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Pelvic Pain

Pelvic organ prolapse, explained

Pelvic organ prolapse happens when the support around the pelvic organs weakens, allowing them to press into the vaginal wall. It's common and often improves with the right support.

This page explains what prolapse is and the broad options that can help.

Key points

  • Prolapse is when pelvic organs press into the vaginal wall.
  • It's common, especially after childbirth or around menopause.
  • Symptoms range from none to a sense of heaviness or a bulge.
  • Options range from pelvic floor physio to a pessary or surgery.
Last reviewed 29 June 2026

What prolapse is

The pelvic organs (such as the bladder, uterus or bowel) are normally supported by pelvic floor muscles and tissues. When this support weakens, an organ can press into the vaginal wall. This is common, particularly after childbirth or around menopause.

Symptoms

Prolapse ranges from no symptoms at all to noticeable ones.

  • A sense of heaviness or dragging
  • A feeling or appearance of a bulge
  • Discomfort or bladder or bowel symptoms for some
  • Symptoms that are more noticeable by the end of the day

Options that can help

Management is individual and framed as options, decided with a clinician.

  • Pelvic floor physiotherapy
  • A pessary (a support device placed in the vagina)
  • Surgery in some situations
  • General measures to reduce strain on the pelvic floor

When to see a specialist

If you notice symptoms of prolapse, or a bulge or heaviness, a clinician can assess it and talk through the options that may suit you. Prolapse is common and very manageable.

Frequently asked questions

Sources & further reading

This page is structured around information from reputable Australian health bodies:

Related articles

More plain-language reading from Dr Sivadas.

Noticing symptoms of prolapse?

Appointments are managed on the practice site.

Consulting locations

Parramatta

Monash IVF

Level 2, 1 Fennell Street
Parramatta NSW 2151

Bella Vista

Norwest Private Hospital

Suite 106, 11 Norbrik Drive
Bella Vista NSW 2153

Penrith

Somerset Specialist Centre

Level 3/38 Somerset St
Penrith NSW 2747