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Pelvic discomfort, pressure, or pain during sex isn’t something you should brush off. While it may feel awkward to talk about, these symptoms could be signs of a common condition called pelvic organ prolapse, which affects up to 50% of women at some point in their lives.
At Chicago Center for Women’s Health, we believe women deserve answers and solutions, not embarrassment and silence. Let’s talk about what pelvic organ prolapse is, how it affects your body, and what you can do to feel better.
Pelvic organ prolapse explained
Pelvic organ prolapse occurs because the pelvic floor muscles become weak or stretched. The pelvic floor tissues support your bladder, uterus, and rectum, so if they gives way, one or more of these organs might descend and press against the vaginal walls.
This shift can create a heavy or bulging feeling in the pelvic area. Many women describe pelvic organ prolapse as feeling like something is falling out or pushing down in the vaginal area. Here are common symptoms:
- A heavy feeling or pressure in the pelvis
- Painful sex or a feeling of fullness during intercourse
- A bulge or lump in the vaginal opening
- Trouble fully emptying the bladder or bowels
- Urinary leaks or frequent urges to go
- Lower back or pelvic pain
- Vaginal dryness or irritation
Some women don’t have pain, but they feel discomfort or notice something is different. Others may only feel symptoms after standing or being on their feet for long periods.
While there are very few deaths associated with pelvic organ prolapse, it does have significant effects on quality of life.
Causes of pelvic organ prolapse
Some of the most common causes of pelvic organ prolapse include:
Pregnancy and childbirth
Vaginal deliveries, especially those involving multiple births or complicated labors, can stretch or damage the pelvic floor muscles.
Aging and menopause
As estrogen levels drop during menopause and muscles lose strength, tissues in the pelvic area can weaken.
Chronic pressure
Conditions like obesity, frequent coughing, and constipation can strain the pelvic floor.
Lifting heavy objects
Repeated heavy lifting puts stress on the pelvic muscles.
Previous surgeries
Some surgeries (especially hysterectomies) may increase the risk of prolapse later.
Is painful sex a normal part of aging?
Pain during sex — also called dyspareunia — is not a normal part of aging, even though many women assume it is.
If you experience discomfort, dryness, or pain during intimacy, it could well be a sign that something’s wrong. Prolapse is one possible cause, but so are hormonal changes, infections, and other pelvic issues. The good news? Treatment is available to help you feel better and improve your quality of life.
At Chicago Center for Women’s Health, we listen closely to your symptoms and perform a gentle pelvic exam to check for signs of prolapse. We may also use imaging techniques such as ultrasound or MRI. You don’t need to feel nervous; we provide a comfortable and respectful environment where your well-being is our top priority.
Treating pelvic organ prolapse
There are many treatments available for pelvic organ prolapse, and we’ll help you choose the ones that fit your needs. Options include:
Pelvic floor therapy
Special exercises (like Kegels) can strengthen your pelvic floor muscles and reduce symptoms.
Pessaries
Pessaries are small, removable devices that go in the vagina to support your pelvic organs.
Hormone therapy
Vaginal estrogen can help improve tissue strength and moisture levels after menopause.
Lifestyle changes
Managing constipation, avoiding heavy lifting, and maintaining a healthy weight can ease pressure on the pelvic organs.
Surgery
In some cases, surgery may be your best option for repositioning the organs and repairing weakened tissues. We specialize in minimally invasive and robotic surgeries that minimize tissue damage and optimize recovery.
Don’t suffer in silence
Pelvic organ prolapse is incredibly common, but many women suffer quietly because they feel ashamed or don’t know what’s going on. The truth is, there’s nothing to be embarrassed about. This condition affects women of all ages and backgrounds.
If you’re experiencing pelvic pressure, painful sex, or changes in how your body feels, help is available. We specialize in compassionate, expert care for all aspects of female pelvic health, taking time to listen, diagnose, and guide you toward the treatment that helps you feel like yourself again.
Don’t wait to get help for pelvic organ prolapse symptoms. Call Chicago Center for Women’s Health today or book an appointment by completing the online form.