Does prolapse get worse during pregnancy?
Prolapse symptoms can worsen during pregnancy due to increased weight, hormonal changes, and pressure on the pelvic floor. However, for some women, symptoms remain stable or improve after delivery.
Detailed Medical Explanation
During pregnancy, the growing uterus and hormonal changes soften and stretch the pelvic tissues. This can increase prolapse symptoms, particularly in the third trimester. Mild prolapse may be more noticeable, while severe prolapse may require additional support, such as a pessary. After delivery, many women experience improvement as the uterus shrinks and pelvic floor function recovers, especially with targeted physiotherapy. (NHS: Prolapse)
Clinical Context
Women with prolapse planning pregnancy should have early consultation. During pregnancy, follow-up with a specialist and physiotherapy may help manage symptoms and prevent worsening.
Evidence-Based Approaches
NICE and RCOG advise multidisciplinary care and monitoring for pregnant women with prolapse, with emphasis on pelvic floor support. (NICE NG123)