Can untreated vaginal atrophy cause prolapse?
Untreated vaginal atrophy weakens vaginal tissues, but does not directly cause pelvic organ prolapse. However, atrophy can worsen prolapse symptoms and complicate management.
Detailed Medical Explanation
Atrophy leads to thinning and dryness of the vaginal walls, making them less able to support pelvic organs. This can increase discomfort and complications in women with existing or borderline prolapse, and makes fitting pessaries more difficult. However, atrophy itself is not a primary cause of prolapse, which usually results from weakened pelvic floor muscles. NHS: Prolapse and Menopause.
Clinical Context
Treating vaginal atrophy improves the comfort and success of prolapse treatments. Pelvic floor exercises remain key to prevention and management.
Evidence-Based Approaches
UK guidelines recommend addressing atrophy in women with prolapse or pessaries to avoid complications. RCOG: Atrophy and Prolapse.