Does constipation contribute to prolapse?
Yes, chronic constipation is a recognised risk factor for pelvic organ prolapse. Repeated straining to pass stools increases pressure on the pelvic floor, weakening the muscles and connective tissue over time.
Detailed Medical Explanation
Regular, forceful straining to empty the bowels increases intra-abdominal pressure and directly loads the pelvic floor. Over years, this pressure weakens the tissues, increasing the risk of rectocele and other types of prolapse. Prevention includes a high-fibre diet, good hydration, and regular exercise. Seek advice if you have ongoing constipation. (NHS: Pelvic organ prolapse)
Clinical Context
Women with chronic constipation should address bowel health to help protect pelvic floor function and reduce prolapse risk.
Evidence-Based Approaches
NHS and NICE recommend bowel management and pelvic floor exercises to lower the risk of prolapse in constipated women.