7 Things You Didn’t Know Could Be Symptoms of Pelvic Organ Prolapse

Pelvic organ prolapse (POP) is one of those conditions that many people don’t realize they’re dealing with — until symptoms start to impact daily life. Often, clients are surprised to learn that the symptoms they’ve been experiencing are actually related to POP. If you’re experiencing discomfort, changes in urination or bowel movements, or other unusual symptoms, pelvic organ prolapse could be the cause.

In this blog, I’ll cover some common but lesser-known symptoms of pelvic organ prolapse, including uterine prolapse.

What is Pelvic Organ Prolapse?

Pelvic organ prolapse occurs when one or more pelvic organs (such as the bladder, uterus, or rectum) start to shift out of place, often due to weakened or stretched pelvic floor muscles. When this happens, the organs can press down into the vaginal canal, leading to a variety of symptoms. POP is especially common in women who have given birth, gone through menopause, or had certain surgeries, but it can affect anyone.

Uterine prolapse, for example, occurs when the uterus begins to descend into the vaginal canal. Although many people expect pelvic prolapse to cause obvious symptoms, the signs are often more subtle.

1. Lower Back Pain

Lower back pain might not be the first symptom you’d associate with pelvic organ prolapse, but it’s a common one. When the pelvic organs shift, they can place extra strain on nearby muscles and ligaments, causing discomfort in the lower back. This is especially common in cases of uterine prolapse, where the uterus shifts downward, creating tension in the lower back area.

If you’re dealing with persistent lower back pain without a clear cause, POP could be a factor, especially if it’s combined with other symptoms on this list.

2. A “Dragging” or “Heaviness” Feeling in the Pelvis

One of the hallmark sensations of pelvic organ prolapse is a feeling of heaviness or pressure in the pelvic area, often described as a “dragging” sensation. This occurs because the prolapsed organ presses down on the pelvic floor, which supports the weight of the pelvic organs. Some people feel this heaviness intensify after standing or walking for extended periods.

3. Difficulty with Bowel Movements

Struggling to have regular or complete bowel movements is a common but lesser-known symptom of pelvic organ prolapse. When the rectum shifts downward or the bottom wall of the vagina doesn’t have adequate tone, it can make it challenging to fully empty the bowels, resulting in constipation. In some cases, individuals may feel they need to “splint” (press on the vaginal wall or perineum) to facilitate a bowel movement — a strong indicator of rectocele, a type of prolapse affecting the rectum.

If you’re frequently constipated or feel that bowel movements are incomplete, it’s worth discussing with a healthcare provider.

4. Frequent Urination or Incomplete Emptying of the Bladder

Many people with POP, especially those with a bladder prolapse (cystocele), experience urinary symptoms such as frequent urination, difficulty starting urination, or a feeling of incomplete bladder emptying. This occurs because the prolapsed bladder may shift its position, making it harder to empty fully.

Uterine prolapse can also contribute to urinary issues since the uterus presses down on the bladder, causing urgency, frequent trips to the restroom, or even leakage when sneezing, laughing, or coughing.

5. A Bulging or “Something Coming Down” Feeling

This symptom is one that surprises many clients. In advanced cases of pelvic organ prolapse, you might notice or feel a bulge in the vaginal area, as if something is “falling out.” This sensation can often be felt while wiping after using the restroom or even during normal activities like walking.

With uterine prolapse, this bulging may indicate that the uterus has descended into the vaginal canal. While it can be alarming, it’s a common symptom and usually signals that it’s time to seek evaluation and support.

6. Discomfort During Intimacy

Pain or discomfort during intercourse is another symptom that clients don’t always connect with pelvic organ prolapse. However, when the pelvic organs shift, they can cause physical changes in the vaginal canal that make intimacy uncomfortable. Uterine prolapse, for instance, can create pressure and tenderness in the vaginal area, contributing to discomfort.

If you’re experiencing pain during intimacy and have noticed other symptoms of prolapse, consulting with a pelvic health specialist can help you pinpoint the cause.

7. Persistent Pelvic Pressure or Discomfort

For many people, pelvic organ prolapse simply feels like a constant, vague discomfort in the pelvic area. It may not be outright painful, but rather a sensation of “fullness” or “pressure” that doesn’t seem to go away. This feeling can be intensified by activities that add pressure to the abdomen, like lifting heavy objects, coughing, or even bending over.

If you’re noticing persistent pressure or discomfort that doesn’t improve with rest, it’s a sign worth investigating.

How I Can Help

If you’re experiencing any of the symptoms above, you don’t have to navigate them alone. Pelvic organ prolapse, including uterine prolapse, cystocele, and rectocele, is a common issue that can often be improved through specialized pelvic health therapy. At Imagine Pelvic Health, I work with clients to develop personalized treatment plans that focus on:

• Strengthening the pelvic floor: Gentle exercises can help rebuild and support prolapsed organs.

• Manual therapy: Techniques to help reposition and support the pelvic organs.

• Lifestyle guidance: Modifications that reduce strain on the pelvic floor, such as posture adjustments, movement patterns, and body mechanics.

When to Seek Help

If these symptoms sound familiar, or if you’re unsure but curious, schedule a free consultation with us directly. Many clients find relief with a targeted changes, exercises, and support, even for symptoms they didn’t realize were connected to POP. Addressing pelvic organ prolapse can help you return to your normal activities, regain confidence, and improve your quality of life.

Pelvic organ prolapse can come with a wide range of symptoms, many of which are subtle or easy to overlook. Understanding these symptoms is the first step in seeking treatment and finding relief. With the right support, it’s entirely possible to manage and improve prolapse symptoms without invasive treatments.

Ready to learn more? Contact Imagine Pelvic Health to discuss your options for managing and relieving symptoms of pelvic organ prolapse. Let’s work together to create a plan that brings you back to feeling like yourself again.