How to know if you have a vaginal prolapse

Vaginal prolapse is something that many women experience, yet it can feel difficult to recognise or talk about. 

This article will help you understand whether you might have a vaginal prolapse by breaking down the key symptoms, from physical sensations to related signs like bladder or bowel issues. 
We’ll guide you through the risk factors, explain what to do if you suspect you have prolapse, and outline the next steps – whether that means seeking medical advice or exploring treatment options. By the end, you’ll feel more confident in understanding and managing this condition.

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What is vaginal prolapse?

Vaginal prolapse happens when pelvic floor (the group of muscles and tissues that support the bladder, uterus and bowel) weaken, allowing one or more pelvic organs  to sag or slip out of place. 

These organs, normally held securely in position by the pelvic floor, can begin to press into or even protrude from the vaginal opening when the supporting muscles lose their strength. This weakening is most commonly due to factors like childbirth, ageing or increased pressure on the abdomen.

Imagine the pelvic floor as a supportive hammock for these organs. Over time, this hammock may stretch or weaken, causing the organs to gradually descend. When this happens, you may notice physical discomfort, changes in bladder or bowel function or other symptoms.

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Types of vaginal prolapse

Vaginal prolapse doesn’t affect everyone in the same way – there are different types depending on which pelvic organ has moved out of its usual position. Each type of vaginal prolapse is named after the organ involved.

Cystocele (bladder prolapse)

A cystocele is when the bladder sags into the vagina.. It may cause symptoms like difficulty emptying the bladder fully or needing to pass urine often.

Rectocele (rectum prolapse)

A rectocele occurs when the rectum bulges into the back wall of the vagina. It can make bowel movements more difficult, sometimes leading to constipation.

Uterine prolapse

Uterine prolapse happens when the uterus descends into or through the vaginal canal. In more severe cases, the uterus may partially or fully protrude from the vagina.

Each type of prolapse can cause different symptoms, but all are treatable with the right care and attention.

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Vaginal prolapse symptoms

It can be hard to know what vaginal prolapse feels like, and the signs can vary from person to person. Some may notice a physical change, while others may first experience changes when going to the toilet or during daily activities.

Physical sensations

Vaginal prolapse can cause a range of physical symptoms, many of which may feel unfamiliar or uncomfortable. 

One of the most common sensations is a feeling of heaviness or pressure in the pelvis or vagina, which may worsen after standing for long periods or lifting heavy objects. 

Some women describe a noticeable bulge or lump in the vagina and, in more advanced cases, it may feel as though something is ‘falling out’. This sensation may be most noticeable during physical activity, but it can also be felt when you’re resting.

Lower back pain or discomfort in the pelvic area is a common symptom. This pain tends to be dull and achy, but it can vary in intensity depending on the severity of the prolapse.

Other signs of vaginal prolapse

Beyond these physical sensations, other signs may point to vaginal prolapse. 

Some women experience difficulty emptying their bladder or bowels fully, which can lead to urinary incontinence, frequent urination or even chronic constipation. Pain or discomfort during sexual intercourse is another common symptom, though not all women will experience this.

Recognising these signs early on is crucial to managing the condition effectively and improving day-to-day comfort.

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When to seek medical advice

If you notice any of the symptoms described above – whether it’s a feeling of heaviness in your pelvis, changes in urination or bowel movements or a physical bulge in the vagina – it’s worth seekingmedical advice. 

While self-checks can help you notice changes, they aren’t a replacement for medical care. If you feel anything different or concerning, contact a doctor for a check-up.

Vaginal prolapse is uncomfortable, but it is treatable, and many options can help manage and ease symptoms. 

our doctors are experienced in diagnosing and treating this condition, so there’s no need to feel embarrassed or worried about asking for help.

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What to expect during a consultation

When you visit a healthcare provider, they will start by asking about your symptoms and medical history. 

A pelvic exam will be done to check the position of your pelvic organs and the extent of prolapse. This exam is straightforward and usually doesn’t involve any discomfort. 

If needed, the doctor may recommend further imaging tests, such as an ultrasound, to get a clearer picture of the prolapse.

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How is vaginal prolapse diagnosed?

A physical pelvic exam is the main way of diagnosing vaginal prolapse.. Your doctor will examine the position of your pelvic organs while you lie down and, in some cases, while you are standing or bearing down (pushing as though you’re having a bowel movement). 

Further imaging may be used to provide more detailed information about the pelvic organs and their placement, including:

• Urodynamic testing – these assess your bladder function
• Pelvic ultrasound
• CT scan of your pelvic and abdominal areas
• MRI of the pelvic floor

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Vaginal prolapse treatment options

If you’ve been told you have a vaginal prolapse, or you suspect you might, it can feel worrying or confusing. The good news is that there are many ways to manage and treat prolapse, and you don’t have to face it alone. Treatment can help ease symptoms, support your comfort and help you continue doing the activities you enjoy.

Non-surgical options

Many women can manage their prolapse with simple, non-surgical treatments.

Pelvic floor exercises, such as Kegels, are often recommended to strengthen the muscles supporting the pelvic organs. 

In some cases, a pessary – a small, removable device – can be inserted into the vagina and left in place to provide additional support to the organs and alleviate symptoms.

Hormone treatments, such as vaginal oestrogen, may help by improving the health of your vaginal tissues and ease symptoms.

Lifestyle changes

Simple changes in daily habits can help manage your prolapse and may prevent symptoms from worsening. These include:

• Keeping a healthy weight
• Avoiding heavy lifting when possible
• Managing constipation to avoid straining when going to the toilet

Surgical treatments

If non-surgical treatments don’t work well enough for you, your doctor may discuss surgery with you, especially if your symptoms affect your day-to-day activities.

Options may include:

• Vaginal repair
• Hysteropexy (surgery to lift the uterus)
• Sacrocolpopexy (surgery to lift the vagina)
• Hysterectomy (removal of the uterus)
• Vaginal vault suspension

Surgical options typically involve repairing the weakened pelvic floor and restoring the organs to their proper position. These procedures have high success rates, and recovery times are generally manageable.

If you’re unsure which vaginal prolapse treatment you should go for, our team of specialists are here to help. They will guide you through what to expect, as well as the benefits and risks of different treatments, and together you’ll decide which is best for you.

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Living with vaginal prolapse can feel challenging, but it’s a common condition and help is available. By recognising symptoms early and seeking support, you can manage your symptoms and continue living your life with confidence. 

If you are concerned about prolapse or want to explore your treatment options, get in touch with our team for advice and support when you are ready.

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Vaginal prolapse FAQs

Can vaginal prolapse get worse over time?

Yes, prolapse can worsen if not managed, especially with activities that strain your pelvic area, like heavy lifting or chronic coughing. Early support and treatment can help reduce the chance of it getting worse.

Is surgery the only solution?

No, surgery isn’t the only option for vaginal prolapse. Non-surgical treatments, like pelvic floor exercises and using a pessary, can help manage symptoms for many people.

 Surgery is typically recommended for more severe cases or when non-surgical treatments are do not provide enough relief.

How soon should I see a doctor if I suspect a prolapse?

If you suspect you have a vaginal prolapse, it’s best to see a doctor as soon as possible. Early assessment means you can get advice on treatment and lifestyle changes to help manage symptoms.

Can a prolapse heal itself?

Prolapse does not go away on its own, but mild symptoms can improve with lifestyle changes and pelvic floor exercises. Ongoing support can help you manage symptoms.

Can I fix a prolapse myself?

While you can take steps to manage and alleviate the symptoms of prolapse through pelvic floor exercises and lifestyle changes,, medical support is needed to assess and discuss the best treatment options. 

How do I check myself for prolapse?

You might notice a bulge or pressure in your vagina if you have a prolapse.

Self-checks can help you notice changes, but they aren’t a substitute for seeing a healthcare professional, who can provide an accurate diagnosis and guide you on treatment.