What are the early signs and symptoms of prolapse?
The earliest symptoms of pelvic organ prolapse are often a feeling of vaginal heaviness, pressure, or a sensation that something is “coming down” in the vagina. Other signs can include discomfort, difficulty emptying the bladder, mild urinary leakage, or noticing a bulge at the vaginal opening, especially after standing for long periods.
Detailed Medical Explanation
Pelvic organ prolapse symptoms are often subtle at first. Common early signs include a dragging or pulling sensation in the pelvis, increased discomfort at the end of the day, low back pain, and mild incontinence or increased urinary frequency. Some women notice a bulge or lump in the vaginal area. These symptoms often worsen with standing, physical activity, or lifting. Early recognition is key to successful management and may prevent progression (NHS: Prolapse Symptoms).
Clinical Context
Women experiencing early symptoms should seek prompt assessment from a healthcare provider. Early intervention with pelvic floor exercises and lifestyle advice can make a significant difference in outcomes. Not all symptoms require surgery or invasive procedures.
Evidence-Based Approaches
Current clinical practice guidelines support early use of conservative management and regular follow-up. The Royal College of Obstetricians & Gynaecologists and NICE emphasise the importance of early diagnosis and non-surgical management for most women presenting with mild symptoms.