What is pelvic organ prolapse?

Pelvic organ prolapse happens when the womb, bladder or bowel bulges into the vagina because supporting tissues have weakened. It may cause heaviness, a vaginal lump, bladder or bowel difficulty or discomfort during sex. Pelvic-floor physiotherapy, a pessary or surgery can help.

Can pelvic organ prolapse improve without surgery?

Yes. Pelvic-floor training, managing constipation and weight, and a vaginal pessary can control symptoms.

Can I exercise with prolapse?

Many activities are possible, but high-impact or heavy-straining exercise may worsen symptoms. A pelvic-health physiotherapist can tailor advice.

A pessary is a removable device placed in the vagina to support prolapsed organs. It needs fitting and regular care.

Pelvic organ prolapse: Symptoms & Treatment

Symptoms

People may notice dragging or heaviness, a lump inside or outside the vagina, incomplete bladder emptying, leakage, constipation or discomfort during sex.

Assessment

A GP or specialist may examine the pelvis and ask how symptoms affect daily life. You can request a female clinician or chaperone.

Treatment options

Mild symptoms may need only pelvic-floor training and lifestyle measures. Pessaries and different operations are available when symptoms remain troublesome.

Common questions about pelvic organ prolapse

Can pelvic organ prolapse improve without surgery?: Yes. Pelvic-floor training, managing constipation and weight, and a vaginal pessary can control symptoms.
Can I exercise with prolapse?: Many activities are possible, but high-impact or heavy-straining exercise may worsen symptoms. A pelvic-health physiotherapist can tailor advice.
What is a pessary?: A pessary is a removable device placed in the vagina to support prolapsed organs. It needs fitting and regular care.

Sources

NHS — Pelvic organ prolapse

How we reviewed this page

Medically reviewed by the HealthAnswers UK doctor review panel

First published: 1 August 2026
Medically reviewed: 1 August 2026
Next review due: 1 August 2029 or sooner if NHS or NICE guidance changes

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