Can young women get pelvic organ prolapse?
Yes, although pelvic organ prolapse is more common after menopause or childbirth, young women—including those who have never given birth—can also experience prolapse. Risk factors include genetics, high-impact exercise, chronic constipation, and connective tissue disorders.
Detailed Medical Explanation
Pelvic organ prolapse occurs when the supporting muscles and tissues weaken, allowing one or more pelvic organs to descend. While ageing and childbirth are strong risk factors, younger women can be affected due to heavy lifting, certain genetic conditions (like Ehlers-Danlos syndrome), or chronic strain. Early symptoms are the same, including vaginal heaviness and bulging. It’s important for young women to seek assessment early, as conservative treatment is often successful. (NHS: Pelvic organ prolapse)
Clinical Context
Although less common, prolapse in young women is well recognised. Individual risk assessment and early intervention are important. Support is available, and most cases can be managed without surgery.
Evidence-Based Approaches
NICE guidelines and expert opinion support early physiotherapy and lifestyle advice for young women with prolapse. Surgery is rarely needed in this group and should be carefully considered. (NICE NG123)