Understand the concern
A prolapse is descent of pelvic organs. Pregnancy, childbirth, ageing and repeated straining can contribute. Symptoms and severity vary.
What assessment may involve
Explain vaginal pressure, leakage and bowel difficulties. An examination helps identify the problem and guide a personalised plan.
Care options to discuss
Options may include specialist physiotherapy, addressing constipation, a vaginal support pessary or surgery. Mild, non-bothersome prolapse may need no intervention.
These are discussion points, not a prescription. Suitability and availability vary.
Practical next steps
Write down leaking, heaviness, a vaginal bulge and bladder or bowel-emptying difficulties. Ask whether a pelvic-health physiotherapy assessment would help. Advice should fit your symptoms; simply increasing exercises is not a substitute for assessing pain or a bulge.
Follow-up and decisions
If prolapse is diagnosed, discuss observation, physiotherapy, a support pessary or surgery according to its effect on your life. Ask about pessary care or procedure risks and recovery. Tell the team about future pregnancy plans and agree what would prompt reassessment.
A question you may have
Is surgery the only solution?
No. Discuss conservative options and what matters most to you.
Prepare for your appointment
What to record
Describe bladder, bowel and pressure symptoms.
Questions worth asking
Would specialist pelvic-floor physiotherapy help me?
What follow-up would a support pessary need?