Gynecology - Pelvic Support Problems
PELVIC SUPPORT PROBLEMS
Pelvic support problems occur when the tissues that support the pelvic organs are weakened. This process usually starts with childbirth and then is made worse by the effects of aging and gravity on the vagina.
When the bladder drops (cystocoele) it can cause urine leakage (incontinence) or difficulty emptying the bladder.
Dropping of the uterus (uterine prolapse) causes a sense of pelvic pressure like something is falling out of the vagina.
When there is weakness in the back of the vagina (rectocoele) the rectum can bulge into the vagina causing a sense of pressure and making bowel movements more difficult.
Proper diagnosis is the key to treating pelvic support problems. Treatments include kegel exercises, diet, vaginal pessaries, and surgical repair.
ACOG Quick Videos demonstrating vaginal support problems (pelvic organ prolapse).
ACOG.org for more information.
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