The Ob-Gyn Center in Las Vegas provides expert care for women experiencing pelvic organ prolapse. Our team helps identify the cause, relieve discomfort, and restore pelvic support through personalized treatment options that improve daily comfort and quality of life.

What Is Pelvic Organ Prolapse?

Pelvic organ prolapse occurs when the muscles and tissues supporting the pelvic organs become weakened or stretched. This allows one or more organs—such as the bladder, uterus, or rectum—to shift downward and press against the vaginal wall. While not life-threatening, prolapse can cause pressure, pain, or changes in bladder and bowel function.

Types of Prolapse

• Cystocele (bladder prolapse): The bladder bulges into the front wall of the vagina
• Rectocele (rectal prolapse): The rectum pushes into the back wall of the vagina
• Uterine prolapse: The uterus descends into the vaginal canal
• Vaginal vault prolapse: The top of the vagina drops, often after hysterectomy
• Enterocele: The small intestine presses into the upper vaginal wall

Some women experience a combination of these types. Understanding which organs are affected helps guide treatment planning.

Common Symptoms

Pelvic organ prolapse symptoms vary depending on type and severity. You may experience:

• Pressure or heaviness in the pelvis
• A bulge or protrusion in the vaginal area
• A sensation of “something falling out” of the vagina
• Urinary leakage or difficulty emptying the bladder
• Frequent urinary tract infections
• Constipation or incomplete bowel movements
• Discomfort or pain during intercourse
• Lower back pain or pelvic aching

Symptoms often worsen when standing, lifting, or toward the end of the day and may improve when lying down.

Causes and Risk Factors

Prolapse often develops gradually due to increased pelvic pressure and weakened muscle support. Common causes and risk factors include:

• Vaginal childbirth, especially multiple or difficult deliveries
• Aging and menopause (decreased estrogen weakens tissues)
• Chronic coughing, constipation, or heavy lifting
• Obesity or increased body weight
• Genetic predisposition to connective tissue weakness
• Previous pelvic surgery, such as hysterectomy

While prolapse becomes more common with age, it is not an inevitable part of aging—and effective treatment can help at any stage.

When to See a Provider

You should schedule a visit with an OB/GYN in Las Vegas if you:

• Notice a bulge or pressure in your vagina
• Experience changes in bladder or bowel habits
• Have pain or discomfort during intimacy
• Have a family history of prolapse and new symptoms

Early diagnosis allows for more treatment options and helps prevent worsening symptoms.

Diagnosis

Diagnosis begins with a pelvic exam to determine which organs are affected and the severity of the prolapse. Additional testing may include:

• Urinalysis or bladder function tests
• Pelvic ultrasound to assess surrounding structures
• MRI for complex cases or surgical planning

Your provider will also review your medical history, lifestyle, and goals to design a care plan that fits your needs.

Treatment Options

Treatment depends on symptom severity, type of prolapse, and whether you plan to have children. Both nonsurgical and surgical options are available.

Conservative (Nonsurgical) Treatments

• Pelvic floor physical therapy to strengthen muscles and improve support
• Pessary device – a removable insert that supports pelvic organs
• Lifestyle changes such as weight management and avoiding heavy lifting
• Treatment for chronic cough or constipation
• Topical vaginal estrogen for postmenopausal tissue support

Surgical Treatments

• Vaginal or laparoscopic repair of the affected organ
• Uterine suspension or hysterectomy for uterine prolapse
• Mesh procedures (used selectively and only with informed consent)

Your provider will explain each option, its benefits, and any risks so you can make an informed decision about your care.

You Don’t Have to Live With Prolapse

Pelvic organ prolapse is common and highly treatable. With the right care, you can restore comfort, confidence, and pelvic strength for a more active, fulfilling life.

Ready to talk with an OB/GYN in Las Vegas?
Call 702-978-8900 or request an appointment at The Ob-Gyn Center today.