Can women with prolapsed bladder have sexual intercourse

The uterus and the bladder are held in their normal positions just above the inside end of the vagina by a "hammock" made up of supportive muscles and ligaments. Wear and tear on these supportive structures in the pelvis can allow the bottom of the uterus, the floor of the bladder or both to sag through the muscle and ligament layers. When this occurs, the uterus or bladder can create a bulge into the vagina. In severe cases, it is possible for the sagging uterus or bladder to work its way down far enough that the bulge can appear at the vagina's opening or even protrude from the opening. When the uterus sags downward, it is called uterine prolapse. When the bladder sags, it is called bladder prolapse, also known as a cystocele.

Vaginal prolapse is a common condition where the bladder, uterus and or bowel protrudes into the vagina. This can cause symptoms such as a sensation of a vaginal lump, constipation, difficulty emptying the bowel or bladder or problems with sexual intercourse. Treatment is only recommended when the prolapse is symptomatic. The biggest cause of prolapse is pregnancy and birth, though a number of other factors such as family history, lifestyle and certain medical conditions can also cause prolapse. Treatment can vary from simple lifestyle changes to surgery. Physiotherapy helps to strengthen the pelvic floor that supports your organs. You may consider physiotherapy or your doctor may recommend it to treat mild vaginal prolapse.

Pelvic organ prolapse occurs when one or more of the pelvic organs — the uterus, bladder, or rectum — slip down from their normal position and either press against the wall of the vagina or protrude into the vagina. An organ can bulge out the vaginal opening as well. The pelvic organs are usually supported by ligaments, muscles, connective tissue, and fascia that are collectively known as the pelvic floor. Weakening of or damage to these support structures allows the pelvic organs to slip, or prolapse, down.

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