What should you know about real uterine prolapse?

You may feel heaviness, dragging or pressure in the pelvis, notice a bulge at the vaginal opening, or feel as though something is falling out. Urine leakage, difficulty emptying the bladder, constipation and discomfort during sex can occur when nearby pelvic organs are also affected. Symptoms may worsen after standing, lifting or straining and ease when lying down.

Prolapse is a physical support problem, not a sign that you have done something wrong. A pelvic examination can show which organs are involved and how far they have descended.

A clinician may suggest pelvic-floor rehabilitation, managing constipation, avoiding repeated heavy straining and treating troublesome bladder symptoms. A vaginal pessary is a removable support device that is fitted to your anatomy and reviewed for comfort and skin changes.

If symptoms remain disruptive, options can include [Vaginal Pessary Fitting](/treatments/pelvic-floor-and-rehabilitation/vaginal-pessary-fitting/), [Sacrocolpopexy](/treatments/gynaecological-surgery/sacrocolpopexy/) or [Hysterectomy](/treatments/gynaecological-surgery/hysterectomy/), depending on your health, anatomy and preferences.

Arrange an assessment for a new or enlarging [Vaginal Bulge](/symptoms/vaginal-bulge/), pelvic pressure, difficulty passing urine or bowel motions, or bleeding from irritated tissue. Seek urgent care if you cannot pass urine, have severe pain, heavy bleeding, fever or a bulge that is very swollen and cannot be pushed back comfortably.

Ask which organs are prolapsing, how severe the support change is, and whether pelvic-floor therapy or a pessary could help. If surgery is discussed, ask about recovery, effects on bladder and bowel function, and how the choice fits your future plans.