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What is uterine prolapse? Uterine prolapse occurs when the muscles and tissue in your pelvis weaken. The weakness lets the uterus drop down into your vagina. What causes uterine prolapse? Uterine prolapse is caused when the muscles and tissue of the pelvic floor are weakened and can’t support the weight of the uterus. This lets it drop into your vagina. What are the risk factors for uterine prolapse? Risk factors include: Giving birth (highest risk) Vaginal delivery (vs. C-section) Menopause Being Caucasian Being overweight Smoking What are the symptoms of uterine prolapse? Many women with this condition have no symptoms. However, if symptoms start, they may include: Leakage of urine Inability to completely empty your bladder Feeling of heaviness or fullness in your pelvis Bulging in your vagina Lower-back pain Aching, or the feeling of pressure, in your lower abdomen or pelvis Constipation Can uterine prolapse be prevented? There is no certain way to prevent uterine prolapse. However, the following can help lower your risk: Lose weight, if you’re overweight Follow a diet rich in fiber and fluids to prevent constipation and straining Avoid heavy lifting Quit smoking, if you smoke Seek prompt treatment for a chronic cough, which can place extra pressure on your pelvic organs Do Kegel exercises to strengthen your pelvic floor muscles Key points for uterine prolapse Uterine prolapse occurs when the muscles and tissue in your pelvis weaken. This allows your uterus to drop down into your vagina. Common symptoms include leakage of urine, fullness in your pelvis, bulging in your vagina, lower-back pain, and constipation. Treatment for uterine prolapse includes lifestyle changes, a pessary, or surgery to remove the uterus. You may be able to prevent this condition with weight loss, a high fiber diet, not smoking, and doing Kegel exercises