Pelvic organ prolapse (POP) can affect different organs, but some types are much more common than others. Here’s a breakdown of how often each occurs and what to know:
1. Bladder Prolapse (Cystocele) – Most Common (50-70% of POP cases)
- What happens? The bladder drops into the vaginal space due to weak pelvic muscles.
- Why so common? Pregnancy, childbirth, and aging weaken the front vaginal wall.
- Symptoms: Frequent urination, pressure, or a bulge in the vagina.
2. Uterine Prolapse – Second Most Common (20-30%)
- What happens? The uterus slips down into or even out of the vaginal canal.
- Main cause: Vaginal deliveries (especially multiple births) stretch supporting tissues.
- Symptoms: Heaviness in the pelvis, discomfort during sex, or visible tissue.
3. Rectal Prolapse (Rectocele) – Also Common (20-30%)
- What happens? The rectum bulges into the back vaginal wall.
- Biggest issue: Can make bowel movements difficult or incomplete.
- Symptoms: Constipation, pressure, or a feeling of "something coming out."
4. Small Intestine Prolapse (Enterocele) – Less Common (5-15%)
- What happens? The small intestine pushes into the upper vaginal wall.
- Who’s at risk? Older women or those with multiple pregnancies.
- Symptoms: Pelvic heaviness, worsened by standing, relieved by lying down.
5. Vaginal Vault Prolapse – Mostly After Hysterectomy (15-30%)
- What happens? The top of the vagina (where the uterus was) drops down.
- Why? Loss of uterine support after removal.
- Symptoms: Similar to other prolapses—pressure, bladder/bowel issues.
✔ Bladder prolapse is by far the most common—if you feel pressure "down there," this is the likely culprit.
✔ Uterine and rectal prolapse are also frequent, especially after childbirth.
✔ Small intestine and vaginal vault prolapse are rarer but still important to recognize.
✔ Many women have more than one type—weakness in one area often affects others.
Consider supportive treatments (like pessaries or physical therapy).
Nutrition matters—collagen-supporting foods and supplements can help tissue strength.
While these numbers give a general idea, every woman’s experience is different. If you suspect prolapse, a pelvic health specialist can help pinpoint which type(s) you’re dealing with and recommend the best approach.