couple of days. The following night I had to get up to the loo nearly every hour, each time feeling more uncomfortable ‘down there’. Explaining it to my husband the next morning, I said “it feels like something is going to fall out of my vagina”. No other way to describe it.
After googling my symptoms, ‘bladder prolapse’ appeared on the screen. It sounded vaguely familiar, but I certainly couldn’t relate it to me. Luckily I managed to get the last appointment at the medical centre (it was Friday of all days!). The doctor’s examination confirmed a prolapse – not bladder but uterus. I felt stunned. Read more of this story .
I was 35 years old and three weeks postpartum after my first baby when (after lots of googling with few answers) I went to a GP thinking I had a prolapse. This was because I had looked at my bits with a mirror and didn’t think they looked right! Even considering that I’d not long pushed a baby out, I still thought it didn’t look or feel right. I could see ridgy bumps and other soft pink bulges coming out that I had NEVER seen before. The GP said I didn’t have a prolapse. She did tell me how she had a prolapse from giving birth though! I was a bit miffed but that was that.
During labour my midwife had said that my pelvic floor was ‘too good’ and was hindering my pushing efforts. I’ve worked out since that you need to learn to relax those muscles to push a baby out! I’ve also heard you can really damage your pelvic floor even if it was really good to begin with. Who knew?! Read more of this story .
I am 50 years old with three children.
I have had issues with a weak pelvic floor for years. When my kids were tiny, I did a few Kegel exercises, but never progressed on from that. When my youngest daughter was about 2 years old, we went camping and I joined in a softball game. The running caused great leaking and I ended up with soaked trousers. I still thought it was just my pelvic floor and still didn't get it checked out properly.
A few years later, I had mycoplasma pneumonia and coughed like crazy for three weeks, needing to wear a panty liner constantly as I was leaking so much. I still didn't think much of it...! Well, I realised it was bad, but I was still thinking ‘weak pelvic floor’.
I am a 34-year-old kiwi physiotherapist, and have always been active with netball, mountain biking, whitewater kayaking, and adventure racing. I have three children who were born when I was 26, 28 and 33. They were all fairly good sizes and my deliveries were natural, with no complications, and extremely fast (just a few minutes of pushing). After my first baby I started walking immediately and started some occasional running and social basketball from when she was about 8 weeks old, with no problems.
After my second baby, I became aware that things didn’t feel right when he was a few days old – a walk to the end of the driveway made me feel heavy in my pelvic area and I realised I had a prolapse. I saw my GP who wasn’t particularly helpful, and worked hard at pelvic floor strengthening which I designed using my physiotherapy knowledge. After about eight months I did return to everything that I enjoy including netball and long runs (3–4 hours). I found it hard to tell anyone that I had a prolapse – as if being fit, active and a physiotherapist should have protected me, and I felt embarrassed even though I knew how common it was.
The content on this page will be of most use to clinicians, such as nurses, doctors, pharmacists, specialists and other healthcare providers.
(Goodfellow Unit Webinar, NZ, 2020)
Access to the following regional pathways is localised for each region and access is limited to health providers. If you do not know the login details, contact your DHB or PHO for more information:
Phone Healthline for free on 0800 611 116 any time of the day or night for advice on any health issue, no matter how small. In an emergency, phone 111 for an ambulance. Find a physiotherapist Contact Physiotherapy NZ for help with pelvic conditions.
Royal College of Obstetricians & Gynaecologists, UK, 2013
A pessary is a small silicone or plastic support that is inserted into your vagina. It helps to lift up the walls of your vagina and any prolapse of your womb (uterus).
Pessaries come in a number of sizes and shapes. You may need to try a few before you find one that is comfortable and provides the right support . It is left in place in your vagina. Pessaries don’t fix prolapses but they can reduce or lessen the symptoms of prolapse and help you live more comfortably. Vaginal pessaries are easily inserted but must be inserted by a trained and experienced health professional – your GP or a gynaecologist (a doctor specialising in the female reproductive system). T hey need to be checked every 6–12 months, depending on the type. If you have pain or difficulty passing urine (peeing) after you have a vaginal pessary inserted, you should speak to your doctor as soon as possible as t he pessary may need to be chang ed for a different size. If you have a pessary that is the right size and in the right position, you won’t be able to feel it and you’ll be able to do all your normal activities. It’s also okay to have sex with a pessary and your partner should not be able to feel it. A pessary that is the wrong size can fall out but it cannot end up anywhere else in your body.
It can be an option for women who do not wish to have surgery. This includes if you are:
Vaginal pessaries do not usually cause any problems, but may affect the sensitive skin inside your vagina which can be painful. Some women notice some discomfort during sex. Other side effects include :
If you experience any of the things listed below, d on’t wait for a follow-up appointment, but talk to you r doctor or nurse .
Vaginal pessary Family Doctor, American Academy of Family Physicians
I love the outdoors. I’m a keen tramper. I enjoy stand up paddleboarding (SUP) and surfing, kiteboarding, sailing. I run bush skills courses for women. I can spend hours working in the garden. I feel fit and active.
In July 2019, my peeing felt a little bit different for a couple of days. The following night I had to get up to the loo nearly every hour, each time feeling more uncomfortable ‘down there’. Explaining it to my husband the next morning, I said “it feels like something is going to fall out of my vagina”. No other way to descri
Fetish High Heels Nylon Corset
Mature Orgy Boy
French Maid Porno