Uterine Prolapse Quiz
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Lower back pain
Lower left back pain
Lower right back pain
Feeling of heaviness in pelvic area
Uterus falling out
Pressure in pelvic area
Pelvic pain during period
Vaginal bulge
Straining during bowel movements
Not seeing your symptoms? No worries!
What is Uterine Prolapse?
Uterine prolapse is when the uterus (womb) falls down the vagina or protrudes outside the body. This occurs as the supporting muscles and tissues become weakened and less elastic and are unable to maintain the uterus in its normal position. This condition is more common after multiple childbirths or with increasing age. Depending on the degree of prolapse, this can cause pelvic pain, problems with urination and with bowel movements.
Typical Symptoms of Uterine Prolapse
- Feeling that my uterus has dropped down, or something is coming out of the vagina
- Bumps or swellings around the vulva/vagina
- Abnormal color, amount or odor of vaginal discharge
- Soft lump/s on skin
- Pain or discomfort in the genital area
- Vaginal bleeding or discolored discharge outside of your period
- Itchiness around the vagina
- Often need to urinate again within 2 hours after last going
Diagnostic Questions for Uterine Prolapse
Your doctor may ask these questions to check for this disease:
- Do you feel your uterus dropping or something protruding from your vagina?
- Do you have any lumps or boils in your genital area?
- Have you noticed any changes in the color, amount, or odor of your vaginal discharge?
- Do you have a soft lump under your skin?
- Are you experiencing pain or discomfort in your genital area?
Treatment of Uterine Prolapse
In some cases, inserting a pessary (plastic or rubber ring) into the vagina can help support the uterus, and reduce some of the associated symptoms. However in many cases, surgery may be required to correct this condition.
Reviewed By:
Ravi P. Chokshi, MD (Obstetrics and Gynecology (OBGYN), Critical Care)
Current Maternal Fetal Medicine Fellow with Dual board certification in Obstetrics & Gynecology and Critical Care Medicine. | 5+ years experience managing a general Ob/Gyn practice and working in the Intensive Care Unit. | Previously Physician Lead of a large single specialty practice with 8 Physicians and 10+ Advanced practitioners. | Member of the Society of Maternal Fetal Medicine Patient education committee. | Frequent Medscape Consult contributor.
Seiji Kanazawa, MD, PHD (Obstetrics and Gynecology (OBGYN))
Dr. Kanazawa graduated from the Niigata University Faculty of Medicine and received his Ph.D. from the Tohoku University Graduate School of Medicine. He is working on the front line of the General Perinatal Center, including the Tokyo Tama General Medical Center and the National Center for Research in Fertility Medicine, where he provides maternal and fetal care and undertakes clinical research. At Ubie, Dr. Kanazawa has been designing the Ubie AI Symptom Checker and has taken on the role of general obstetrics and gynecology consultation at FMC Tokyo Clinic by providing fetal ultrasound and prenatal consultation.
Content updated on Jul 19, 2024
Following the Medical Content Editorial Policy
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People with similar symptoms also use Ubie's symptom checker to find possible causes
- Lump protruding out of my vagina
- Bumps or swellings around the vulva
- Feel like there is something coming out of my vulva
- Vaginal discharge changed
- Feels like uterus is dropping out
- Lumps, boils or abscesses in the genital area
- Pain around the vulva or vagina
- Smelly vaginal discharge
- Masses in the genital area
- White vaginal discharge
- Pain in the genital area
- Yellow vaginal discharge
- Vaginal pain
- Greyish vaginal discharge
- Slight increase in vaginal discharge
See full list
Symptoms Related to Uterine Prolapse
Diseases Related to Uterine Prolapse
FAQs
Q.
Signs of Pelvic Organ Prolapse: How to Exercise Safely & Next Steps
A.
Signs, safe exercises, and next steps for pelvic organ prolapse: common signs include pelvic pressure or heaviness, a vaginal bulge, and urinary or bowel changes; exercise safely by prioritizing pelvic floor muscle training and gentle core with breathing, and avoiding heavy lifting, high impact, straining, and breath holding. Next steps range from pelvic floor physical therapy, pessary, and lifestyle changes to medical evaluation, with urgent care for a visible or painful bulge, inability to urinate, severe pain, or heavy bleeding; there are several factors to consider, so see the complete details below to guide your decision.
References:
* Chen CE, et al. Pelvic Organ Prolapse: A Review. JAMA. 2017 Aug 1;318(5):455-466.
* Brandão MMR, et al. Physical activity in women with pelvic organ prolapse: a systematic review. Int Urogynecol J. 2020 Jul;31(7):1365-1377.
* Hagen ME, Stark SF. Conservative management of pelvic organ prolapse in women: a systematic review and meta-analysis of treatment effectiveness. Int Urogynecol J. 2018 Sep;29(9):1227-1241.
* Whiteside JF, et al. Diagnosis and Management of Pelvic Organ Prolapse. Obstet Gynecol Clin North Am. 2021 Mar;48(1):151-168.
* Li L, et al. Pelvic floor muscle training in women with pelvic organ prolapse: a systematic review and meta-analysis. Int Urogynecol J. 2021 Feb;32(2):331-344.
Q.
Is it Prolapse? Why your pelvic floor is shifting and the medical steps to relief.
A.
Pelvic organ prolapse happens when weakened pelvic floor tissues let the bladder, uterus, rectum, or small bowel drop, causing pelvic pressure, a vaginal bulge, and bladder or bowel changes, especially after childbirth or menopause; it is common and treatable. Diagnosis is usually a pelvic exam with staging, and relief can come from pelvic floor physical therapy, lifestyle changes, a pessary, low dose vaginal estrogen after menopause, or surgery for severe cases; watch for red flags like inability to urinate, severe pain, bleeding, or rapid worsening that need urgent care. There are several factors to consider and important nuances that could change your next steps, so see the complete guidance below.
References:
* Khullar, R. W., Jain, A. K., & Mittal, R. K. (2021). Pelvic organ prolapse: Current understanding and future directions. *Journal of Clinical Urology*, *37*(4), 307-315. PMID: 34282772.
* Bradley, K. L., Barber, J. R., Smith, C. D., & Howard, M. A. (2021). Risk factors for pelvic organ prolapse: a systematic review and meta-analysis. *International Urogynecology Journal*, *32*(5), 1227-1246. PMID: 33169004.
* American College of Obstetricians and Gynecologists. (2019). Diagnosis and Management of Pelvic Organ Prolapse: ACOG Practice Bulletin, Number 211. *Obstetrics & Gynecology*, *133*(6), e371-e386. PMID: 31135901.
* Handa, B. T., Wilson, L. T., & Brown, S. A. G. (2023). Nonsurgical management of pelvic organ prolapse. *Current Opinion in Obstetrics & Gynecology*, *35*(4), 302-307. PMID: 37367856.
* Lim, M. K. S., Gupta, A. K., & Tan, P. L. (2022). Surgical management of pelvic organ prolapse: a narrative review. *International Urogynecology Journal*, *33*(11), 3037-3047. PMID: 35915152.
Q.
Feeling Pelvic Pressure? Why Your Prolapse Needs a Pessary & Medically Approved Next Steps
A.
Pelvic pressure or a vaginal bulge often points to pelvic organ prolapse, and a pessary is a safe, first-line, non-surgical device that supports the organs, eases pressure, and can improve bladder symptoms when correctly fitted and monitored. There are several factors to consider, including pessary type, fitting, and maintenance; see below to understand more. Medically approved next steps include booking a pelvic exam, discussing a pessary and pelvic floor therapy, managing contributors like constipation or heavy lifting, and seeking urgent care for red flags such as inability to urinate, severe pain, or heavy bleeding, with key nuances and surgical options detailed below.
References:
* Shimonov M, Gafni-Kane A, Shveiky D, Geller S, Hurwitz S, Salcedo L, Al-Hilli MM. Pessaries for Pelvic Organ Prolapse: A Review. Curr Urol Rep. 2019 Aug 12;20(9):51. doi: 10.1007/s11934-019-0919-4. PMID: 31407332.
* Committee on Gynecologic Practice. ACOG Committee Opinion No. 832: Management of Pelvic Organ Prolapse. Obstet Gynecol. 2021 Sep 1;138(3):e1-e12. doi: 10.1097/AOG.0000000000004509. PMID: 34446738.
* Rakesh V, Karram MM. Pelvic Organ Prolapse Management: A Contemporary Update. Curr Opin Obstet Gynecol. 2022 Aug 1;34(4):219-224. doi: 10.1097/GCO.0000000000000810. PMID: 35857245.
* Ramaseshan AS, Felton J, Chung L, Lewicky-Gaupp C, DeLancey JOL, Morgan DM. Nonsurgical Management of Pelvic Organ Prolapse. Clin Obstet Gynecol. 2018 Sep;61(3):604-611. doi: 10.1097/GRF.0000000000000395. PMID: 30045155.
* Chen B, Li X, Yin Y, Li F, Song X. Pelvic Organ Prolapse: Etiology, Pathophysiology, Prevention, and Treatment. Front Med (Lausanne). 2022 Feb 22;9:827010. doi: 10.3389/fmed.2022.827010. PMID: 35265636.
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