Legacy Women's Health

Pelvic Organ Prolapse

Receive expert treatment for pelvic organ prolapse in our San Antonio women’s clinic

As women age, their bodies change. One area of particular concern is pelvic organ prolapse, which occurs when support for the reproductive system decreases, and those organs start to sag. This condition can create discomfort, incontinence and embarrassment for our patients, but our San Antonio women’s clinic doctors can ensure that they continue to enjoy a fulfilling, active lifestyle.

Sometimes, pelvic organ prolapse develops without any symptoms. Often, pelvic floor disorders affect more than one organ. If you do have problems, they may include feelings of pressure or fullness; bowel changes, such as constipation or the inability to empty the stool completely; and pain during intercourse. With this condition, many women may first notice bladder changes, including increased frequency or incontinence.

The stages of pelvic organ prolapse

The Pelvic Organ Prolapse Quantification (POP-Q) system identifies the level of prolapse present. This classification is based on the amount of droppage in relation to the position of the hymen.

  • In stage zero, no organ shifting has occurred.
  • During stage one, mild prolapse is present, and the organs are one centimeter above the hymen.
  • Stage two is considered moderate prolapse, with the organs resting less than one centimeter from the hymen.
  • With stage three, severe prolapse is noted, but the organs have not bulged out of the vagina.
  • Complete organ prolapse occurs in stage 4, with full protrusion.

Leading causes

Generally, prolapse results because the muscles, ligaments and tissues get overstretched. Vaginal childbirth, especially multiple births or multiple babies in one pregnancy, is the leading culprit in creating this condition. Other factors, such as aging, obesity, family history and certain connective tissue disorders, can contribute as well.

Treatment options

Depending on the severity of your case, your doctor will typically begin with nonsurgical treatments. A vaginal pessary, which holds the organs in place, and Kegel exercises can help you manage symptoms and strengthen your pelvic floor. For more serious situations, surgery may be the best option to correct the organ prolapse.

If you have experienced pelvic organ prolapse, you are not alone. Our physicians have the medical expertise to diagnose your condition and treat uncomfortable symptoms, such as vaginal pressure, pain during sex and incontinence. Contact our office to schedule an appointment with our San Antonio women’s clinic doctors.