Overview
A diagnosis of posterior vaginal prolapse often happens during a pelvic exam of the vagina and rectum.
The pelvic exam might involve:
- Bearing down as if having a bowel movement. Bearing down might cause the prolapse to bulge, revealing its size and location.
- Tightening pelvic muscles as if stopping a stream of urine. This test checks the strength of the pelvic muscles.
You might fill out a questionnaire to assess your condition. Your answers can tell your health care provider about how far the bulge extends into the vagina and how much it affects your quality of life. This information helps guide treatment decisions.
Rarely, you might need an imaging test:
- MRI or an X-ray can determine the size of the tissue bulge.
- Defecography is a test to check how well your rectum empties. The procedure combines the use of a contrasting agent with an imaging study, such as X-ray or MRI.
Symptoms
When to see a doctor
Complications
- High blood pressure.
- Diabetes.
- Heart failure.
- Some types of heart valve disease.
Prevention
- Control high blood pressure, high cholesterol and diabetes.
- Don't smoke or use tobacco.
- Eat a diet that's low in salt and saturated fat.
- Exercise at least 30 minutes a day on most days of the week unless your health care team says not to.
- Get good sleep. Adults should aim for 7 to 9 hours daily.
- Maintain a healthy weight.
- Reduce and manage stress.
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