Prolapse Free
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Pelvic organ prolapse
Nygaard, I., et al. (2008). Prevalence of Symptomatic Pelvic Floor Disorders in U.S. Women . JAMA; 300(11): 1311–1316.
Whitcomb, E.L., et al. (2009). Racial Differences in Pelvic Organ Prolapse . Obstetrics and Gynecology; 114(6): 1271–1277.
Kudish, B.I., Iglesia, C.B., Gutman, R.E., Sokol, A.I., Rodgers, A.K., Gass, M. et al. (2011). Risk Factors for Prolapse Development in White, Black, and Hispanic Women. Female Pelvic Med Reconstr Surg; 17(2): 80-90.
Patel, D.A., et al. (2006). Childbirth and Pelvic Floor Dysfunction: An Epidemiologic Approach to the Assessment of Prevention Opportunities at Delivery . American Journal of Obstetrics & Gynecology; 195 : 23–28.
Fonti, Y., et al. (2009). Post Partum Pelvic Floor Changes . Journal of Prenatal Medicine; 3(4): 57–59.
Sengupta, N., et al. (2013). Urogynecological Risk Assessment in Postmenopausal . Expert Review of Obstetrics & Gynecology; 8(6): 625–637.
Jones, K.A., et al. (2010). Pessary Use in Pelvic Organ Prolapse and Urinary Incontinence . Reviews in Obstetrics & Gynecology; 3(1). (PDF, 293.16 KB)
Food and Drug Administration. (2019). Urogynecologic Surgical Mesh Implants .
The Office on Women's Health is grateful for the medical review by:
Susan Meikle, M.D., M.S.P.H., Program Director, Pelvic Floor Disorders, Project Scientist, Pelvic Floor Disorders Network, Gynecologic Health and Disease Branch, Eunice Kennedy Shriver National Institute of Child Health and Human Development
Cynelle (Murray) Kunkle, M.D, FACOG, Female Pelvic Medicine and Reconstructive Surgery, Mid-Atlantic Permanente Medical Group, P.C.
All material contained on these pages are free of copyright restrictions and maybe copied, reproduced, or duplicated without permission of the Office on Women’s Health in the U.S. Department of Health and Human Services. Citation of the source is appreciated.
Page last updated:
February 22, 2021
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Call the OWH HELPLINE:
1-800-994-9662
9 a.m. — 6 p.m. ET, Monday — Friday
OWH and the OWH helpline do not see patients and are unable to: diagnose your medical condition; provide treatment; prescribe medication; or refer you to specialists. The OWH helpline is a resource line. The OWH helpline does not provide medical advice.
Please call 911 or go to the nearest emergency room if you are experiencing a medical emergency.
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Pelvic organ prolapse happens when the muscles and tissues supporting the pelvic organs (the uterus, bladder, or rectum) become weak or loose. This allows one or more of the pelvic organs to drop or press into or out of the vagina. Many women are embarrassed to talk to their doctor about their symptoms or think that their symptoms are normal. But pelvic organ prolapse is treatable.
The pelvic muscles and tissues support the pelvic organs like a hammock. The pelvic organs include the bladder, uterus and cervix, vagina, and rectum, which is part of the bowel. A prolapse happens when the pelvis muscles and tissues can no longer support these organs because the muscles and tissues are weak or damaged. This causes one or more pelvic organs to drop or press into or out of the vagina.
Pelvic organ prolapse is a type of pelvic floor disorder . The most common pelvic floor disorders are:
The different types of pelvic organ prolapse depend on the pelvic organ affected. The most common types include:
Although it is rare, pelvic organ prolapse can also happen after a hysterectomy . Any part of the vaginal wall may drop, causing a bulge into or out of the vagina.
Pelvic floor disorders (urinary incontinence, fecal incontinence, and pelvic organ prolapse) affect one in five women in the United States. 1 Pelvic organ prolapse is less common than urinary or fecal incontinence but affects almost 3% of U.S. women. 1 Pelvic organ prolapse happens more often in older women and in white and Hispanic women than in younger women or women of other racial and ethnic groups. 2,3
Some women develop more than one pelvic floor disorder, such as pelvic organ prolapse with urinary incontinence.
The pressure from prolapse can cause a bulge in the vagina that can sometimes be felt or seen. Women with pelvic organ prolapse may feel uncomfortable pressure during physical activity or sex.
Other symptoms of pelvic organ prolapse include:
Some women say that their symptoms are worse at certain times of the day, during physical activity, or after standing for a long time. Talk to your doctor or nurse about your symptoms.
Pelvic organ prolapse happens when the muscles or connective tissues of the pelvis do not work as they should. The most common risk factors are:
Your doctor will talk to you about your symptoms and do a pelvic exam. You may be asked to strain or cough during the exam so your doctor can see whether these actions cause prolapse or urine leakage. Your doctor may also do other tests to see whether you can completely empty your bladder when you go to the bathroom.
Treatment for pelvic organ prolapse depends on the type of prolapse you have, your symptoms, your age, other health problems, and whether you are sexually active.
Your treatment may include one or more of the following:
Mesh used to repair pelvic organ prolapse through the abdomen is safe. But, because of safety issues, mesh is no longer used to repair prolapse through the vagina. 8
If you had surgery with mesh to repair pelvic organ prolapse through the vagina, you may not need to do anything if you do not have any symptoms or problems. Talk to your doctor or nurse if you notice any symptoms or problems, such as vaginal bleeding or discharge, pelvic pain, or pain during sex.
Learn more about what to do if you had this type of surgery from the Food and Drug Administration.
Researchers are studying ways to prevent pelvic organ prolapse. The following steps may reduce your risk of getting a pelvic floor problem:
For more information about pelvic organ prolapse, call the OWH Helpline at 1-800-994-9662 or contact the following organizations:
A federal government website managed by the Office on Women's Health in the Office of the Assistant Secretary for Health at the U.S. Department of Health and Human Services.
200 Independence Avenue, S.W., Washington, DC 20201 1-800-994-9662 • Monday through Friday, 9 a.m. to 6 p.m. ET (closed on federal holidays).
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