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It’s been reported that 23.7% of women experience some form of pelvic floor disorder. Common issues range from urinary incontinence to several kinds of pelvic organ prolapse (POP). A “prolapse” is the slipping down or forward of a part or … Read More
It’s been reported that 23.7% of women experience some form of pelvic floor disorder. Common issues range from urinary incontinence to several kinds of pelvic organ prolapse (POP). A “prolapse” is the slipping down or forward of a part or organ, often as a result of weakened or stretched connective tissue. Prolapses happen for both men and women, but women have several more types of prolapse that may affect the pelvic region of their bodies. This may cause pressure, pain during sex, incontinence, stretching sensations or lower back pain, an odd bulging sensation like sitting on a ball and in severe cases the prolapsed organ may sink so that parts are exposed outside of the body. Taking preventative measures, such as doing pelvic floor exercises, may help prevent these issues in women.
These are the major types of pelvic prolapse that affect women.
A prolapsed bladder sinks into the anterior wall of the vagina.
Cystocele (or “dropped bladder”) is the most common type of female prolapse and one of the few types of bladder prolapse that may impact the body. Basically, the bladder’s supportive tissue stretches or detaches and sinks against the front (or anterior) vaginal wall at the top of the vagina. This may result in difficulty passing urine, incontinence, pain while having sex or general discomfort.
The prolapsed urethra sinks into the anterior wall of the vagina.
This is another prolapse that affects the anterior vaginal wall. This type of prolapse affects only the urethra, which is a tube that takes urine away from the body from the bladder. It may lead to incontinence and frequent or urgent urination.
Both the bladder prolapse (cystocele) and urethra prolapse (urethrocele) occur together.
This bladder prolapse affects both the bladder and the urethra, which sink into the anterior wall of the vagina together.
The uterus droops into the vaginal space and may even protrude outside of the vagina.
The uterus is a powerful, muscular organ that stretches during childbirth and pregnancy, but a dropped uterus can cause quite a few problems. It may lead to other prolapses on this list, as the weight of this organ puts pressure on other weakened organs, causing them to sink. A uterine prolapse , if it goes completely unaddressed and untreated, can painfully protrude outside of the vagina in a disorder called procidentia. A prolapsed uterus can feel like you’re sitting on a ball, lead to beading and may lead to pain during sex.
The top part of the vaginal wall droops towards the vaginal canal.
This type is common for women who have undergone a hysterectomy. Because the uterus has been removed, nothing is anchoring the top of the vagina or cervix in place, and it may sometimes sink. In very severe cases, the vagina may fall through the opening.
The vagina itself droops until it protrudes from the body.
A vaginal prolapse is slightly different than a vaginal vault prolapse. This is where the vagina and the ligaments, muscles and skin around it seem to sink and fall out of normal position. This is typically in combination with other types of prolapse on this list.
The small intestine prolapses into the upper wall of the vagina.
In some cases, the small bowel, or small intestine may sink into the lower pelvic cavity, affecting the top part of the vagina.
The rectum bulges into the posterior vaginal wall.
This type of rectum prolapse only affects women, in which the posterior wall of the vagina (a normally thick band of muscle between the vagina and rectum) is weakened. In severe cases, this bulge may tear into the vagina. Earlier stages may cause rectal pain, constipation, a feeling of pressure in the rectum or the feeling that the bowel hasn’t emptied even after finishing a bowel movement.
The rectum droops and protrudes through the anus.
Men and women can both experience this type of pelvic organ prolapse. The tissues and muscles around the rectal passage loosen, until the rectum may protrude through the anus. People may experience symptoms such as fecal incontinence, urgent bowel movements, or leaking blood or mucus from the anus.
The perineum sinks down below its normal place on the pelvis.
Excessive trauma to the area may cause the perineum to sink. The perineum is the space between the vulva and the anus. This pelvic floor prolapse affects the whole region, which bulges down beyond its space, which is normally the bony part of the pelvis.
All these prolapses have a lot of potential causes. Pregnancy, childbirth, menopause, having a hysterectomy, excessive heavy lifting, smoking, weight, long-term health conditions that cause constipation, long-term conditions that cause frequent cough or strain, age and specific conditions (such as Marfan syndrome) all increase the risks of different forms of pelvic organ prolapse.
Many of these types of prolapses can be addressed with preventative measures, such as pelvic floor exercises, weight loss and lifestyle changes. More severe issues may be addressed with a type of surgery called sacrocolpopexy . A doctor also may use a pessary fitting , which are silicone rings inserted into the vagina to help address a prolapse. To talk about getting a diagnosis, prevention and the various procedures available, contact us at (678) 250-8451 or schedule an appointment with us .
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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.

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I am so happy to bring you my Complete Prolapse Guide, Prolapse Safe Exercises and Prolapse Surgery Success Stories.
You see, I had multiple prolapses and I wish there had been helpful and encouraging information when I was going through it all.
I know how frustrating and scary and confusing a pelvic organ prolapse diagnosis can be. It’s hard to see how little encouraging information there is out there.
So grab your favorite cozy blanket and a cup of coffee. Let’s dive in to my Complete Prolapse Guide and let you know there is hope and an active and fulfilling life beyond prolapse.
I became pregnant with my first baby in 2012. I had a very normal pregnancy and stayed fairly active with Pilates, yoga, walking and lifting weights. I didn’t run or start any new and crazy exercise program. Being a physical therapist and Pilates teacher, I felt I knew the safe way to exercise while pregnant and I followed those guidelines.
I then endured a 43 hour labor with our daughter. I only had an epidural at the tail end as they were trying to avoid a C-section. I ended up pushing for four hours and – with the help of a vacuum – she was finally delivered into the world.
Two weeks later I was trying to check the status of my stitches in the bathroom at home when I felt something abnormal. I grabbed a compact mirror and was pretty confused at what I was seeing. I literally went straight to the computer and Googled “pink golf ball coming out of vagina”. It was then I realized I probably had a prolapse.
I went to see my OBGYN who proceeded to tell me that 1) yes, I had a slight bladder prolapse and 2) I could get a pessary if I wanted.
With 13 years of physical therapy experience, I still was extremely unfamiliar with prolapse. I started researching and couldn’t find anything that truly guided me on what to expect. I also was very anxious to get back to exercise for the endorphins and sanity it provided me, so I proceeded to ignore the prolapse and start sprinting up and down my street at eight weeks postpartum.
I can now tell you that is EXACTLY what I should NOT have done! I had no idea what prolapse safe exercises were unfortunately.
While I didn’t cause my prolapse, I definitely didn’t help it heal. I made it
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