Why does pelvic organ prolapse cause vaginal bulge?

Vaginal Bulge is a very common presentation of Pelvic Organ Prolapse. You may feel pressure, heaviness, or something coming down, particularly after standing for a long time or straining. The bulge may be easier to notice later in the day and less noticeable when lying down.

The structure involved can affect other symptoms. A front-wall prolapse may be linked with bladder emptying or leakage, while a back-wall prolapse may cause difficulty emptying the bowel. A bulge can also occur after childbirth or with changes in pelvic support over time.

Arrange an examination if you notice a new bulge, pressure, or change in bladder or bowel function. A clinician can identify which tissues are involved and discuss observation, pelvic floor physiotherapy, a vaginal support device, or a procedure according to your symptoms and preferences.

While waiting for assessment, avoid repeated straining, address constipation with suitable fluids and fibre, and use lifting techniques that reduce pressure. Do not push a painful bulge back repeatedly without advice, especially if it is bleeding or difficult to move.

Seek urgent care if the bulge becomes very painful, changes colour, bleeds, cannot be gently reduced, or prevents you from passing urine or stool. Sudden severe pelvic pain also needs prompt assessment.

Ask which pelvic organ is involved, whether the prolapse is affecting bladder or bowel function, how to strengthen the pelvic floor safely, and which treatments could match your daily activities.