Can prolapse cause pelvic pressure and heaviness?
Yes, pelvic organ prolapse often causes a sensation of pressure, fullness, or heaviness in the pelvic area. This is one of the most common symptoms and can worsen as the day goes on or after standing or physical activity.
Detailed Medical Explanation
Prolapse occurs when pelvic organs push against the vaginal wall due to weakened support. This creates a dragging or heavy feeling in the pelvis. Women often report that symptoms increase with gravity or activity and improve after lying down. If the prolapse is more severe, the pressure can be constant. It is important to seek medical advice to confirm the diagnosis and rule out other causes. (NHS: Prolapse symptoms)
Clinical Context
Heaviness and pressure are hallmark symptoms that prompt women to seek care. These sensations do not always correlate with the severity of prolapse found on examination, so professional assessment is recommended.
Evidence-Based Approaches
Pelvic floor exercises, lifestyle modification, and, in some cases, pessaries can relieve symptoms. NICE and RCOG recommend assessment and tailored management. (NICE NG123)