As a urogynecologist, one of the most common and often anxiety-inducing questions I hear from patients is:
“What does a pelvic organ prolapse actually feel like to touch?”
It’s a great question and one that deserves a clear and compassionate answer.
What is a Pelvic Organ Prolapse?
Pelvic organ prolapse (POP) occurs when the muscles and connective tissues of the pelvic floor weaken, allowing one or more pelvic organs such as the bladder, uterus, or rectum to descend into or even outside of the vaginal canal.
Common Causes of Pelvic Organ Prolapse
It is commonly caused by changes during pregnancy and childbirth. However, women who have never given birth may also experience POP. It runs in families and can be caused by many factors, including:
- aging
- changes in hormones with menopause
- obesity
- diseases that weaken connective tissue, including genetic disorders
- pelvic floor injuries
- hysterectomy
You don’t need to have had children to experience prolapse. It’s more common than many people think—and often goes undiagnosed for years.
What Does Pelvic Organ Prolapse Feel Like?
From a patient’s perspective, the sensation of prolapse can vary depending on the type and severity of the condition. But when it comes to touch, here’s what many describe:
- A soft bulge or lump: It may feel like a small ball or balloon pressing into or protruding from the vaginal opening. The tissue usually feels smooth, soft, and fleshy, like the inside of your cheek.
- A tampon that won’t stay in: Many women compare it to the sensation of a tampon slipping out. You may feel like something is falling out of your vagina or like you constantly need to reposition a tampon, even when one isn’t there.
- A sense of fullness or pressure: Even if the prolapse isn’t visible externally, you might feel a heaviness or dragging sensation internally, especially after standing for long periods or lifting something heavy.
- Changes during hygiene or intimacy: Some women first notice the prolapse while washing or during sex. You might feel or see a bulge at the vaginal opening or your partner may feel something different during intercourse.
What a doctor feels for during a pelvic exam for prolapse
When I examine a patient with pelvic organ prolapse, I perform both a visual and physical inspection to assess which organs are involved and how far they have descended. Here’s what we may feel:
- Bulging of the anterior vaginal wall (cystocele): Caused by the bladder pushing into the vaginal wall.
- Descent of the cervix or vaginal apex: The uterus or vaginal apex is slipping downward.
- Posterior bulge (rectocele): This is when the rectum is pushing into the vaginal wall.
The tissue is typically soft and mobile. The severity of the prolapse can change or become more apparent with straining or bearing down, and measurements will be taken to confirm the diagnosis.
When Should You See a Doctor for Prolapse?
If you’re feeling something unusual or uncomfortable, especially a bulge or pressure in your vaginal area, it’s essential to consult a specialist. Pelvic organ prolapse is common, treatable, and nothing to be ashamed of.
How Pelvic Organ Prolapse is Diagnosed and Treated
A urogynecologist can typically diagnose prolapse with a simple pelvic exam that involves taking measurements of the support to the bladder and vagina.
Early evaluation can lead to better outcomes and more treatment options, including:
- Pelvic floor therapy to strengthen supporting muscles
- Pessary devices to support organs without surgery
- Surgical repair, especially for severe or recurring prolapse
The right treatment depends on the type of prolapse, your symptoms, and your lifestyle and goals.
Final Thoughts
Remember: You know your body best. If something feels off, don’t wait. Pelvic organ prolapse may feel strange or even scary at first, but it’s very treatable—and you’re not alone.
If you’re noticing symptoms or just want peace of mind, schedule an appointment with an Urogynecologist in your area. The sooner you get answers, the sooner you can feel like yourself again.