8 Risk Factors for Pelvic Organ Prolapse

Your pelvic region contains a variety of organs, including your bladder, cervix, rectum, urethra, uterus, and vagina. These organs are supported by tissue and muscles that form a structure known as your pelvic floor.

When your pelvic floor cannot adequately support your pelvic organs, you may experience a condition known as pelvic organ prolapse. If you have pelvic organ prolapse, one or more of your pelvic organs may drop down from their normal location.

Am I at risk for pelvic organ prolapse?

Although any woman can experience pelvic organ prolapse, it’s more likely to occur in women with certain risk factors. Susan Crockett, MD, and our all-female team of highly trained care providers at Virtuosa GYN share risk factors that can raise your chances of developing pelvic organ prolapse.

Vaginal childbirth

Vaginal childbirth — especially a long, difficult labor — can tear, stretch, or stress the tissue and muscle in your pelvic region. And, not surprisingly, the more children you deliver vaginally, the greater your risk of pelvic floor damage.

Frequent constipation

Straining to push out bowel movements on a regular basis can weaken the muscles in your pelvic area. Similarly, routinely lifting heavy loads can also strain the pelvic floor, especially if you use poor lifting techniques

Genetic predisposition

You are somewhat more likely to develop pelvic organ prolapse if close female relatives have had it.

Menopause

Age and the hormonal action of menopause can cause pelvic muscles to weaken. Typically, pelvic organ prolapse affects post-menopausal women, especially those who have other risk factors as well.

Excess weight or obesity

Carrying around excess pounds can strain many of your muscles, and your pelvic muscles are no exception.

Chronic coughing

Having a chronic cough caused by smoking, asthma, or other medical conditions can strain your pelvic muscles and weaken your pelvic floor.

Prior pelvic surgery

Having any type of pelvic surgery, including hysterectomy, may lead to muscle weakening that can allow the pelvic organs to drop.

Connective tissue disorders

There are more than 200 conditions that affect the ability of your connective tissues to work properly. These include scleroderma and lupus.

Help for all of your pelvic symptoms

Pelvic organ prolapse can cause one or more of a range of symptoms. These include:

• Constipation
• Discomfort during sexual intercourse
• Lower back pain
• Pelvic pain, pressure, or heaviness
• The feeling that something is bulging into or out of your vagina
• Trouble emptying your bladder
• Urinary incontinence

If you have these or any other symptoms, we invite you to make an appointment for an evaluation. Pelvic organ prolapse can be successfully treated in several ways, including pelvic floor exercises (Kegels).

We can also insert a device known as a pessary into the vagina to help support pelvic organs. Several types of surgical repair are also a possibility.

At Virtuosa GYN, we’re experts at diagnosing and treating pelvic organ prolapse and a full range of other gynecological conditions. To make an appointment, contact us today at our San Antonio, Texas, office.