Pelvic organs affected by prolapse include the uterus, bladder and bowel causing women to feel a bulge or a fullness in the vagina and in more severe cases resulting in bladder and bowel symptoms. There are many reasons and risk factors contributing to the occurrence of pelvic organ prolapse such as: Pregnancy and birth: the physical and hormonal changes that occur in pregnancy can lead to stretching and a weakening of the pelvic support structures. These changes are more pronounced with vaginal birth, , a history of prolonged labour and if you have a large baby. Aging: As women age, they naturally lose muscle tone and strength, including in the pelvic region. Declining oestrogen levels during menopause can further weaken the pelvic floor muscles. Genetics: Some women might have inherently weaker connective tissues, increasing their susceptibility to POP. Chronic Pressure: Persistent cough (like in chronic bronchitis and smoking), constipation, or frequently lifting heavy weights can exert continuous pressure on the pelvic region causing a weakening. Obesity: Excess weight increases strain on the pelvic muscles and tissues. Surgery: Hysterectomy (removal of the uterus) can sometimes lead to other pelvic organs losing some of their natural support, increasing the risk of prolapse. It's important to note that while these factors increase the risk of developing pelvic organ prolapse, they don't necessarily mean a woman will experience it. Proper preventive measures, awareness, and early intervention can help manage or reduce the risk and severity of prolapse. At East, we offer non-surgical options like pelvic floor physiotherapy and pessary fittings, alongside surgical interventions for more advanced and bothersome cases. Our experts are committed to restoring comfort, function, and confidence to affected individuals. To book an appointment to discuss Pelvic Organ Prolapse with one of our doctors call 08 7008 0238.