Prolapse and Sex Physiotherapy Guide|Will Sex Worsen Your Prolapse?

Prolapse and sex often causes women to feel unattractive, lacking desire, embarrassed and self conscious during intimacy.Prolapse and

Prolapse and intimacy still remains a socially taboo subject despite so many women world-wide experiencing this physical and emotional challenge.

This health professional information helps you understand and overcome some of the issues associated with prolapse and sex.

Read on now to learn about these common prolapse and sex concerns:

  • Will you or your partner notice your prolapse
  • Practical ways to improve sex and prolapse 
  • Does sex make your prolapse worse
  • Will prolapse diagnosis affect your sex life

Will You or Your Partner Notice Your Prolapse?

a. Women with Pelvic Prolapse

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Women are generally more likely to notice their prolapse during intimacy than their male partner.

Some women don’t really notice their prolapse. They report having satisfying sex and feel quite comfortable with their body and intimacy. This is usually more common in women with mild to moderate pelvic prolapse that doesn’t protrude beyond the vaginal opening.

In contrast other women say they feel deeply burdened by their prolapse. They report feeling self conscious and unattractive because of their condition which they may view as a deformity. Many develop negative emotions such as prolapse anxiety at the prospect of intimacy, especially with a new partner. They are often reluctant to discuss their prolapse with their partner for fear of drawing more attention to it.

Most women don’t experience pain during sex with prolapse. Some do however say they feel physical discomfort, especially when the prolapse is protruding from their vagina or is associated with pelvic floor muscle spasm. This discomfort usually decreases their libido (sex drive) and sexual satisfaction.

b. Partners

Most partners are unlikely to notice a pelvic prolapse unless it is severe and protruding from the vagina during sex.

Gynaecologist examinationIt takes specialized training to be able to diagnose a prolapse with even with careful examination. Your partner will usually not feel or see your prolapse (unless he/she is a gynaecologist), nor does it usually impact your partner’s enjoyment of intimacy with you. It can be more likely that insecurities can impact intimacy if anything does.

Something to think about – if your partner does notice or know about your prolapse, what is the worst case scenario? Perhaps you can let me know in the comments below …

How to Improve Sex With a Prolapse

There are a number of strategies that can improve intimacy with prolapse issues. The following strategies are in no partcular order of importance.

1. Lubrication

Good lubrication can reduce physical discomfort and help promote pleasurable sensations. Prolapse is associated with thinning of the vaginal walls so lubrication can improve comfort as well as arousal. Use the best lubricant ingredients for your vaginal health (oil and petroleum-based lubricants can contribute to vaginal infection).

2. Relaxation and Mindfulness

Choose the right time and situation that helps you and your partner feel relaxed with sex. Consider your own needs and enjoyment, not only those of your partner. Try to stay in the moment by focusing your attention on foreplay, physical sensations and/or closeness rather than negative self talk where possible.

Relaxation and deep breathingSlow deep breathing can help you relax your body including your pelvic floor muscles. If you’re feeling tense you may find that reminding yourself to take a few deep breaths deep into your belly is a good method of calming anxiety and relaxing your body.

3. Positioning for Sex

If your prolapse feels uncomfortable during intercourse you may like to try changing position from the traditional missionary position (lying on your back) to another position.

Instead sidelying with your back to your male partner will help you better control of the depth of penetration. This may help you relax and reduce physical discomfort. Sidelying position can also be useful to improve sensation for you and your partner if you’re vaginal tissues feel lax (loose).

4. Regular Pelvic Floor Exercises

Both women and men can benefit from regular pelvic floor exercises (Kegels) when it comes to improving and maintaining sexual satisfaction.

Regular pelvic floor exercises can help a woman’s sexual arousal and ability to achieve orgasm. Pelvic floor exercises will also help to improve the pelvic floor muscle support for prolapsed tissues and can help to reduce prolapse symptoms and encourage the prolapse to sit higher within the pelvis.

Pelvic floor exercises for men can also improve sex by increasing their ability to maintain an erection by preventing blood escaping from the erect penis. In fact pelvic floor exercises have been shown to be an effective method for treating erectile dysfunction in men (Dorey, 2005).

Does Sex Make Your Prolapse WorseProlapse sex

Vaginal intercourse is very unlikely to worsen vaginal prolapse so the answer is NO.

A pelvic organ prolapse involves the stretched walls of your vagina and/or your cervix moving down within your vagina towards the vaginal opening.

Sexual intercourse doesn’t pull your prolapse down any further, in fact quite the opposite. If you have a uterine prolapse, intercourse actually pushes the cervix to sit higher within the vagina. Many women can happily continue their normal sex life despite having a mild or moderate vaginal prolapse.

Anal intercourse can increase the risk of rectal prolapse in both women and men by stretching the anal sphincter beyond its normal limits. Rectal prolapse involves rectal tissues protruding from the vagina. Rectal prolapse is a different condition to ‘rectocele’ where the rectum bulges into the vagina not out of the anus.

If you have specific safety concerns with prolapse and sex please discuss these with your doctor or gynaecologist.

Will Prolapse Diagnosis Affect Your Sex Life

There is no definitive ‘Yes’ or ‘No’ answer.

Some women are completely unaware of their prolapse and have no problems with intimacy. In contrast, others feel burdened by their emotional concerns and/or physical discomfort. Physical discomfort with intercourse can vary according to the type of prolapse and prolapse severity. It can also be linked to a woman’s attitudes and emotions surrounding intimacy and her prolapse.

Pelvic prolapse doesn’t affect a woman’s pleasure sensitive clitoral nerve endings so in this regard sexual sensation is unchanged. Some women with moderate severity prolapse report decreased libido and reduced sexual satisfaction1. This can also be associated with emotional factors including body image and self esteem in addition to decreased vaginal sensitivity with tissue stretching.

Your prolapse should not affect your partner’s level of physical stimulation. Men and women are aroused by stimuli which may be mental or physical. The actual physical stimulation from touching body parts causes sensitive nerves to release chemicals that are pleasurable. A vaginal prolapse rarely affects the sensation a man receives during intercourse.

For further assistance managing your prolapse and sex, you may consult a pelvic floor physiotherapist, psychologist or sex therapist.

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  1. Roos AM, Thakar R, Sultan AH, Burger CW, Paulus AT. Pelvic floor dysfunction: women’s sexual concerns unraveled. J Sex Med. 2014 Mar;11(3):743-52. doi: 10.1111/jsm.12070. Epub 2013 Jan 24. PMID: 23347592.
  2. Ghetti, C., Skoczylas, L. C., Oliphant, S. S., Nikolajski, C., & Lowder, J. L. (2015). The Emotional Burden of Pelvic Organ Prolapse in Women Seeking Treatment: A Qualitative Study. Female pelvic medicine & reconstructive surgery, 21(6), 332–338.

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  1. This article has helped me so much. Thank you for your candid and well written article. I have been avoiding sex with rectocele, because I was afraid of my husband feeling different. As well, surgery through the vagina rather than the rectum gives me the ability to choose how my surgery will be done. Hopefully, successfully. And, last but not least, the way to properly have a bowel movement. Who knew?! Thank you a million times, thank you!!!!

  2. Can you address how exercise might contribute to the cause of a vaginal prolapse? Will exercise make a prolapse worse? What type of specific exercises should I stay away from? Can I continue to list weights, strength train & do cardio?

  3. Hi, I am 7 weeks postpartum after my third child and have a mild bladder prolapse. I had this condition with my second child as well, but in France they do this amazing manual and electric perineum re-education with a midwife after birth and whenever needed. Now I live in Switzerland and they don’t do that type of re-education. I’ve purchased the an electro-stimulator because my work with the midwife really helped me identify my anterior perineum and strengthen it, to assist in Kegels as well.

    My question is will a prolapse hinder the insertion of an iud? I went to get one fitted at my 6 weeks checkup, and the doctor at the hospital tried, but was unable to get it in due to the prolapse. Apparently he was a newer doctor, but I am wondering if this is common and whether an iud is possible with my prolapse?
    Thank you!

    • Author: Michelle Kenway Pelvic Floor Physiotherapist says

      Hi Elenor
      Thanks for your question – provided that this isn’t a prolapse of the uterus and cervix this shouldn’t be an issue at all – I’d be inclined to put this down to beginner error. Many women with bladder prolapse have IUD’s.
      All the best!

    • Author: Michelle Kenway Pelvic Floor Physiotherapist says

      Hi Elanor
      I’d be inclined to put this down to beginner error – an IUD can definitely be inserted with a mild-moderate bladder prolapse. All the best!

  4. Can I have sex with the ring inside and won’t it be painful????

  5. Hi,
    I have a cystocele. I’m 13 months postpartum. When I first noticed it a few days after giving birth, the doctor said it was about a grade 2 and then when I had my recheck a few months later it had gone down to a grade 1. My question is can having sex cause it to worsen or regress back into a grade 2 again? And is there a certain point when doing kegels won’t help to strength the pelvic floor? Is this protrusion going to be there forever? Some days I don’t notice it but other days I can’t help but notice it.

    • Author: Michelle Kenway Pelvic Floor Physiotherapist says

      Hi Roma
      Sex won’t worsen your prolapse and yes there is a point where Kegels won’t help with severe protruding prolapse. Mild to moderate prolapse the evidence supports Kegels improving symptoms and the height of the prolapse

  6. Hi. Had my prolapse operation 2 weeks ago. I feel turn on alot. When can I have sex. Will it hurt.

  7. Can I have anal until I recover from my prolapse

  8. Hi! I’m 38 years old. I gave birth to my 3rd child in January of this year a 9 lb 1oz healthy baby girl. I got diagnosed last month with 2nd degree uterus prolapse and bladder prolapse. :( I feel depressed because my doctor mentioned a hysterectomy. Turns out they all resort to that. Anyhow, what is your opinion on a sacrohysteropexy? What is the reason for vaginal discharge with a prolapse? Can you reference me any helps on dealing with anything with prolapsed? What percentage of 30 year olds go thru prolapse? Thank you!

  9. I’m have had certain organs removed and diagnosed with endometriosis. 10 years after the operations and discoveries I got pregnant with my 1and only child. I have fibroids and have been told by my doctors about my weekend abdominal muscles. I now have a feeling of somthing protruding downward from my vagina and pressure in my abdomen.

    • Author: Michelle Kenway Pelvic Floor Physiotherapist says

      Hi Donna this could be a prolapse and needs to be assessed and diagnosed by your doctor or pelvic floor physiotherapist

  10. Hi mam
    I’m 23yrs old woman…I have complaints of constipation recently when I inserting finger in to vagina I can feel a bulging..then I consulted a gynecologist..she said that it’s a normal uterine descent nothing to worry…but during intercourse I feel severe pain… what can I do

  11. I have a second degree prolapse that was assessed at my 6 week postpartum follow up appointment. I stopped bleeding at 7 weeks postpartum and I’ve been very cautious with my body. I am now 8 wees postpartum and I had intercourse with my husband for the first time since delivery. Sex was not very painful, however, my abdomen was slightly sore immediately afterward. The next morning I noticed some significant amounts of red spotting. Does that mean that I have damaged my cervix or retrogressed in my healing journey? Should we put intercourse off limits again for a period of time?

    • Author: Michelle Kenway Pelvic Floor Physiotherapist says

      Hi Aubrielle
      I don’t think this means you have regressed your healing. Check with your doctor if you’re concerned about the spotting or it it continue and for guidance about when to resume intercourse, all the best and take care

  12. 1 month postpartum, I think I have a prolapse, when I go to the bathroom I can feel something and can push it back up. I also am having trouble to have bowel movements, like I am unable to bare down. If this is a prolapse can pelvic floor physio therapy fix this?

    • Author: Michelle Kenway Pelvic Floor Physiotherapist says

      Hi Peg
      This may be a prolapse – ask your doctor for an assessment and/or yes see a physiotherapist. One month post partum is early days and there is a lot of potential for strengthening and recovery – just get the right guidance to help you.

  13. Hy i am 19 year old i have bulge out of my vaginaa what is thiss is i have prolapse or its something else

    • Author: Michelle Kenway Pelvic Floor Physiotherapist says

      Hi Sakshi
      It might be – you need to see a doctor to have this assessed so you know what you are dealing with and how to manage it, all the best

  14. Hi I m 30 years old and I feel cervix of utrus comes to vigina and I m newly married and I want baby ..I m worried about intercourse my partner do this…I m really worried ..due to lockdown I cannot go to doctor please give me any solution….the main question in my mind is the distance between utrus and vigina is 3 inches…when cervix comes down to vigina then how’s intercourse possible…..please give me solution……

  15. Hello.
    I am 35 years old . I feel cervix comes out in vagina ,and now I feel burning and heavy…. something trying to comes out in my vagina. I do kegal exercise at home . If I am trying to have another child is it possible and should I go to doctor how can I relief it ..I am really worried about it. Is it dangerous???

    Thank you

    • Author: Michelle Kenway Pelvic Floor Physiotherapist says

      Hi Tanjina yes go to the doctor to get assessed so that you know what you are dealing with. Prolapse is not dangerous, it can be however painful and interfere with the quality of life. Speak with your doctor about having more children and the best way forward for you, all the best

  16. I have a prolasp uterus I would like to know if it can cause urine to come out dur6 intercourse cause I get real wet .

  17. Thank you for this information, it has put my mind at risk as I was very worried that my partner would be grossed out. What is classed as a severe prolapse? When it exits the body?

    • Author: Michelle Kenway Pelvic Floor Physiotherapist says

      Basically yes, when it protrudes out of the vaginal opening (stage 3-4)

      • Kristina says

        If you have stage 3 or 4 can you still have sex and have it be safe and enjoyable? Can your partner feel it if it is severe?

        • Author: Michelle Kenway Pelvic Floor Physiotherapist says

          Kristina partners usually don’t report noticing unless the prolapse is very severe and protruding. Some women with moderate prolapse stage 3 report that good lubrication and positioning (side lying) helps to make for enjoyable sex (and yes it’s safe to have sex with a prolapse)

          • Kristina says

            Is it still ok or possible with severe?

            • Author: Michelle Kenway Pelvic Floor Physiotherapist says

              Kristina it’s physically difficult if the prolapse is protruding and intercourse can be very uncomfortable for the woman in this instance. I hope this answers your question

  18. Wondering about rectocele and anal sex. Can anal sex cause rectocele? Can you continue anal sex with rectocele?

    • Author: Michelle Kenway Pelvic Floor Physiotherapist says

      The risk with anal sex is anal prolapse from stretching the anal sphincter and tissues. I can’t say whether anal sex can contribute to rectocele, perhaps if the rectum if full it might increase stretch of the back wall of the vagina but to my knowledge it’s not a causal factor for rectocele.

  19. Hi there.
    While the article is helpful and has some good information in it, I was very dissapointed to read an article targeted at women reference a man’s sexual pleasure with a woman before her own.
    Should an article about women’s health not put a women’s pleasure first?
    It was hard to maintain my interest after reading that.

    • Author: Michelle Kenway Pelvic Floor Physiotherapist says

      Great point Lauren! Thanks for pointing this out and I will get on to editing this. Unfortunately this is the most common question I’m asked which is why it came to the forefront in addressing. I need to be more aware of this in future, cheers

  20. Hi. I am suffering from Rectocele. I had an appointment at our city hospital for possible repair surgery but it was cancelled due to the coronavirus pandemic. However I’m suffering terribly and stopped having intercourse with my husband since October 2019. This is affecting my marriage adversely and I desperately need advice in terms of sexual positions

  21. Kemisola says

    Hi am kemi am single but i have a utrine prolapse and i havnt vist any doctor ,pls can this prolspse affet me of getting prgnant

  22. hi. i just wanna ask if there have to avoid during sex ? some men doing inserting he’s finger to penetrate his partner it is safe for had a moderate prolapse ? i saw my cervix less than 1cm at my hymen it is advisable to use pessary? im 28 year old and no baby yet.
    thanks in advance .

    • Author: Michelle Kenway Pelvic Floor Physiotherapist says

      Hi Melai
      You may like to consider using a pessary for management especially being so young. There is no reason you can’t have intercourse with a prolapse if it feels comfortable for you

  23. hi . i notice after work out that i have a mild vagina prolapse then i experienced constipation that caused my prolapse getting worst i saw much down at my vigina opening. im maiden woman im worried now if prolapse can affect infertility in the future?

  24. Hi . I have a uterine prolapse. I can feel small ball coming out in my vagina. I went to dr and they advised me to do kegal exercise, but I am worried if I do sex with my partner will I have feel any pain and does my partner will notice I have a prolapse?? Could you please tell me which position sex is better in my case …

    • Author: Michelle Kenway Pelvic Floor Physiotherapist says

      Hi Tanjina you shouldn’t feel pain with a prolapse during intercourse and most men do not notice the prolapse. Choose the position that is most comfortable for you; lying on your side or on your back should both be comfortable, all the best

  25. I just had my second child three weeks ago and can see what appears to be my bladder in the opening of my vagina. I would be shocked if my SO doesn’t notice it when we try to have sex three weeks from now. What I’m wondering about is the pure logistics of sex. Will his penis push my bladder out of the way when we have sex? How exactly does that even work? I don’t understand.

    • Author: Michelle Kenway Pelvic Floor Physiotherapist says

      Hi Carolyn
      Yes the penis usually pushes the bulge to the side provided the prolapse isn’t severe. Carolyn these are early days after your baby so the perfect time to start diligently with pelvic floor exercises that can improve prolapse severity and symptoms. After pregnancy and childbirth the pelvic floor is weak and often has significant capacity for strengthening support. Lying down the prolapse is often much less apparent than in sitting or standing. I hope this helps – see your doctor for an assessment when you can so that you’re sure about your diagnosis too, all the best

      • Thank you so much for taking the time to read and respond to my question and comments. I appreciate it. I’m feeling much more hopeful about my situation now than I was last week. I do have my follow up appointment with my doctor in a couple of weeks. I’m interested to see what he says about it.

  26. today I noticed a lump right inside of the anterior opening of my vagina. it isn’t painful irritated at all, so i’m just confused and slightly concerned as to what it might be. after some research, i’m thinking I might have a prolapse?? it’s a firm spongey feeling mass, maybe about the size of a small rubber bouncy ball?? (best way to describe) can’t get into the doc just yet. can rough see cause this?? do you think it’s a prolapse? if it is, what is next???

    • Author: Michelle Kenway Pelvic Floor Physiotherapist says

      Hi Sam if this is a prolapse then the management is usually pelvic floor training and trying to minimize causative factors such as straining with constipation, intense high impact exercises and excess body weight. The prolapse diagnosis can only be made accurately via assessment by your doctor or pelvic floor physio

  27. Josephine says

    Thank u , I had a mild prolapse after my second child but my doctor said I may need a surgery
    Thanks for the education

  28. I am unable to have intercourse with my husband due to my prolapse rectocele, we have tried different positions and my husband can not get his penis inside my vignal at all.
    This is impossible for us and doctors said I don’t have enough points for an operation.
    Any advise please.

  29. Elizabeth says

    I went to Emergency because I felt a bump. I got so scared I couldn’t STOP crying! Come to find out when I finally got seen it was gone!? I’m confused! I took a picture to show the Dr. She told me it not showing

  30. Hello,I am 43 and have a cystocele,rectocele and uterine prolapse grade 2.I definitely have less sensation in my vagina since this happened. I can rarely achieve vaginal orgasm where as before I could regularly. I do kegels every day. Is there anything you can recommend to help bring back the sensation or is it in my head.Thanks!

    • Author: Michelle Kenway Pelvic Floor Physiotherapist says

      Nicole doing regular Kegels, making sure you’re feeling relaxed, using lubricant and foreplay can all improve your sensation

  31. Hello, I am 30. I want to ask does having sex help lift up ?

  32. Thank you for this information! Really eased my mind. I had been stressing a little, but plan on practicing my pelvis floor exercises.

  33. I have a prolapse rectocele and I and my husband can not have intercourse as it is impossible, however doctor said I do not get enough points for an operation and this can clearly been seen down below.?
    Can this be operated on and will it be successful?

    • Author: Michelle Kenway Pelvic Floor Physiotherapist says

      Hi Tina

      Did your doctor offer you an alternative solution such as a pessary? Only a surgeon can say whether your prolapse is appropriate for surgery and estimate your success rate. Perhaps get a second opinion if you’re not satisfied with the first? all the best

  34. Mrs babar says

    Hi dear
    I’m 27 year old I m 4 months pregnant Its my first pregnancy I am diagnosed with bladder prolapsed some time it bleeds a little I m really worried about that I want to ask is normal vaginal delivery possible while having bladder prolapsed or will it make bladder prolapsed worse or if there will be other health issues??

    • Author: Michelle Kenway Pelvic Floor Physiotherapist says

      Hi and yes this is such a challenging decision to make isn’t it. First up prolapsed bladder doesn’t bleed (unless it’s protruding well out of the vagina and rubbing against your clothes) so get that issue checked with your doctor. The first vaginal delivery usually has the greatest impact on the pelvic floor so this is also something you need to discuss with your obstetrician. It depends on many factors including the size of your baby, the degree of your prolapse, the laxity of your tissues and more. The safest route short term for baby is obviously c/section however any surgery has it’s risks so the risk is greatest for the mum. What you can do to manage is practice your pelvic floor exercises regularly and manage your bowels well to avoid constipation and straining. Pregnancy places pressure on the prolapse so now is the time to be doing these things and then continuing after delivery. All the best to you, I hope this gives you some thoughts about management

  35. We really want another child and I have regular periods and no other notes problems, I have sex much as possible especially during ovulation, but I wanna know if I can get pregnant with this prolapse, and how do I know if sperm is getting to where it needs to be. I do kegels all the time even after sex, and I tilt my pelvis and lie still, please help

    • Author: Michelle Kenway Pelvic Floor Physiotherapist says

      Hi Monique you can relax, prolapse has no effect on your ability to get pregnancy – lying down after intercourse is a good idea too and good luck!

  36. I just had a hysterectomy with anterior repair and posterior repair 3 months ago. Unfortunately my bladder is definitely falling again and it seems that it is worse after I have sex. Is that possible? Any guess as to why? I am doing physical therapy and it seemed to be getting better but when I have sex it feels like it’s falling again. I am planning on getting a pressory to help relieve pressure while I work on strengthening my pelvic floor do you think it will make my prolapse worse.

    • Author: Michelle Kenway Pelvic Floor Physiotherapist says

      Hi Ali I don’t believe that sex will make your prolapse worse and the pessary combined with pelvic floor exercises will help too, all the best for your ongoing recovery

  37. Hello, first I would like to say THANKS for all the great info you provide here to the ladies…..just a quick question tho….. I’m 44, 3 kids, was just diagnosed with a uterine prolapse. I’m currently waiting to have surgery. I haven’t been sexually active in almost a year however, I have someone new I’m ready to take that step with. Does the Uterine prolapse make the vagina feel tighter in anyway or looser? It seems it would appear tighter due to the other organ pushing down on it. I’m lost on this one. Please help. Thanks

    • Author: Michelle Kenway Pelvic Floor Physiotherapist says

      Hi Deann if anything it would make the vagina feel shorter as the uterine prolapse pushes into the top of the vagina however that said most men don’t report noticing any difference

    • Hi, i am 27years old and just had a baby one month ago. Notice something like a lump in between my vagina which when i thighten my muscles it goes back into the vagina but still portrudes when i release. I use a waist trainer for my stomach. Afraid to engage sex with my partner coz am embarrassed and scared of his reaction. Is there a possibility i can get pregnant again and have sex with problems? Please replg

      • Author: Michelle Kenway Pelvic Floor Physiotherapist says

        Hi Madora
        I understand how you must be feeling – yes you can get pregnant this has not changed. You will need to see your doctor who can tell you what is causing the bulge. One month after delivery there is good chance for strengthening your pelvic floor muscles with Kegel exercises (pelvic floor exercises). Do you have access to Pelvic Floor Physiotherapy to help you?

  38. Hi, I was wondering if anal play/anal sex could worsen a rectocele (grade 2). My husband and I used to really enjoy this before we had children and I suffered from a prolapse (Cystocele grease 1, rectocele grade 2), and I’d love to get back to our former levels of intimacy. It’s been 2 years since the birth of my youngest and I’m still symptomatic on days when I’m constipated, but otherwise ok. Sex in general is good, I occasionally feel pain afterwards in the perineal, but I’m not sure if that’s related to the prolapse or related to scar tissue. I would love to have advice on anal sex before we decide whether to try again. Sorry for too much information!

    • Author: Michelle Kenway Pelvic Floor Physiotherapist says

      Hi Vicky
      There’s not a lot of information on prolapse and anal sex. Anything that pushes the back wall of the vagina inwards could potentially aggravate rectocoele symptoms such as constipation (as you’ve noticed) and I would think that anal sex could have a similar effect. Prolapse itself shouldn’t be painful, more likely scar tissue or pelvic floor spasm. It could be worth seeing a pelvic floor physio about this issue if you’d like to, it’s something that we treat often.

  39. Hi Michelle
    I’m 63 and I’ve been single 21 years … I think the last time I had sex was about 15 years ago. I have a prolapse and I have 2 pessery rings … One with hrt and the other I guess holding everything up … I find though that this can slip so after my shower I give it a wee push up … That’s not a problem. The problem is I’ve recently found someone I would like to have sex with …. He’s a bit younger and his manhood is quite large … Anyway during penetration could it hook the pessery ring? This all sounds awful I know, but I don’t feel I can move to a sexual relationship with anyone because of the fear of this happening. Especially since it’s a new relationship, I had given up on finding anyone who I would want an intimate relationship with, so the prolapse wasn’t an issue before. I have the pessery changed in a nurse led clinic … I did try asking the nurse the last time I was there but she was very brisk and I felt that she didn’t really approve. Sorry if this is a silly question.

    • Author: Michelle Kenway Pelvic Floor Physiotherapist says

      Not silly at all! The pessary shouldn’t be an issue at all and very unlikely that it would hook up in the pessary ring. In fact he’s probably unlikely to notice anything that’s not normal because let’s face it Elaine … what is normal? Many many women that have had a vaginal delivery have some form of prolapse and many wear a pessary ring. I understand your concern but I think you need not worry, oh and make sure you use a good (water based) lubricant as this will help your physical comfort too. All the best to you Elaine!

    • Hello. I’ve just noticed over the last few weeks that I feel like I have to pee , and when I go it’s weird. I stop very fast and quickly. Like I don’t get it all out. I believe that my bladder has dropped
      I had a total hysterectomy when I was 23 I’m now 45
      This also doesn’t make sense , but I seem to be having an orgasm much easier since I believe that my bladder has dropped.
      Is this normal. ?

  40. Is mild cystocele completely curable?it will return to its normal position or not

    • Author: Michelle Kenway Pelvic Floor Physiotherapist says

      Hi Karishma
      A cystocele occurs because pelvic tissues have stretched beyond there elastic limit. For this reason there is no ‘complete cure’ as such however many women find that regular pelvic floor exercises and good pelvic floor health practices such as good bowel management and appropriate exercises can help them long term and they have no real problem despite their prolapse.

      • How can i sure its a mild prolapse..i didn’t find anything in the during birth of my baby there was a cystocele..but now there is no suything n i have no problem…how can i sure that cystocele now present or not

        • Author: Michelle Kenway Pelvic Floor Physiotherapist says

          Prolapse can resolve after birth however care needs to be taken so that it doesn’t recur in the future, the only way to know for certain is through examination by an appropriate health professional

  41. Hi. I am 41 year old mother of 2. I have a grade 2 cystocele. I don’t have any pain during sex and my husband says he can’t feel anything different down there. Are men likely to notice a cystocele during foreplay or intercourse? I can feel it if I touch down there. Thank you.

    • Author: Michelle Kenway Pelvic Floor Physiotherapist says

      Hi Emma men are highly unlikely to notice a grade 2 cystocele. It takes training or experience to be able to diagnose a prolapse especially when lying down. All the best

    • I have Uterus prolapse and it has poked out my vagina a tad bit while trying to have a bowel movement. This is fairly new as I just went to the e.r. 3 days ago. Can I have anal sex since it’s not part of the prolapse and I was told to not have intercourse. New relationship HELP!!

  42. Hi Michelle,

    I am 41 and have a grade 2 cystocele diagnosed. I am waiting for surgery although anxious sbout the surgery ruining my sex life. Currently my sex life is great, I still have full feeling and my partner says I feel no different from pre-children. He can feel me tighten when inside me. I do worry when we are engaged in forepkay if he can feel anything but he says he cannot. I believe him but I still find myself wondering if he can feel it as I can feel it if I insert a finger. Do you think most men when engaged in sexual activity wouldn’t notice?

    • Author: Michelle Kenway Pelvic Floor Physiotherapist says

      Hi Emma
      It’s very unlikely he would notice and if he did for some reason notice, this does not (should not) make you any less of a woman or less desirable in his eyes. It’s great that your relationship is good, all the best for your surgery!

  43. Can u have sex when u got a prolapse

  44. Hi. I have a prolapse and am currently waiting for a hysterectomy. I have been single for 3 years and I recently started seeing a new man. I had very little sensation during sex, I just felt really loose. Would he notice this and do you have any advice please? Thank you!

    • Author: Michelle Kenway Pelvic Floor Physiotherapist says

      No he’s unlikely to notice this – side lying can improve sensation and control for both of you (your back to your partner)

  45. Hi, I’m a 34 year old woman with rectocele. Anytime I have sex, my perineum has cuts. Anyone else experience the same issue?

  46. Hi
    I’m 31 & have a 7wk old little boy. I have been diagnosed by my obstetrician & pelvic floor physio with a anterior prolapse (bladder). They have told me it’s mild & should be helped by doing pelvic floor exercises.
    The bulge is right at the entrance of the vagina.
    I have not yet tried to have sex with my husband but I want to.
    Is 7wks enough time between birth & sex & with a prolapse?
    I was very lucky & had no tearing or stitches or anything during labour so everything else seems to be back to normal so to speak. I’m more worried about the prolapse itself.
    During the internal exam I felt no discomfort or pain so I would assume this is a good sign?

    Please help put my mind at ease

    • Author: Michelle Kenway Pelvic Floor Physiotherapist says

      Hi Mel
      The mild prolapse will not impact on your ability to have sex and sex will not worsen your prolapse so I hope this sets your mind at ease. What is important is that you take the time that you require to recover before returning to sex, it may help you to start with some foreplay to help you regain confidence before resuming sex. This article on prolapse and sex should help you understand a little more on this issue too. Unfortunately it’s not openly discussed and it should be. All the best to you Mel

  47. I do not agree with the idea that you have to hide this problem to the couple. If he does not like it then look for another couple. Men have to hear from their women that not everything in this wourld perfect.
    They are not either and nothing happens.

  48. Thank you so much Michelle for sharing your knowledge and care across the web to help women like myself. I am 40 and recently diagnosed with a mild prolapse which was found following months of bladder issues (OAB/SI and frequent Uti’s poss related to dryness/Hormones). I have 3 kids ranging 12 to 19 and I am ashamed to admitt I never knew, or was educated about the pelvic floors needs. Add to that years of chronic constipation, heavy lifting and exercising I am shocked my prolapse isn’t worse given I’ve never been told to do PF exercises until recently. How did I get this far in life uneducated?? It’s a scary and sad thought. It wasn’t till my googling led me to learn about prolapse and asking a Dr, and women’s physio to asses me for one. I do feel like something is “in there” but given it’s a stage one it’s probable my anxiety over this has me just feeling extra sensitive (I hope), and the OAB making me feel everything more. However, can a short vagina make one feel a stage 1 prolapse?
    I was recently reading your posts on the mental sides affects of prolapse and my gosh it’s all true. The anxiety, the depression. Although I am now working on focusing on my positives and being thankful I have found out at stage 1 and not 3. It’s still a work in progress. I think it just seems a bigger deal than needs be as I’ve had so many other things going on and this was the last straw perhaps. Anyhoo… I def need to find some lady friends to share with. To help each other on prevention, or coping…. sorry to ramble on…
    I do have a sex question. Is “Cowgirl” position safe for stage 1? My husband is a gentle giant, but not so down stairs. We’ve been together over 20yrs and the only position we’ve managed to “fit” is me on top. We just can’t seem to manage missionary (he’s a big guy and I’m a wee lass), and his manhood isn’t big enough for other positions.
    Please help lol.
    Thank you once again for all you’re doing to better educate a world full of women like myself. I’m off to look at your books now :)

    • Author: Michelle Kenway Pelvic Floor Physiotherapist says

      Hi Mrs D
      Thanks so much for your honest account, I think you express the thoughts and feelings of many other women very well in relation to a lack of knowledge and awareness about the pelvic floor as well as the impact it can have emotionally.Regarding your question on sex I don’t see the “Cowgirl” position is an issue at all and if anything it helps you control the depth of penetration for your own level of comfort. Having sex with a prolapse is highly unlikely to make a prolapse worse, in fact many women report their symptoms are temporarily much improved after sex. It won’t fix the prolapse but it won’t force it to worsen either so you can relax with this issue. Take care and thank you for posting your comment.

  49. Hi,
    Thank you for this informative article. I seem to have a problem that is not mentioned by others. I have moderate vaginal prolapse and am also quite overweight (I guess that is the result of having 5 children). This is making intercourse extremely difficult. It doesn’t seem like anyone else has this problem, but my husband cant seem to get his penis inside my vagina. It’s almost like he needs to ‘push past’ all my lumps and it ends up not going in.
    My husband does suffer from mild erectile dysfunction, but before I had the prolapse and when I was thinner, it wasn’t an issue, as he would get hard once he was in the right place, but now it seems impossible. I know I should loose weight, but is there anything else we can do? I feel like I need something that can hold my vagina open for him…..

    • Author: Michelle Kenway Pelvic Floor Physiotherapist says

      Hi & thanks for your question,
      You’re not the only woman to experience this problem, I hope you find this reassuring. Difficulty with penetrative intercourse may be caused by issues such as a large prolapse or pelvic floor muscle spasm. It’s best to have this problem assessed and treated by a gynaecologist or pelvic floor physiotherapist to know how to manage the situation correctly. It may well be that a pessary can help lift prolapsed tissues allowing for intercourse. Alternatively specialized treatment is used for tight pelvic floor muscles. It’s important to get your diagnosis correct and then appropriate management should be clear. All the best

  50. Hi, I believe I have a vaginal prolapse, when standing and sitting on the toilet it seems to bulge out of my vagina. I had issues with weakness and bladder leakage during my during pregnancy and had some physio postpartum. But j have since had two children. When I do legal exercises i can’t feel anything move anymore.
    However since the symptoms started orgasms have been much easier for me to accomplish, previous to this I believe I had extremely tight muscles and it would take a very long time (sometimes hours) to orgasm. But since experiencing this everything feels way more relaxed and really easy and enjoyable in the bedroom. My partner has mentions when pressed that he can’t feel my muscles contract as tightly anymore.
    Its something I want to help because of urine leakage and weakness but also don’t really want my sex life to return to how it was prebaby. What do You suggest?

    • Michelle Kenway Pelvic Floor Physiotherapist says

      Hi Rebecca
      This is a situation where a good program of Kegels is most likely the best way to proceed. You may like to see a Pelvic Floor Physical Therapist to help you with your program and to make sure that you’re doing your exercises correctly. This will take time and patience to strengthen your pelvic floor muscles. Just a little tip – sometimes using a small cushion under the lower back and hips can help improve the sensation of tightness for your partner. All the best

  51. Hi, I am 38 yrs and have a stage 3 rectal prolapse and want to have surgery but just haven’t taken the plunge yet. I have had years of suffering with IBS-D and am pretty sure this has been the main reason this has happened as I have never had children. Anyway, I do not have a partner at the moment so I guess this shouldn’t be a concern but a few months ago I felt a further drop in my pelvic area and have noticed that I have lost all my libido, I basically could watch a sexy movie or read a saucy paperback like Fifty Shades of Grey and feel nothing. I am really concerned either there is something stopping blood flow or possibly nerve damage. Just wondering can Prolapse effect sexual function?? I’m really scared that I’ll never get feeling back and it’s stressing me out.

    • Michelle Kenway Pelvic Floor Physiotherapist says

      Hi Jen
      Thanks for your enquiry. It’s possibly your emotional reaction to knowing that your prolapse has dropped. Many women say that having a prolapse affects their libido. It’s not likely to be a blood flow or nerve issue. It is known that pelvic floor strengthening can improve sexual response so this would be a good place to focus – you have nothing to lose and the additional strength & support is beneficial regardless of whether you proceed with surgery too. All the best to you.

  52. Would it be harmful to use vibrating toys with a bladder prolapse? I find they cause me to contract my kegel muscle so that sounds like a win win situation to me. I’m happy to have stumbled on your site. Very informative.

    • Michelle Kenway Physiotherapist says

      Shouldn’t be problem at all Joss. Always be alert to anything that causes you symptoms however this shouldn’t cause any worsening.

  53. Hi,
    I have had surgery for a rectocele and it’s apparently successful, but I’m worried about intercourse causing a repeat of the prolapse through damage to the vaginal walls. I understand that intercourse won’t make an existing prolapse worse but is it possible for intercourse to cause new damage or recreate the damage, especially if it involves positions that place pressure on the walls of the vagina that were previously damaged?
    I am concerned because over a year after surgery I often still experience pain especially after intercourse.

    • Michelle Kenway Physiotherapist says

      Hi Lorna
      I understand your concern and I think it’s only natural to have this worry. Intercourse will not damage a prolapse repair. Pain after intercourse is related to something else, perhaps tight pelvic floor muscles or scar tissue or other. This should to be assessed and treated by a health professional such as a Pelvic Floor Physiotherapist. Meanwhile good lubrication, relaxation and side lying position may be of benefit in reducing discomfort.

  54. I am happy to have found this message board. I am 52 years old and have a grade 2 rectocele. I have had to bridge my perineum for years to have a complete bm. I have also noticed that for some time now (years really) that when I orgasm, my vagina looks like it is actively giving birth. It is very, very open like a big triangle and the insides seem to push out. I don’t think it looked like this before I had my child (C-section). I am self conscious and wonder if this is all related to a deficient pelvic floor?
    Has anyone else ever had this?

    • Hi Jenny,
      Yes! My girlfriend (for the past year) is 48 and has has two children (6 and 8) who were delivered with a vaginal child birth. During her orgasms, (she always has very powerful orgasms with squirting), she also has the same thing you described (her vagina looks like it is actively giving birth…). I’ve been researching to try and understand what it might possibly be.

      I wish Michelle had addressed your question, because I would also like to know what could cause that so I can share the explanation with my girlfriend. (By the way, seeing that doesn’t bother me at all — I actually find it fascinating; even erotic).

      • Author: Michelle Kenway Pelvic Floor Physiotherapist says

        Hi Wayne (& Jenny)
        First Jenny my apologies having not replied sooner to your question – I must have seen it and not knowing the answer left with a thought to coming back to it later. C/section doesn’t protect the pelvic floor muscles that can stretch during pregnancy however it may be that there is a temporary complete relaxation of the pelvic floor muscles after orgasm?? Orgasm does involve waves of peristaltic-like pelvic floor muscle contraction. I did read one theory that orgasm may even have a strengthening function see here I wish I could offer more information, maybe another reader may be able to offer more insight? Many thanks for your question and observations.

  55. I’m 36 and have a stage 2 vaginal prolapse. I’m coming out of a 15 year relationship. The prolapse occurred during the birth of our second child. My ex was verbally abusive and sometimes made comments about me being damaged. Since leaving the relationship I find myself scared to let any man touch me. I’m so frightened that they will notice my prolapse and freak out.

    Has ANYONE ever experienced this?? Thanks so much everyone!!

    • Hi Jospe,
      I’m sorry to hear about what you’ve been through. You ex said some horrible things with the intention of destroying your self-esteem – please don’t pay any attention to those comments! They relate to his deficiencies, not yours.
      As Michelle says, 50% of women who’ve given birth have some degree of prolapse, so you’re perfectly normal. All mothers have some “battle scars” and you should be proud of them, not ashamed.
      Also, no partner is likely to notice – and if they somehow do and it puts them off, then they’re clearly shallow and self-centred and not worth your precious time and energy.
      All the best!

  56. I’ve just discovered a prolapse. I’m 53 and have had a hysterectomy. Lately intercourse has been very painful. I thought because of my age and all the lovely changes menopause brings, I just required lubricants and moisturizer. The pain is like I’m being torn in the exterior area, not internally, followed by light bleeding. It has gotten worse which led me to investigate and discover the prolapse. I have an appointment with my family Dr Monday. I have been researching everything i can find on pelvic organ prolapse and treatment. I’m not finding anything on the feeling of tearing during intercourse. I want to educate myself on treatment options, but I’m not finding my symptoms anywhere.

    • Michelle Kenway Physiotherapist says

      Hi Wendy
      Symptoms of pain and bleeding associated with intercourse really need to be assessed by your gynaecologist.
      All the best

  57. hi Michelle,.i have a feeling that I have a prolapse,.but I do not know what kind of prolapse is this.,I gave birth to my son last March through induction which causes me to strain for almost 10 hours of labor,.I strained the whole time and before my baby came out the midwife told me that something had protruded outside my vagina.,after a week of my delivery it suddenly disappeared. I was thankful then but due to constipation that I had it came out again and never disappeared at all,.it’s like a thin lip-like appearance.,I wasn’t able to see a doctor cause I’m a bit scared if what I could find out. I do research about kegel exercises for almost 2 weeks now and doing it 3 x a day,.it helps though but during bowel movement that ”something protruding” outside my vagina appearsappears again. About 1 cm to be exact. My question is,since I’m a breastfeeding mom,will my prolapse disappear after I have my menstruation back where in my estrogen will be back again?I really need your help. Thank you and God bless!

    • Michelle Kenway Physiotherapist says

      Hi Anna
      First of all it’s best to get this assessed by your doctor so that you know what you’re dealing with. A prolapse involves stretched tissues and unfortunately once stretched they remain stretched. Having said this, many women find that pelvic floor exercises, avoiding constipation and straining, the passage of time, along with completing breastfeeding can all combine to reduce prolapse symptoms after childbirth. Pelvic floor exercises and recovery from childbirth can take at least 6 months so this takes time and perseverance with regular practice. I hope this helps you out Anna, all the best Michelle

  58. Hi Michelle!
    Thank you for your advice. I am a woman with three month bay and i have prolapse bladder. What exercises can help me with out surgery? Is it good to have sex?
    Thank you.

  59. I have a problem with being penetrated with the guy’s finger every time he penetrates me with his finger I start feeling sick and nauseated sometimes it even hurts during intercourse I’ve discussed this with my doctor I’ve been examining I’ve had a total hysterectomy she said there’s nothing that he could be hitting or damaging could it be scar tissue or what it could be

    • Michelle Kenway Physiotherapist says

      Hi Janice
      This could be caused by range of issues – it may well be that a pelvic floor physiotherapist could help you with some desensitisation training and perhaps the progressive use of dilators if appropriate upon assessment. It’s important to get professional guidance with this type of issue to get it sorted out rather than muddle along on your own.
      All the best

  60. I think I have mod/severe rectal prolapse post 2 children, tough births, conspiratuon, I never sit down – you name it. I’m going back to my lovely gp today having been referred to a specialist prolapse nurse who confirmed I need treatment – I’ve just been too busy to get round to actioning it.
    Although my husband says he can’t feel it and it doesn’t bother him, I struggle to even get a tampon in now :( and I only use minis!!!
    I’m only 41, i’ve stopped running because the specialist said I should wait til it’s improved (potentially with surgery) – and this has caused me to gain weight. I’m so thoroughly depressed about it all and seriously considering an operation. BUT does the operation work? Ya hardly ever mentioned so I’m worried it’s an ‘avoid at all costs’. I’m sure I’ve even read somewhere that it rarely succeeds?
    I think I’m ready to take that step – certainly don’t want any ‘rings’ in there as I’m small and would hate to feel them.
    Do you think that if the recommend the op, I should go for it? What are the chances of it working long term? I just want ‘room inside’ for comfortable sex and tampons again.
    The answer I really want is, is the op safe / successful / is there a particularly successful version of the op to ask for. Thankyou.

    • Michelle Kenway Physiotherapist says

      Hi Naomi

      Unfortunately there is always the risk of repeat prolapse after prolapse surgery. The risk is increased in younger women, overweight and women who already had prolapse surgery. High impact exercises like running are not advised for women after prolapse surgery is the repeated impact can stretch and strain the pelvic supports contributing to further pelvic floor dysfunction. Body weight management comes down to being really careful with your diet is the number 1 priority and then participating in pelvic floor safe fitness exercises such as brisk walking, cycling or swimming.

      Every surgeon has their own rate of success and this is something that you need to discuss with the surgeon when weighing up whether or not to proceed with surgery. Some types of surgery a more successful for some forms of prolapse and this is something you need to ask about. It’s also important to ask about the type of activity restrictions that you may have long-term after surgery. It’s a really difficult decision and only you can make this in careful consultation with your gynaecologist.

      Wishing all the best, Michelle

  61. Hi Michelle,

    I am a 34 year old new mom. My baby is twelve weeks old. Before having her, I was a very active and went to the gym 4-5 days a week. I was healthy and lifted weights because I throughly enjoyed it. I have never been overweight. Being active and exercising was a major part of my life. I also have played soccer my entire life and I coach a girls soccer team, which requires me to run and demonstrate drills.

    The second stage of my delivery was very long… Almost five hours. I pushed for two hours. The dr gave me a 1 hour break and then I pushed for another hour and 45 minutes. My baby was delivered compound and I had an inch and half tear around my urethra. At my six week postpartum check up, I was told I have vaginal wall prolapse (which I had already self diagnosed because of the huge bulge). After seeing a specialist I was told I have rectocele, cystocele and perineocele. The rectocele is the worst of the three.

    I feel devastated that I’m only 34 and I will never be able to resume my activities in the gym or continue to coach my soccer team as before. I can’t believe I’ll never be able to run, jump, play soccer, do a squat or burpee again. I’m also somewhat angry at my dr because I feel like I wasn’t cared for properly when delivering my baby. I didn’t even know prolapse existed or that a five hour delivery would cause this. The specialist I saw even felt the prolapse was caused by the second stage. Why aren’t we more educated about prolapse? Why didn’t my dr take more precautions to ensure that this wouldn’t happen to me? Had I known this was a possibility, I would have insisted on a c section instead. I feel so let down by my dr especially because of the severe change to my lifestyle. I am happy and blessed to have a beautiful baby girl, but I am sad as well. I feel like all of my future plans have changed…not to mention the sex part. More needs to be done to educate women so they can advocate for themselves.

    Thanks for being a voice for women.


    • Michelle Kenway Physiotherapist says

      Hi Jessica

      Thank you so much for sharing your story which unfortunately is all too familiar.

      Yes I hear you, why aren’t women educated more about prolapse before childbirth?

      Why aren’t more precautions taken to avoid prolapse? I completely understand your anger and frustration.

      Thank you so much for taking the time to comment. You might like to read this post about prolapse by another reader in your situation.

      Best wishes to you

  62. I am 27 and I have had two kids. I have recently have had a problem with my uterus. They called it a prolapsed uterus. Well I was also diagnosed with pcos. I was wondering what I can do about this problem? Because it seems like I don’t have to do much and I can feel it with my finger. Please help because I have a good job and I don’t want to lose it

    • Michelle Kenway Physiotherapist says

      Hi Sylvia
      A prolapsed uterus means that some of the tissues supporting or holding up your uterus are not doing their job as well as they could. Many women manage this condition very well by doing regular pelvic floor exercises or Kegel exercises. Here is a link to the 1st video in a series of how to Kegel videos.Doing Kegel exercises is a good place to start. You may also discuss using a support pessary with your doctor – you would need to see a gynaecologist to have a support pessary inserted.
      All the best

  63. Hi,

    Like everyone, I’m so glad that I found you, Michelle! I get constipated immediately after vaginal intercourse. It made my life so miserable cause I stay constipated for almost >10 days after each intercourse… As I have more vaginal intercourse, my constipation recovery takes longer! and it’s been ~3 months that I have sex regularly, and I was not able to empty my bowl. I’ve got diagnosed with grade 2 rectocele but my Urogynocologist said rectocele is very common among woman and my symptoms could be due to neuropathy. I was not able to reveal it with my boyfriends cause he might get disappointed of me and it makes everything just worse. I did x-ray and MRI defecogram and anorectal manometry! beside rectocele, everything seemed normal. But what I’m experiencing now is just a torture. I have no response to Milk of Magnesia or Miralax :( only stimulant laxative (Ducolax) works on me, which has a numerous side effects!
    I suppose to see a physical therapist but I have no hope cause I can’t eliminate the reason of the constipation which is having sex! I have no more sex drive, but can’t avoid it because of my relationship! even if I avoid having sex for a period of time, constipations get back once I start again!!!! it’s so hard to imagine a life without family because of the sexual disfunction ;'((

    Please help!!!!!

    • Michelle Kenway Physiotherapist says

      Hi Rahaa

      Thanks for your comment/question. I can only make suggestions based on what you’re describing however I wonder if you might be suffering from pelvic floor muscle tension caused by sex and your pelvic floor muscles being unable to relax? Did you do the defecogram when you were constipated or otherwise? Do you have access to a Pelvic Floor Physiotherapist who might be able to assess your pelvic floor for muscles? Maybe you might start be reading some more about pelvic floor tensionwhich is still poorly diagnosed in some countries. I’m not sure where you reside and how readily available pelvic floor muscle assessment is for you. This is one possible avenue for you to explore and this may or may not be the cause of your issues, it is merely a suggestion to get checked out.


  64. thanks Michelle. I was so afraid and embarrassed to face my husband when I got my diagnosis. It has made me lost my sex drive because of how I feel. After reading this I hope I can go back to some level of normalcy.

  65. I have experience a major lack of interest in sex. I have not been diagonoised with prolaspe but I suspect it with my symptoms. Would a prolaspe cause that?

    • Michelle Kenway Physiotherapist says

      Hi Tonia
      The prolapse condition itself doesn’t cause decreased sex drive. Concern about how the prolapse might seem to a partner could foreseeably make an individual self conscious and contribute to decreased sex drive.

  66. I was looking for a bit more info on the anal intercourse and whether there might be a problem.
    with a moderate cystocele, and a mild rectocele, and a husband who is keen to try anal, is there are there possible issues from doing this? Thanks!

    • Michelle Kenway Physiotherapist says

      Hi NB
      Vaginal intercourse isn’t usually a problem for most women with mild to moderate vaginal prolapse in that it doesn’t worsen the prolapse or cause too much discomfort in most cases. Women with more severe forms of prolapse sometimes find that vaginal intercourse is too uncomfortable. Anal intercourse would not worsen a vaginal prolapse such as cystocele or rectocele however anal intercourse can stretch the anal and rectal tissues causing rectal prolapse (i.e. prolapse from within the anus)

  67. Hi there – I’m 3 months post giving birth to my beautiful daughter. I have an anterior vaginal wall and a posterior wall prolapse (moderate) diagnosed by a physiotherapist (specializing in women’s health). My partner and I have just tried having sex again the one time (this week) but it’s uncomfortable and I feel like he can’t penetrate me properly. I was a bit sore afterwards. We tried missionary him on top and side lying but I still didn’t feel like he could penetrate me because of the tissues in the way. I had a lot of fear so I’m sure if I relax more next time it will be better? I think I might benefit from counselling as you wrote in a previous comment. Any advice would be great! I’m already doing my pelvic floor exercises too. Will things improve with time? Thanks

    • Michelle Kenway Physiotherapist says

      Hi Samantha

      Yes when intercourse is anticipated to be painful this can make it difficult to relax the pelvic floor muscles. Missionary position is usually the worst position as you have no control over the depth of penetration. Side lying is a much better position to commence with and only when you feel ready to do so. Good lubrication and arousal are also important.

      You may like to read this information; scroll down to how to avoid pain after hysterectomy. I know you are post childbirth but the same principles apply. Here is some more information on pelvic floor relaxation too

      I am not sure where you live however there are some excellent physiotherapists who treat postnatal pelvic floor discomfort and the usually sooner this is addressed the better.

      I hope this gives you some understanding and help to get started

  68. Hi just want to know if prolapse bladder can stop you from having orgasams

    • Michelle Kenway says

      Hi Roz
      If the prolapse causes emotional issues and embarrassment then perhaps. The actual laxity in the vaginal wall tissue may decrease sensation somewhat but having a prolapse doesn’t prevent orgasm.

  69. Michelle, I’m so happy to have found your website. I just discovered my prolapse. I am 49 and had a partial hysterectomy five years ago. I still have my cervix. Anyway, I also believe this has been caused by constipation and minimal weight can. But the psychological effects are causing me stress and panic. I feel worthless and so sad like my sensuousness is gone. What can I do I’m so sad. My husband won’t talk to me about it. Please give any advice you feel you can. Thanks.

    • Michelle Kenway says

      Hi Mary

      Thanks so much for your message. Yes while some ladies don’t seem to worry too much many others suffer from emotional issues as a result of their prolapse and unfortunately their concerns seem to be largely ignored. I don’t see many women being referred for counselling to help despite the worry and the effects on self esteem that this can cause. It could be useful to get some professional counselling to help you work through this Mary.

      It can be helpful to consider why this is causing you to feel threatened. Is it fear of worsening? Maybe you feel somehow lacking in control? Everywoman is different in their reaction to prolapse. Remember that this isn’t a life threatening condition. There is also a lot you can do to manage your prolapse too which will help to empower you and be in control.

      Here are some articles that might help you manage Mary and this article while written for prolapse after childbirth I think you will relate to the article

      Mary please don’t hesitate to reply further and please don’t feel that you’re on your own – you’re not.

      Best wishes to you

  70. i have a diagnosed rectocele and often need to insert my finger into the vagina to help empty my bowels.. i think i have a loss if sensation because sometimes i dont even know i need to have a bowel movement until i go pee and notice the bulge which i then have to push up to then complete the bm… this makes me very self conscious when it comes to being intimate with my husband… i read in comments above that laying down the it is often less noticeable but im always so worried he will feel or see the bulge… and with the loss of sensation is that something to be more concerned about??

    • Michelle Kenway says

      Hi Laura
      Thank you for your question – women with rectocoele often need to use their hand to support the perineum or finger within the vagina to empty their bowels. To be very honest men usually don’t notice this – when you are lying down the weight of your abdomen is taken off your pelvic floor and the prolapse will be much less noticeable if at all.

      The decreased sensation happens due to the stretching of your tissues and again this is quite normal with a rectocoele. The risk is that because the tissues are overstretched and you have decreased sensation, then they could stretch further if you aren’t in a really good routine of emptying your bowels. It’s important to keep your stool consistency manageable with appropriate diet, avoid straining where possible and be sure to empty your bowels regularly to minimize the risk of further stretching. Does all this make sense and help you a little?

      Let me know

  71. I haven’t been to the doctors but I can definitely say I have viginal prolapse im wondering what could have caused this as I’m only twenty years old and I’ve never had any children and if it could have been from being on contraception at a young age (14-16) also I’ve been with my partner for a year now and sex is definitely uncomfortable at first but it gets better would there be any chance of prolapse stopping me from getting pregnant ? We’ve been having unprotected sex for about six months now and nothing :( thanks for reading

    • Michelle Kenway says

      Hi Stace

      First and foremost a prolapse will not stop pregnancy or reduce fertility in any way.

      Stace painful intercourse can also known as dyspareunia. It can be caused by overly tight or tense pelvic floor muscles that are unable to relax. Unfortunately this is a poorly diagnosed condition and it can take women years to have this diagnosed. If your doctors have ruled out other possible causes of your painful intercourse it may be worth your while reading a little on this to update your knowledge. I am not saying that you have this however you do have one of the main symptoms. I am not sure which country you are living in – can access treatment with a pelvic floor physio?

      This article about pelvic floor muscle tension is worth reading

      Please feel welcome to reply for further assistance, I hope this helps you out

  72. Hi Michelle
    I am so pleased to have found your website and related videos they have been such a valuable source of information, thankyou so much.
    My question is , is it better to avoid some sexual positions such as being on top? Does the effect of gravity and using abdominal muscles make this position a bad idea?
    Many Thanks

    • Michelle Kenway says

      Hi Donna

      This is an interesting question – If you think about the act of penetrative intercourse it is going to have the effect of pushing the prolapse back within the vagina regardless of the position so that position would not really be a factor to be concerned about in terms of prolapse worsening.

      Some women do have discomfort with penetrative intercourse owing to more severe prolapse, post operative discomfort or pelvic pain problems in which case side lying with your back to your partner position would help allow you to control the depth of penetration. Lying underneath the partner does not allow the woman very much control of the depth of penetration. Ideal position will really depend upon what the pelvic floor issue is.

      Hope this helps

  73. Hi Michelle. Thanks for replying. Yes she is an obstetrician. We had a two month check up with her today. I brought up the possibility of a prolapse… explained that in a squating position there is basically a wall at my vaginal opening. She said this is due to weak vaginal walls from giving birth to a large baby. She has said that regular kegek exercise should help this. If not, she has given me a referal to physio. I’m confused how my week vaginal wall is any different than a prolapse.

  74. Hi. I had a baby 2 months ago and had my check uo with my doctor. She says everything is fine and that I don’t have a prolapse, but I can feel something. I feel a bit of a bulge below at the opening of my vagina. If I use a mirror, I can see a round small bulge. It’s not smooth… if I bear down, I can see this bulge and also one below. I have read many articles and watch some videos. As you mentioned it can be difficult to diagnose a prolapse. What do you suggest? I was thinking of buying vagibal weights? My husband says that the opening of my vagina is tight, but inside is just moderatre and he says he can feel hard spots on his penis. Is this the prolapse or could it be scaring from my stitches? Please advise. Need advise. Thanks!

    • Michelle Kenway says

      Hi Bella
      Thanks for your question. Was your checkup performed by your obstetrician? Have you mentioned these symptoms to your regular doctor? The symptoms you describe are suggestive or prolapse but these needs to be assessed by a health practioner. I would suggest against vaginal weights – first and foremost the correct diagnosis is required. Regular daily pelvic floor exercises should help you recover your pelvic floor strength after childbirth, do you have access to a Pelvic Floor Physiotherapist to assist you?
      KInd regards

  75. Hi there, I’m 30 yoa and recovering from recent (5 weeks ago) anterior and posterior vaginal repair plus sling. My issues were caused by heavy lifting in the gym. As I am usually quite sexually active I’m finding the lack of sex with my husband extremely difficult. Is it possible/safe to practice oral sex/outercourse without damaging my repairs?
    Thanks for your help!

    • Michelle Kenway says

      Thank you for your question – this really needs to be determined by your surgeon at your 6 week post op appointment. Women differ in terms of the type of repair performed and whether prolapse surgery includes surgery on the perineum to reduce the size of the vagina and decrease the risk of future prolapse. Women are usually advised to avoid placing anything inside the vagina for the first 6-8 weeks post op. I wouldn’t think that clitoral stimulation would be an issue prior to this however ensuring cleanliness and hygiene.

      Hope this helps out.


  76. I had surgery to correct a bowel, bladder and uterine prolapse after the birth of my last child. I was unable to have intercourse as it was severe. That was 11 years ago and have enjoyed a full sex life since then if any women out there are worried. However, I now notice and can feel a prolapse again and although my past knowledge and questions above have been very helpful, I am concerned about oral sex. With the prolapse being just inside (can be seen when using a mirror for personal hygiene) should oral sex be avoided? also it doesn’t look very nice and am concerned that my partner may be put off if he sees it during oral sex.

    • Michelle Kenway says

      Thank you for your question about oral sex and prolapse. First of all there is no medical reason to avoid oral sex with a mild-moderate prolapse – if you think about the visible part of the prolapse it is basically the inside vaginal wall that has moved downwards. Some ladies find that when their prolapse is moderate to severe this tissue can become red and irritated as it wears against the underwear during the course of everyday living. When you lay down flat with your head down, your prolapse will move upwards and protrude far less that when trying to sit up and view with a hand mirror – the sit up action or standing makes the prolapse protrude much more. Sometimes prolapse can be missed altogether during examination for this reason. So this may be reassuring for you too. In working with women and their partners after prolapse surgery, I have never heard any man complain about their partner’s prolapse with oral sex and for the most part they are unaware of the prolapse unless the woman draws attention to it or feels self conscious (needlessly). The estimates are in fact 1 in 2 woman having some degree of prolapse after vaginal delivery.

      So the short answer is oral sex should not be an issue with a mild-moderate prolapse and your partner is highly unlikely to be aware of its existence.

      All the best

      • Thank you very much Michelle, as you also answered another problem I had.
        I have noticed that I get very sore and it feels quite dry during the day, but the feeling goes during the night. I thought maybe the pant liners I wear had changed, but thanks to you, I now realise it is the prolapse.
        I came across this site by chance and am so very glad I did. Your help and reassurance for women is refreshing.
        Thank you very very much.

  77. Thank you for not only answering my question but referring me to the postings by other women. They were amazing in filling me in on other questions I had but, had not asked. You are helping so many women, what would we do without you? Actually I got far more information from your site than I ever did from my GYN.

    • Michelle Kenway says

      My pleasure Dee – when women share their combined knowledge and experience it helps everyone especially when it comes to pelvic floor issues, I think it can help us all feel a lot less isolated, more ‘normal’ and hopeful.
      Take care and enjoy yourself!

  78. I found this forum very helpful and reassuring and I just wanted to comment on the great level of communication from the admins.
    I do have a query though – I’m only 17 and yet I have a uterine prolapse. It’s hard to say how severe it is, but I can feel it when I insert a finger. I’ve never given birth so I think it may have been caused by constant constipation and a sudden weight gain. Will it gradually get worse if I don’t do anything about it? If I lose weight, will it significantly improve? Also, how effective are Kegel exercises?
    I’ve never been to a doctor about it because I wasn’t sure it’d be much good, I don’t feel like I need surgery and I certainly don’t want it.

    • Michelle Kenway says

      Hi Bro
      Thanks for your comment. I think the first thing you need to do is to see a doctor to get this confirmed as a prolapse. You are correct in that constipation with long-term straining as well as weight gain can contribute to uterine prolapse. I can tell you that for women with prolapse, weight management and weight loss is advisable since obesity is a known risk factor for prolapse. Kegels are known to be effective for women with mild to moderate prolapse in reducing symptoms and elevating the resting position of the pelvic floor. Some women choose to use support pessaries and there are some great pessaries available for women to insert themselves on a daily basis that may suit younger women. Hope this helps you out!
      Best wishes

  79. Hi,
    I don’t think anyone’s asked this question and quite frankly I’m embarrassed to ask my doctor. I have a mild rectocele, and was wondering if a) anal sex could have been one of the causes (I have about a million other risk factors). And b) if I should be avoiding anal sex because of the pressure it can put on the pelvic floor muscles. It seems like no one is talking about this anywhere.

    • Michelle Kenway says

      Thank you for your question about anal sex and prolapse, and yes agreed it is not openly discussed.

      There are two parts to answering this question. First I need to highlight the difference between rectocoele and rectal prolapse as they are often confused but not the same.

      Rectoele refers to a prolapse of the rectum into the back wall of the vagina, the prolapse is located within/bulging from the vagina – in which case sexual intercourse will not be a factor, this occurs because of the weakening of vaginal walls/supports. In contrast a rectal prolapse is a prolapse of tissue within/out of the retum and anus (not the vagina). In this case anal sex can be a cause owing to the weakening/stretching of the anal sphincter.

      Hope this clarifies things for you – if not let me know

      • Thank you so much for broaching this sensitive and embarrassing subject. I just want to confirm that when you say that sexual intercourse won’t impact rectocele, are you including anal sex? Thanks very much.

        • Author: Michelle Kenway Pelvic Floor Physiotherapist says

          Hi Heather
          Thanks so much for posting this question. Anal intercourse shouldn’t worsen rectocele however it may contribute to rectal prolapse (true prolapse of the rectum from the anus) owing to stretch on the anal sphincter and supporting tissues.

          • I have been diagnosed with a stage II-III rectocele. My husband loves anal sex although we do it just occasionally but I am super nervous about it with this diagnosis. Do you know if it’s safe and if there is any place to find more information about it? Thank you so much for any help you can give.

            • Author: Michelle Kenway Pelvic Floor Physiotherapist says

              Hi Chandra
              If the rectum is full then anal sex could potentially place some pressure on the back wall of the vagina via pressure through the rectum. The risk with anal sex is more rectal prolapse (different to rectocoele) since the anal sphincter can loosen and the rectum can protrude from the anus. I hope this helps your understanding a little

  80. Hi Emily  I don't mean to sound mean, but if you can't talk to your boyfriend about these things, do you think you should bring a new life into the world with him?

  81. ahhh so im stuck with it for the rest of my life because i dont want surgery :'( thats soo upsetting for me :( since its getting better slowly i hoped it would all go back to normal :(, and can you still give birth vaginaly with prolapse? because i really dont want a cizerian and me and my boyfriend were thinking of having a child soon, but i dont want him or nobody to find out i have a prolapse , i have soo much stress in my life caused by it ! i just want to be a normal healthy woman!

    • I inserted something really large in my vagina when I was 16 and half because I was curious about the vagina stretching in child birth. I had to yank it out and caused some dgree of prolapse. for years I thought I couldnt have sex or get prgnant which was not true. it has affected how i feel about my body long term but i do have a partner and have given birth vaginally to 3 children. i have never felt relaxed about talking about it and have never had any help. i do pelvic floor exercises but only basic ones. i now have a rectocele and cystocele but as yet no surgery. iam 61. i do have some bladder incontinence. the worst thing is that i stopped having orgasms and have only had slight ones a couple of times since although i have no problem with arousal.

      • Michelle Kenway says

        Hi Geraldine

        Thank you for your honest comment – in addition to your honesty it really highlights how prolapse can, for many women affect our feelings about our bodies. There is not nearly enough written about the psychological impact of prolapse and for that matter emotional support for women with prolapse problems.

        Strengthening the pelvic floor muscles can help to improve a woman’s sexual sensation and orgasm response so this is a very good place to start, along with sufficient lubrication and arousal. You may be interested in speaking with your doctor about vaginal oestrogen (pessary) to help improve the condition of your vaginal tissues if you suspect this is an issue too. Do you have access to a Pelvic Floor Physio who might be able to assist you with your pelvic floor strengthening routine? Do you have an understanding doctor that you can speak openly with?

        Kindest regards

  82. Thanks Michelle i think i will do eventully it is just plucking up the currage to do it , do u know if my boyfriend will notice ? and will sexual intercorse be possible , i am very worried /: i know he loves me but i dont want him to think i am disgusting :( 

    • Hi Emily
      Even with a moderate prolapse women can have intercourse and in most cases the male partner cannot feel the prolapse. If you can insert a tampon readily then this gives some indication of the likelihood of successful penetration . I will also add that one would never think any less of any woman with a prolapse even if they did know about it. Feel proud about your body Emily, a prolapse is nothing to feel ashamed about at all and it often takes years of training to be able to even diagnose a prolapse let alone notice one during intercourse.
      Best of luck MIchelle

      • Thankyou so much, me and my partner had sex the other night and it was great! ( bit painful at first but got better!) do you know if kegal exersizes can completly reverse prolapse? i am doing them very regularly and hoping for the best because i am only 17 and do want children in the future , im so glad i found this website michelle and you have been a great help to me ! :) x

        • Hi Emily
          No a prolapse can’t be reversed however the symptoms can be alleviated in cases of mild to moderate prolapse with Kegel exercises. The other option for women who wish to have children is to be fitted with a pessary ring for prolapse support. This needs to be discussed with your doctor and fitted by a gynaecologist. There are also pessary rings that a woman can insert as she need to in order to support her prolapse. There is no reason why having a prolapse would prevent any future pregnancy. It would be advisable to seek some pelvic floor rehabilitation and guidance from a trained physiotherapist well prior to this to ensure your pelvic floor support. The other potential issue is constipation that often accompanies pregnancy and this needs to well managed also to avoid straining during and after pregnancy.
          I am glad to assist you Emily, stay in touch.

  83. hey i have been with my boyfriend for 6 months now and im only 17 but had really bad constipation ages ago and feel i have a prolapse. my vagina feels so tight where the muscles are buldging downwards and i think my cervix has moved down as i can touch it with my fingers, im unsure if the cervix will move upwards still during sex to fit the penis in? and im soo worried my boyfriend will notice something is wrong as it will be totally embarrising , but i really want to sleep with him as i believe i am in love with him, the prolapse is not coming outside of my vagina , but i feel the canal is only around 2 inches deep and i wonder how this will effect our intercorse? i am planning on trying sex on sunday and seeing how it goes, and i do not want to go to the doctors because i am too embarrist. i have constipation and find it hard to empy my bowls but urinating for me is normal and easy and i am still able to produce my own lubricant, i can feel buldges when i insert my finger so scarred to let my partner up there incase he feels it too? PLEASE HELP

    • Hi Emily
      I understand your embarrassment and your worry about this problem however with this kind of issue you do need to go to the doctor to get it diagnosed correctly. Try to see a doctor who you think you can speak with openly. If you don’t know one and you can’t speak with your parents about this, then ask a trusted friend- perhaps a mature woman who she sees for her women’s health issues. Most doctors speak to women about women’s health problems such as yours on a very regular basis so they are accustomed to dealing with these types of issues. Then once you know what you are dealing with you can take action towards management. It does sound as though it would be a good idea to speak to your doctor about your constipation issue as well as the two may very well be related.
      Best wishes

  84. Recently i went for my appointment after having my hysterectomy a year ago. they did some surgery on my pelvic too.

    when my urogynae checked my vagina, she said mine is loose, and she was not happy.

    when i am together with my hubby, i am not comfortable and feel weak after that. both of us cant enjoy at all.

    pls advice how should i overcome. need your advice.


  85. Natural Birth Mother of 2 says

    I have moderate diastasis abdominus recti and bladder prolapse/rectocele. Do you know if possibly one is causing the other?
    Thank you 

    • Rectus diastasis and bladder prolapse/rectoceole


      Thanks so much for this question on rectus diastasis and prolapse.

      In short, no a rectus diastasis does not cause a pelvic prolapse however a woman may be predisposed to both if she has flexible connective tissue…

      For the benefit of other readers a rectus diastasis is a split split/separation in the abdominal muscle sheath that joins the upper abdominal or “six pack” muscles in the midline between the sternum and the navel. A separationof the abdominal muscles usually results from pregnancy including large babies and multiple pregnancy weakening and stretching this tissue. It is not possible for a rectus diastasis to cause a pelvic prolapse or vice versa. What we do know however that some women have connective tissue that is quite flexible. These women often have hypermobile (very flexible) joints and can be prone to problems resulting from ligament laxity. These women are also predisposed to pelvic prolapse owing to the flexibility of their tissues, and I would think that this would also apply to rectus diastasis – the more flexible the connective tissue, the greater the likelihood of stretch perhaps beyond the limits of extensibility.

      Hope this helps

  86. I have been diagnosed with a severe cystocele and a mild to moserate uterine prolapse. I bought a Kegel 8 machine and do pelcic floor exercises manually – as instructed by my gynae-physio. I think it helps to avoid immediate surgery.
    Hope this helps

  87. I have just been diagnosed with mild vaginal, rectal and bladder prolapse. I don't see any mention of exercises to address all of these areas. Are there any?

    • Hi Kathy

      When it comes to pelvic prolapse, the terminology can be tricky, for example bladder prolapse or cystocoele as it was also previously called, is now referred to as anterior vaginal wall prolapse. The principles for managing your prolapse in general will apply to all three areas, it is not different management for different prolapse if this makes sense.

      In very simple terms prolapse management involves improving your pelvic floor support with pelvic floor / kegel exercises and reducing those factors that place pressure on your prolapse and pelvic floor by reducing the amount of downward pressure with: good bowel management, safe lifting, appropriate general exercise, using your pelvic floor muscles when you cough/sneeze/lift etc.

      All exercise for prolapse regardless of the type of prolapse involves pelvic floor exercises or Kegel exercises. You will find extensive information and instrucional videos at our pelvic floor exercises library.

      The best place to start looking for our prolapse information is at our Pelvic Prolapse library. You will see a long list of articles and videos on the right hand side facing you on your screen.

      A good general article for you to start with is this one on bladder prolapse Remember that all those factors that place pressure on your bladder prolapse will be the same as those impacting upon the other areas of prolapse you have also.

      I hope this gives you a good starting point Kathy


  88. CATHERINE says

    I can feel my rectal prolapse when i introduce my finger, in fact i can move it upwards,can you consider this as a moderate prolapse?

    • Hi Catherine

      Thanks for your question on Prolapse Severity

      Vaginal proplapse severity is graded as mild, moderate or severe according to how far the lowest edge of the prolapse descends within (and out of) the vagina. Just being able to feel the prolapse with your finger does not necessarily mean it is classified as moderate in size. When the prolapsed tissue becomes close to and/or starts to protrude beyond the hymen, the prolapse classification changes from mild to moderate. It is worth remembering that a prolapse examined lying down can appear to be quite different to when standing up as gravity will have an effect on the prolapse.


  89. While inserting a nuva ring for the first time i notice something didnt seem quite right. I have no health insurance so turned to the internet! I am quite sure I have a mild prolapse. I have had 3 youngest being 10lbs delivered vaginal and I am a CNA..a job requiring MUCh heavy lifting. I was very embarrassed and depressed…but reading this article helped me greatly, i was worried what my husband would think/feel…but now I can relax a little bit. Thank you.

  90. Is it safe to use an internal vibrator with a prolapse issue? As far as I know there are the two main types: the rabbit type that rotates and the more traditional type of stationary vibrator. Are both safe for use with prolapse? Are there any toys that need to be avoided?

    • Pelvic Exercises says

      Hi Rachel
      This is an interesting question and one only your specialist could answer in relation to your particular case. With mild to moderate prolapse penetrative intercourse is not usually problematic so it is difficult to see how a stationary vibrator would differ from penetrative intercourse. There is no current research available on this issue to my knowledge.

      • Hi. I am 54 , and had (oopherectomy) surgery by keyhole last year. Which put me In surgical menopause
        Within months a gynae diagnosed a stage 1 bladder and stage 1 uterine prolapse. I quickly saw a womens physio who said my pelvic muscles were “pretty decent” she said a stage 1 can be a stage 3 by the end of the day due to gravity . it left me confused. She said I dont need surgery and gave me ikegals.

        I can insert finger easily all the way and cant feel the prolapse even standing up but straight after when I try to insert my vagifem (applicator is very thin) it feels like I’m pushing through muscle. And it hurts. Sometimes it’s impossible like hitting a wall about an inch in. Also Anything inserted even a wider “toy” very definitely go in at a pronounced angle to the side. .my vagina feels so different. How can this be just stage 1.

        . I am using 2 forms of local eastrogen nightly and. I dont feel dry.
        Could the eastrogen be making the problem worse by “plumping up” the prolapsed tissue. ?

        . Another thing I find strange is that when I do my kegals I get pain during them which persists after for a while.. It’s in my hips and across in a line. Like everything tightens up.painfully. the physio said this is normal. But it doesnt feel normal. I am doing them right and I relax in between for at least 5 seconds ibut why would they be causing hip pain? .

        Any advice much appreciated thank you.

        • Author: Michelle Kenway Pelvic Floor Physiotherapist says

          Hi Lara
          I am unable to comment on the extent of your prolapse, I don’t believe the oestrogen is causing the sensation. The applicator may be butting against the front or back wall of your vagina. Pain with Kegels is not normal – I’m not sure why you had an oophorectomy or whether the discomfort is related to scar tissue. This could be worth checking with your gynecologist and also making sure that you are fully relaxing your pelvic floor muscles after contracting them. All the best

    • Hi I am 36 I just found out 3 months ago that I have prolapse I have being feeling like something falling out of me and when I go to my doctor he told me I had a prolapse. I have a three year old daughter and I also over weight. But my problem is that my husband love to feel my vagina up before the real sex begins. I have not told him because I just feels he is not going to want to sex me like before. So when we should have sex I shy away from him to touch me. He do well, but am the one that is not relax because am wondering if I feel different to him and he is not telling me. What am I to do to have a more comfortable sex moment. The worse time I feel more heavy is when my period end. I need help I don’t want my husband to leave.

      • Author: Michelle Kenway Pelvic Floor Physiotherapist says

        Dear Erica I understand what you’re saying, I think many women feel this way. Erica having a prolapse is nothing to feel ashamed of, in fact it’s a badge of honor for what you’ve gone through having your babies! Your husband won’t be able to feel your prolapse with his hands and he will likely feel far more concerned about you turning away from him than he will ever be about your body. If you’re worried about this can you speak with him or with a counsellor to help you? You are not feeling any different to him and I feel quite sure that he would tell you this too if you could discuss it with him. Women often come to see me with their husbands and the husbands almost always say they cannot notice the prolapse and if they could that it would make no difference at all. I hope this information helps you Erica best wishes Michelle