Different Types of Prolapse: What's Actually Happening and What You Can Do

Dr. Sasha Speer, PT, DPT
6 days ago
3 min read

If you've been told you have a prolapse — or you suspect something feels "down there" — first, know this: you are not alone, and this is more common than most people realize.

Prolapse can feel scary to talk about, and even scarier to Google.

But understanding what's actually happening in your body is the first step toward feeling better.

Let's break it down gently.

What Is Pelvic Organ Prolapse?

Pelvic organ prolapse (POP) happens when one or more of the pelvic organs — the bladder, uterus, or rectum — descend from their normal position and press into or against the vaginal walls.

Woman kneeling on a white rug, holding her lower abdomen, illustrating awareness of pelvic floor and core support related to prolapse symptoms and pelvic health.

This occurs when the muscles, ligaments, and connective tissue that support these organs become stretched, weakened, or damaged.

It can happen gradually over time, or become more noticeable after childbirth, during menopause, or after years of chronic straining or heavy lifting.

Common symptoms include:

A sensation of pressure, heaviness, or "something falling out" in the pelvic area
A bulge or fullness in the vagina
Difficulty emptying the bladder or bowels completely
Low back or pelvic discomfort that worsens throughout the day
Discomfort with penetrative intimacy

The Different Types

There are several types of prolapse, each named for the organ involved:

Cystocele (Bladder Prolapse) — The most common type. The bladder drops and presses into the front wall of the vagina. You may notice urinary leakage, urgency, or a sense of incomplete bladder emptying.

Rectocele (Rectal Prolapse) — The rectum bulges into the back wall of the vagina. This often makes bowel movements feel incomplete or effortful, and some people find they need to apply pressure to the vaginal wall to fully empty.

Uterine Prolapse — The uterus descends into or beyond the vaginal canal. This can range from mild (the uterus drops slightly) to more significant, where it may be visible at the vaginal opening.

Vaginal Vault Prolapse — This occurs after a hysterectomy, when the top of the vagina loses its support and begins to drop. It can sometimes accompany a cystocele or rectocele.

Enterocele — The small intestine pushes against the upper portion of the vaginal wall. This type is less common and often occurs alongside other forms of prolapse. Prolapse is typically graded on a scale of 1–4 based on how far the organ has descended. Grades 1 and 2 are mild to moderate, while grades 3 and 4 involve more significant descent. Many people with mild to moderate prolapse manage their symptoms very well — especially with the right support.

What Can Help?

Here's the good news: prolapse doesn't always require surgery, and pelvic floor physical therapy is one of the most effective first-line treatments available.

A pelvic therapist will assess the strength, coordination, and flexibility of your pelvic floor muscles — because prolapse isn't just about weakness.

Woman resting by a window, highlighting the importance of relaxation and recovery for pelvic floor health and overall well-being.

Sometimes the muscles are holding too much tension, which can actually worsen symptoms. Treatment is always individualized to what your body needs.

Pelvic floor therapy for prolapse may include:

Learning how to engage and relax your pelvic floor properly
Pressure management strategies — so everyday activities like lifting, coughing, and exercise don't aggravate symptoms
Core and hip strengthening to better support your pelvic organs
Guidance on posture and movement habits
Education on pessary use, if appropriate

Many people notice meaningful symptom relief within just a few sessions — and go on to feel more confident, comfortable, and in control of their bodies.

You Deserve Support

Prolapse can feel isolating, especially when it isn't openly talked about. But it is incredibly common, and it is treatable. Whether your symptoms are mild or significantly impacting your daily life, you deserve care that takes you seriously.

At Auria Pelvic Health, we approach prolapse with compassion and without judgment. Our goal is always to help you understand your body and feel empowered — not frightened — by what's happening in it.

If you have questions or want to explore whether pelvic floor therapy is right for you, we'd love to hear from you.

Auria Pelvic Health

8929 S Sepulveda Blvd., Ste. 412

Los Angeles, CA 90045

Phone: 310-505-6096

Website: www.theaurialife.com