Vagina prolapse

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In vaginal prolapse the vagina stretches or expands to protrude on other organs and structures. The situation seldom involves the vagina alone. Supports for the uterus often stretch allowing it to also fall prolapse when a woman strains during a bowel movement.

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Normally, supporting ligaments and other connective tissues hold your uterus in place inside your pelvic cavity. Weakening of these supportive structures allows the uterus to slip down into the vagina. As a result, the vagina also is pulled down and may turn inside out.

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Vaginal prolapse is a common condition where the bladder, uterus and or bowel protrudes into the vagina. This can cause symptoms such as a sensation of a vaginal lump, constipation, difficulty emptying the bowel or bladder or problems with sexual intercourse. Treatment is only recommended when the prolapse is symptomatic.

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Vaginal prolapse has many similarities to hernias. They are both due to weakness of the supporting tissues. Genital prolapse is due to weakness of the pelvic floor. The pelvic floor is composed of muscles, collagen, connective tissue and fascia.

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The biggest cause of prolapse is pregnancy and birth, though a number of other factors such as family history, lifestyle and certain medical conditions can also cause prolapse. Treatment can vary from simple lifestyle changes to surgery. The biggest cause of prolapse is pregnancy and birth — almost one in two or 50 per cent of women who have been pregnant will have some kind of prolapse.

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The organs of the pelvis — the area of the body between the hip bones — include the vagina, cervix, uterus, bladder, urethra, intestines, and rectum. These organs are held in place by a group of muscles and other tissue. When this support system becomes stretched or torn, it allows pelvic organs to slip out of their normal places or sag down prolapse.

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The uterus is held in place by a group of muscles and ligaments. Several factors can contribute to the weakening of these muscles and ligaments, causing the uterus to sag. These factors include the loss of muscle tone as women age, injury due to childbirth especially women who have had many babies or large babiesobesity, chronic coughing, chronic constipation and all place added tension on the pelvic muscles.

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Some women with a pelvic organ prolapse don't have any symptoms and the condition is only discovered during an internal examination for another reason, such as a cervical screening. See your GP if you have any of the symptoms of a prolapse, or if you notice a lump in or around your vagina. Your doctor will need to carry out an internal pelvic examination. They'll ask you to undress from the waist down and lie back on the examination bed, while they feel for any lumps in your pelvic area.

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The uterus and the bladder are held in their normal positions just above the inside end of the vagina by a "hammock" made up of supportive muscles and ligaments. Wear and tear on these supportive structures in the pelvis can allow the bottom of the uterus, the floor of the bladder or both to sag through the muscle and ligament layers. When this occurs, the uterus or bladder can create a bulge into the vagina.

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Back to Health A to Z. Pelvic organ prolapse is when 1 or more of the organs in the pelvis slip down from their normal position and bulge into the vagina. Symptoms can usually be improved with pelvic floor exercises and lifestyle changes, but sometimes medical treatment is needed. Sometimes pelvic organ prolapse has no symptoms and is found during an internal examination carried out for another reason, such as cervical screening.

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