What are the first signs of pelvic organ prolapse?

Pelvic organ prolapse happens when the tissues supporting the bladder, bowel, or uterus become less able to hold an organ in its usual position. Early symptoms may feel like dragging or pressure that worsens after standing, lifting, coughing, or later in the day. You may feel or see a soft bulge at the vaginal opening, or notice incomplete bladder emptying, constipation, or leaking urine. Menopause, pregnancy, childbirth, and repeated straining can affect pelvic support, but symptoms can occur for other reasons too.

Book an assessment if a bulge, pressure, or bladder or bowel change persists. A clinician can ask about your symptoms and examine the vaginal walls while you strain gently. Keep a short record of triggers, leakage, bowel movements, and whether lying down improves the sensation. Pelvic floor physiotherapy, a vaginal pessary fitting, or surgery may be considered according to the type of prolapse and its effect on your life.

Seek prompt care if you cannot pass urine, have severe pain, heavy bleeding, fever, or a bulge that becomes very painful, ulcerated, or difficult to push back. Arrange routine review for new leaking urine or a vaginal bulge, because early support can clarify the problem and treatment choices.

Ask which organ is affected, how advanced the prolapse appears, and whether bladder or bowel function is involved. Discuss pelvic floor physiotherapy and a pessary, and ask when pelvic floor repair surgery or sacrocolpopexy would be considered.