Pelvic Organ Prolapse Specialist

What is pelvic organ prolapse?

Pelvic organ prolapse occurs due to a weakening of the muscles and connective tissue of the pelvic region. When these structures become loose, they no longer support the pelvic organs, including the uterus, bladder, and rectum. One or more of the pelvic organs may fall out of place, pressing on the vagina and creating a bulge, or prolapse.

What causes pelvic organ prolapse?

Vaginal childbirth often strains on the muscles of the pelvic floor, causing them to stretch, which can contribute to pelvic organ prolapse. Multiple vaginal births can increase your risk for the condition. 

Menopause causes hormonal changes that may contribute to pelvic organ prolapse. If you have a family history of the condition or you’re over the age of 60, you also have an increased risk of pelvic organ prolapse.

What are the symptoms of pelvic organ prolapse?

If you can feel a bulge in your vagina, it could indicate that you have pelvic organ prolapse. Some women can see the bulge emerging from the vaginal canal.

Other signs of pelvic organ prolapse include:

• Painful intercourse
• Sensations of pressure or fullness 
• Pelvic discomfort
• Urinary incontinence
• Trouble having a bowel movement
  
  

You might find that your symptoms worsen after physical activity, or that sitting or lying down alleviates your discomfort. 

What is the treatment for pelvic organ prolapse?

The team at Frisco Obstetrics and Gynecology, PA typically begins with a conservative approach when treating pelvic organ prolapse. They may recommend a pessary — a removable device inserted into the vagina which supports the pelvic organs. Medications, pelvic floor muscle exercises, and dietary changes can also help to address symptoms of pelvic organ prolapse.

If conservative treatments don’t resolve your symptoms, you may need surgery to repair one of the following:

• Vaginal wall (vaginal vault suspension)
• Urethra (urethrocele)
• Bladder (cystocele)
• Rectum (rectocele)
• Small bowel (enterocele)
  
  

In some cases, where the uterus is exerting undue pressure on the vagina, your provider at Frisco Obstetrics and Gynecology, PA might recommend a hysterectomy.

While it is often necessary to treat pelvic prolapse because of its tendency to worsen over time, it is usually best to treat the condition as conservatively as possible.

If you’re concerned about a bulge in your vagina or pelvic discomfort, don’t hesitate to schedule a confidential consultation with Frisco Obstetrics and Gynecology, PA. Call the office or book an appointment online today.