Why does uterine prolapse cause a vaginal bulge?

The bulge may feel like pressure, heaviness, or something coming down. It can become more noticeable after standing, lifting, coughing, or straining and may ease when lying down. Some people also have difficulty emptying the bladder or bowel, discomfort during sex, or a dragging feeling in the pelvis. The extent of symptoms does not always match how visible the bulge is.

Other pelvic organs can also contribute to a vaginal bulge, so an examination is needed to identify which structures are involved.

Arrange an assessment if the bulge is new or bothersome. A clinician can check pelvic support and discuss pelvic-floor exercises, treating constipation, reducing strain, a vaginal support device, or surgery when appropriate. Avoiding heavy lifting and addressing a persistent cough may reduce pressure while you seek care.

Contact a clinician if the bulge is growing, rubbing, bleeding, or affecting urination, bowel movements, walking, or sex. Seek urgent care if you cannot pass urine, have severe pain, heavy bleeding, fever, or tissue that becomes very swollen or injured.

Ask which pelvic organs are involved, how advanced the prolapse appears, and whether pelvic-floor therapy or a support device could help. Discuss how treatment may affect activity, sex, urination, bowel function, and future pregnancy plans.