Prolapsed Uterus

Uterine prolapse stages

A mild prolapsed uterus can cause few or no symptoms. But in more serious cases, your uterus might protrude outside your vagina. Doctors often classify a prolapsed uterus using different stages:

What causes a prolapsed uterus?

Your pelvic floor is made up of muscles, ligaments and tissue that form a supportive hammock under your uterus, vagina, bladder, bowel and other pelvic organs. This holds your pelvic organs in place so they can work correctly. However, your pelvic floor can become weakened or damaged, causing these organs to move out of place.

Your uterus is a hollow, muscular organ that is located between your bladder and your rectum. But if your pelvic floor is weakened, your uterus can fall into your vagina.

Prolapsed uterus risk factors

A prolapsed uterus is common in the United States, especially among older women and those who have given birth. In fact, research suggests that 40-50% of women will experience some type of pelvic organ prolapse in their lifetime.

Several factors can increase your risk, including:

• Aging: As you get older, your pelvic floor can weaken, making prolapse more likely.
• Menopause: Lower estrogen levels after menopause can weaken the tissues that support your pelvic organs.
• Vaginal childbirth: The risk is higher if you’ve had multiple vaginal births, especially if they were long or difficult.
• Being overweight or obese: Excess weight puts additional strain on your pelvic floor.
• Chronic coughing: Persistent coughing from conditions like asthma or smoking can strain your pelvic muscles.
• Constipation: Straining to empty your bowels can put pressure on your pelvic floor.
• Heavy lifting: Repeatedly lifting heavy objects—especially without proper technique—can cause strain or injury.
• Family history: Genetics may play a role, especially if pelvic organ prolapse runs in your family.
• Connective tissue disorders: Any condition that weakens your connective tissues and ligaments, such as Marfan or Ehlers-Danlos syndromes, can weaken ligaments and tissues that support the uterus.
• Pelvic surgery: Past surgeries in the pelvic area can impact how well your organs are supported.

If you have one or more of these risk factors, it doesn’t mean you’ll experience a prolapse—but being aware can help you take steps to protect your pelvic health.

How is uterine prolapse diagnosed?

Diagnosing a prolapsed uterus begins with a discussion of your symptoms and a physical exam. Based on your health history and what your doctor observes, they may suggest additional tests to get a more detailed view of what’s happening. These steps help confirm if your uterus has prolapsed and ensure that your treatment plan is tailored to your specific needs.

Prolapsed uterus treatment

If you’ve been diagnosed with a prolapsed uterus, you’re not alone—and you have options. The right treatment depends on how severe your symptoms are, your overall health, and your personal preferences. Some women find relief through simple lifestyle changes, while others may benefit from physical therapy, support devices or surgery.

Your doctor will walk you through your options and help you find a treatment plan that fits your life and goals.

Frequently asked questions