Uterine Prolapse: Causes, Signs and Treatments

“It felt like something wasn’t right, but no one talks about it.”

A patient at Paul’s Hospital shared this with me soon after receiving her diagnosis of uterine prolapse. And she’s right, women often endure discomfort quietly, not realising that what they’re experiencing has a name, a cause, and most importantly, a treatment.

It’s time we talked about it openly.

What Is Uterine Prolapse? Understanding the Basics

Uterine prolapse occurs when the uterus shifts down from its normal position and begins to descend into the vaginal canal. It can affect women of all ages but is most common after childbirth or during and after menopause, when pelvic support structures weaken.

Despite how frequently it occurs, many women misinterpret the early signs. A heaviness in the pelvis. A feeling of pressure while walking. Or a bulge that seems to come and go. These symptoms often go unspoken, dismissed as “age”, “fatigue”, or “just part of being a woman.” But they are valid signs, and they deserve attention.

Fact check note:

According to the Royal College of Obstetricians and Gynaecologists (RCOG), pelvic organ prolapse affects up to 1 in 3 women after childbirth, yet remains significantly underdiagnosed due to stigma and lack of awareness.

What Causes Uterine Prolapse? When Support Structures Weaken

The uterus relies on a network of pelvic muscles, ligaments, and connective tissue to stay properly positioned. When these support systems are weakened, stretched, or damaged, the uterus can begin to sag.

Common causes include:

• Vaginal childbirth, particularly multiple or complicated deliveries

• Ageing and hormonal changes, especially reduced oestrogen after menopause

• Chronic coughing, obesity, or frequent heavy lifting

• Long-term straining, such as with chronic constipation

Women often blame themselves, but uterine prolapse is not a failure of strength. It is simply a consequence of life events the body has carried.

Recognising the Symptoms: Signs You Shouldn’t Ignore

Every woman’s experience is different, but common indicators of uterine prolapse include:

• A dragging or pulling sensation in the pelvis

• A visible or palpable bulge from the vagina

• Difficulty passing urine or increased UTIs

• Lower backache that worsens when standing

• Feeling as if you're “sitting on a small ball”

At Paul’s Hospital, many women admit they felt “off” for months before seeking help, assuming their symptoms were part of ageing. They aren’t. If something feels unusual, it’s worth having it checked.

Treatment Options: Respectful Care for Your Body

The good news? Uterine prolapse is treatable—and treatment is tailored to your needs, not dictated by fear.

Depending on severity, your doctor may recommend:

Pelvic Floor Exercises

Strengthening pelvic muscles through targeted exercises, such as Kegels, can improve mild prolapse.

Pessary Devices

A removable device placed inside the vagina to support the uterus. Non-surgical, discreet, and effective.

Lifestyle Adjustments

Managing weight, avoiding heavy lifting, treating chronic cough, and improving bowel habits can reduce strain.

Surgery

If the prolapse is severe or affects daily life, surgical repair may be recommended. Modern procedures are safe, effective, and minimally invasive when appropriate.

At Paul’s Hospital, treatment is delivered with the same sensitivity you would offer a sister, mother, or friend. There is no shame here, only care.

Why You Deserve Expert, Non-Judgemental Care

Saying the words “uterine prolapse” can feel daunting. But once spoken aloud, the burden often becomes lighter. At Paul’s Hospital, patients are met with expertise, empathy, and the reassurance that their concerns are real—and worth addressing.

Whether you need clarity, treatment, or simply someone to listen, the team stands with you from the first conversation to recovery.

Final Thoughts: Let’s Normalise the Conversation

Your body isn’t meant to carry discomfort in silence. Uterine prolapse is common, treatable, and nothing to be embarrassed about. The more openly we speak, the more women feel empowered to seek help. At Paul’s Hospital, every woman is treated with dignity, kindness, and the confidence that she is not alone. Because your body deserves care, not silence.