Vaginal Prolapse Risk Factors – What do I need to know??

Considering how prevalent vaginal prolapse is, it may seem that simply being a woman causes this condition. Though that's not true, it can be helpful to be informed about the risk factors of vaginal prolapse so you can discuss concerns and questions with your specialist. The most common risk factors are:

	Childbirth or Multiple births Menopause Previous surgery Obesity Age Genetics and ethnicity Hysterectomy Other

Childbirth or Multiple births

Sometimes, the stresses and strains of childbirth (especially multiple, large, or difficult childbirth) can weaken or damage pelvic muscles and ligaments, and eventually, causes vaginal prolapse. In addition, some studies suggest that a forceps delivery can be a risk factor, while an episiotomy may reduce risk. Because of this, you may want to talk with your doctor before your delivery about your concerns and options regarding vaginal prolapse.

Menopause

Although this is often mentioned as a risk factor, there is not strong evidence that links menopause with an increased risk for vaginal prolapse.

Previous surgery

Surgeries, especially in the pelvic area, may affect your muscles and other supportive tissue, potentially leading to vaginal prolapse.

Obesity

Added weight can strain muscles in the pelvic area, and over time, this can weaken muscles, which can lead to vaginal prolapse. Studies show that women with a higher body mass index (BMI) are at an increased risk for vaginal prolapse.

Age

Because aging can weaken pelvic muscles and ligaments, the risk of vaginal prolapse increases – in fact, it doubles with each decade of life – and affects half of women over age 45.

Genetics and ethnicity

Studies suggest that vaginal prolapse may occur more often in women of Northern European descent, and less frequently in women of African-American descent. Hispanic and Asian women may have an increased risk of developing cystocele (a form of prolapse). Research suggests vaginal prolapse may also run in families–that a women with a mother or sister who has had a prolapse may be more likely to develop prolapse.

Hysterectomy

Because important, supportive ligaments may be removed during your surgery, you may face an increased risk of prolapse after hysterectomy (vaginal vault prolapse).

Other

Women who experience repetitive straining, such as with chronic constipation, or with jobs that involve heavy lifting, may be at an increased risk for vaginal prolapse.