Nasty Prolapse

Nasty Prolapse
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Vaginal prolapse is a condition where the vagina slips out of position. This is more common in women who have had multiple vaginal deliveries during childbirth, have gone through menopause, are smokers or are overweight. The chances of developing a prolapse also increases as you age.

The American College of Obstetricians and Gynecologists. Pelvic Support Problems. (https://www.acog.org/Patients/FAQs/Pelvic-Support-Problems?IsMobileSet=false) Accessed 12/30/2019.
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 12/30/2019.
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 12/30/2019.
The Women’s, The Royal Women’s Hospital Victoria Australia. Vaginal Prolapse. (https://www.thewomens.org.au/health-information/vulva-vagina/vaginal-prolapse/) Accessed 12/30/2019.

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A vaginal prolapse is a dropping of your vagina from its normal location in the body. The vagina, also called the birth canal, is the tunnel that connects the uterus to the outside of a woman’s body. 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. 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.
Prolapses can be small—with just a little movement—or large. A small prolapse is called an incomplete prolapse. A bigger prolapse (called a complete prolapse) is one where the organ has shifted significantly out of its normal place. A complete prolapse can result in part of the organ sticking out of the body. This is a very severe prolapse.

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There are several different types of prolapse. Several of the organs in your pelvic area can shift out of place, developing into a prolapse. The different types of pelvic organ prolapse can include:
Vaginal prolapse is fairly common. More than one-third of women in the U.S. have some type of pelvic area prolapse during their lifetime. You’re more likely to experience a vaginal prolapse later in life, especially if you have had multiple pregnancies with a vaginal birth.
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 the organs in your pelvis in place. Over time, this structure can weaken. When that happens, the vagina might slip down out of place, causing a prolapse. Several common causes of a vaginal prolapse can include:
Activities or conditions that place extra pressure on your abdominal area can also cause a prolapse. These can include:
In many cases, you may not feel any symptoms from a prolapse. You may find out about a vaginal prolapse during an exam in your healthcare provider’s office. If you do experience symptoms, they can include:
A vaginal prolapse is often diagnosed in your healthcare provider’s office during an appointment. Your provider will do a physical exam, talk to you about any symptoms of fullness in your pelvic area or urinary incontinence (leakage). You may also be asked about your family history and about any previous pregnancies.
In some cases, you may not have any symptoms and the prolapse could be found during a routine exam with your healthcare provider.
Treatment for vaginal prolapse 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 non-surgical and surgical treatment options for vaginal prolapses. These treatments are very similar to treatment options for uterine 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. Some of the treatment options can mean no longer being able to become pregnant or have intercourse. Talk to your healthcare provider about any questions or concerns you have regarding these treatments.
Non-surgical treatments are typically used as a first option and work best with very minimal prolapses. Specific non-surgical treatment options can include:
Often, you can’t prevent a vaginal prolapse. There are good lifestyle habits you can adopt to decrease your risk of developing a vaginal prolapse. These can include:
When you lift something heavy, you can strain. This strain can lead to a prolapse. By following a few tips, you can lower your risk of prolapse.
A 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 a 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 a vaginal prolapse in the future.
Last reviewed by a Cleveland Clinic medical professional on 12/30/2019.

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My Vagina Fell Out During Sex (And Here Are All The Gory Details)
By Alex Alexander — Written on Jul 21, 2017
Ever have a romp with a man who was so wild and so rough? Well, the truth is that it is possible to have sex that’s rough enough to pull your vagina out of your body .
If you’re wondering, yes, I know this from personal experience, and yes, I’m going to tell you how this vaginal prolapse happened. (By the way, this can happen to anyone, assuming that the right circumstances are lined up to have it happen.)
Before you run away screaming from anything with a penis , I should explain that there were a couple of things that happened that made this all possible. After all, this isn’t something that typically happens with sex, even if your vagina has seen its fair amount of things in its days.
First off, I had recently gone under the knife in order to get a partial hysterectomy and I also had my tubes tied. I also had given birth a couple of years prior. Oh, and my partner just so happens to have a member roughly the size of a can of Monster energy drink. (I'm not sure if that last part had anything to do with it, though it probably didn't help.)
Now let’s get into how my vagina fell out. This particular day, he and I had gotten particularly rough, and we had forgotten to use lube. Sex was painful, primarily because he kept hitting my cervix. However, I enjoy pain down there, so that wasn't the issue. Once sex was wrapped up, he pulled out — and that’s when I felt something was not quite right.
Unlike every other time we’ve done it, I started to dry heave. I couldn’t figure out what had happened to make me nauseous. Was I in pain? Was it something I ate? Though I did have a little bit of after-sex pain, it wasn’t really clicking with me that this was what was causing my nausea.
Soon after the heaving stopped, I noticed that there was a heaviness “down there.” The best way to describe it is that it felt like I was “fuller” down below, almost as if there was extra equipment that I just magically grew in the span of 5 minutes.
My cervix was sore, but aside from that, I didn’t really feel any pain. It’s a lot less painful than you’d expect it to be.
When I got up to pee, I headed to the bathroom... and nothing. I felt the need to pee, but for the life of me, I couldn’t urinate. I ended up having to push hard just to be able to pee. Something was definitely wrong.
My boyfriend , noticing the heaving and urinary problems, turned to me and asked, “Honey, are you okay?”
“I don’t know,” I said as I got back onto the bed.
Then he gasped. He looked down and asked me what that “weird pink donut thing” is. I asked him what he meant. He took a photo, and lo and behold, there was a huge pink mass that was dipping out of me. That’s when I realized that my vagina fell out .
So, what actually happened here? Technically, the term for what happened is a pelvic organ prolapse, or a vaginal prolapse, and approximately 40 percent of all women will experience it to some degree, due to a number of reasons. It happens when your pelvic muscles weaken and fall out of their rightful place. It happens with women who give birth, women who have hysterectomies, as well as older women.
Is it as horrifying as it sounds? Truthfully, it’s actually not as bad as it sounds. Mostly, I just felt heavy “down there,” had a little bit of a hard time peeing, and occasionally peed when I sneezed . Most of my symptoms were mild discomfort but the pain was way worse when it fully fell out.
Fixing a vaginal prolapse takes time, especially for women who have had a full prolapse like I did. A pessary, which is a small insertable support, can be used to help keep things in place, and if you commit yourself to exercising, a lot of the issues that cause prolapse can lessen over time.
However, surgery often is the best fix, but I didn’t opt for that, myself. Depending on the situation, surgery can involve sewing up your vagina or actually surgically putting things back into place. It was just too invasive for me.
In my extremely rare case, my vaginal prolapse did get better over a relatively short amount of time, especially after I put everything back in. The pain got less, things started to shift back into place, and there's not as much discomfort as there once was. And, better still, I haven't seen the inside of my vagina after sitting down in recent weeks.
However, it’s still a struggle and I still have a way to go. Things are still not completely normal down there, and peeing is still a struggle.
Nowadays, I make sure my boyfriend is gentle with me down there and I have to keep a certain lifestyle in order to make sure nothing falls out again. In order to help improve my pelvic muscles , I have to hit the gym and keep a low weight. I have to be very careful having sex until things are fully (or almost fully) healed, and well, I also have to do Kegels every night.
But, at the very least, things are coming along fine and in the future, things should probably all be back into place once more.
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