Prolapse happens when the ligaments and muscles holding the pelvic organs in place weaken, so the uterus or vaginal wall gradually descends. Symptoms start mildly — heaviness low in the abdomen, a sensation of something present, low back ache — then progress.
What we see most is women waiting years before asking for help. Prolapse does not improve on its own, but it responds very well to early treatment — and the lower the grade, the simpler and less invasive the option.
Signs that warrant a visit
- Heaviness or pressure low in the pelvis, worse by the end of the day.
- A sensation of something descending, or a palpable bulge.
- Difficulty or incomplete emptying when passing urine or stool.
- Low back pain that worsens with prolonged standing.
- Discomfort or pain during intimacy.
Options by grade
Grade one: a pelvic floor rehabilitation programme, lifestyle adjustment, and collagen-stimulating techniques to strengthen supporting tissue.
Grade two: usually a conservative surgical repair of the anterior or posterior wall, preserving the uterus in most cases.
Grade three and above: a more comprehensive surgical repair; we discuss all options in detail, including those requiring a hospital referral.
Prevention afterwards
- No heavy lifting for six weeks after repair.
- Treat chronic constipation — repeated straining is the result's first enemy.
- Treat a chronic cough if present.
- Maintain a healthy weight.
- Lifelong pelvic floor exercises once cleared.
Not sure this is the right procedure for you?
That is exactly what the assessment appointment settles. Forty-five minutes, conversation before examination, and two or three genuine options with their real differences — with no obligation.
This page is general medical information and does not replace a direct consultation. Results vary between individuals and are determined after clinical assessment.