Uterine Prolapse: A Silent Struggle Many Women Don’t Talk About

Many women assume that the changes they feel with age, like discomfort, a dragging sensation, or pelvic pressure are just part of getting older. But sometimes, these signs point to something more specific: uterine prolapse.

The symptoms often start subtly. A bit of unease, a persistent ache, or a feeling that something isn't quite right. These are easy to dismiss, especially after childbirth or menopause. But while uterine prolapse is common, it’s not something anyone should have to live with quietly or accept as “normal.”

At Paul’s Hospital, we believe in addressing the struggles that often go unspoken. With the right care, understanding, and support, women can find relief, regain confidence, and take back control of their lives.

What is Uterine Prolapse? Understanding the Condition

Uterine prolapse occurs when the uterus descends from its normal position and drops into the vaginal canal. This happens when the pelvic floor muscles and ligaments become weakened or stretched, unable to hold the uterus in place.

While it might sound alarming, uterine prolapse is a medical condition—one that’s both diagnosable and treatable. And the earlier it’s addressed, the better the outcomes.

Signs of Uterine Prolapse You Shouldn’t Ignore

Many women don’t realise they’re experiencing uterine prolapse because the symptoms creep in slowly. Some dismiss them as ageing or postpartum effects. But if you notice any of the following, it’s worth paying attention:

• A feeling of heaviness or pressure in the pelvis

• Sensation of something “falling out” of the vagina

• Tissue protruding from the vaginal opening

• Frequent urinary leaks or trouble urinating

• Backache or discomfort during intercourse

These signs are your body’s way of speaking up. You deserve to be heard.

Causes and Risk Factors of Uterine Prolapse

Uterine prolapse doesn’t have one clear cause—but rather a collection of life events and conditions that can weaken your pelvic support system:

• Multiple vaginal deliveries

• Menopause and the natural drop in oestrogen

• Obesity or chronic heavy lifting

• Persistent coughing or constipation

• A genetic tendency for weak connective tissues

While you can’t always prevent uterine prolapse, understanding the risks can help you make informed choices and seek timely care.

Treatment Options for Uterine Prolapse at Paul’s Hospital

Treatment for uterine prolapse isn’t one-size-fits-all. It depends on the severity of the condition, your age, lifestyle, and whether you plan to have more children.

At Paul’s Hospital, our approach combines medical excellence with emotional support. Here are some of the options we offer:

Pelvic Floor Therapy

Mild cases of uterine prolapse often respond well to pelvic floor exercises (like Kegels). We provide physiotherapy support to guide you safely.

Pessary Devices

A pessary is a soft, removable device inserted into the vagina to support the uterus. It’s non-surgical and effective for many women, especially those not ready for surgery.

Surgical Treatment

For more advanced uterine prolapse, surgery may be recommended. Our gynaecological team ensures that all procedures are discussed in detail, with full support before and after surgery.

Living with Uterine Prolapse: You Deserve Better

Too many women live with the discomfort and disruption of uterine prolapse, believing there’s no solution or that it’s just “part of life.” But that’s simply not true.

Whether you’re 35 or 75, you have every right to feel comfortable, confident, and pain-free. At Paul’s Hospital, we understand that treatment is not just about physical health—it’s about restoring your quality of life and emotional wellbeing.

When to See a Doctor for Uterine Prolapse

If you experience ongoing pelvic pressure, difficulty with urination, or notice anything unusual in your vaginal area, it’s time to check in with a specialist.

And if you’re simply unsure, that’s okay too. At Paul’s Hospital, consultations are compassionate, confidential, and judgement-free. Our mission is to support women through every stage of life—silently struggling should never be part of your story.

Let’s Break the Silence Around Uterine Prolapse

You are not alone.

Uterine prolapse might not be discussed at lunch tables or in group chats—but that doesn’t make it any less real or worthy of attention.

Let’s normalise conversations about women’s health. Let’s stop minimising symptoms that deserve real solutions. And let’s remind every woman reading this: you matter. Your comfort matters. And help is always available.

At Paul’s Hospital, we see you, we hear you—and we’re here for you, every step of the way.