Uterine prolapse is a condition in which the womb drops down into the vagina because the pelvic floor muscles and supporting tissues have weakened. It is one type of pelvic organ prolapse.
Muscles and ligaments hold the womb in place. If these tissues stretch or weaken, the womb can slip down. Vaginal birth, especially of a large baby, ageing and lower estrogen after menopause are common factors. Long-term coughing, constipation, heavy lifting and being overweight can add pressure.
Some people have no symptoms. Others notice heaviness or pressure in the lower tummy or vagina, a bulge in or coming out of the vagina, discomfort during sex, or low back ache. Bladder and bowel problems are common too, such as stress urinary incontinence or feeling that the bladder does not empty fully.
A GP can diagnose prolapse with an internal examination. Mild cases may be managed with pelvic floor exercises, often with a physiotherapist, and lifestyle changes. Other options include a vaginal pessary to support the womb, or surgery. The right choice depends on symptoms, age and future plans.
Roles with heavy lifting or long hours on your feet can make symptoms worse. Help with lifting, chances to sit, easy access to toilets and time off for physiotherapy appointments can all support people at work.
Sources: NHS, MedlinePlus.
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