The most common cause. Vaginal delivery stretches and weakens the pelvic muscles. Large babies or forceps delivery increase the risk.
Estrogen keeps pelvic tissues elastic. After menopause, estrogen drops, causing tissues to thin and weaken.
Long-term constipation, heavy lifting, or chronic coughing puts immense downward pressure on the pelvic floor.
Excess weight creates constant intra-abdominal pressure, pushing organs downwards over time.
Hysterectomy (uterus removal) can leave the top of the vagina without support, leading to Vault Prolapse.
Some women are born with weaker connective tissue (collagen defect), making them prone to prolapse.
How support fails
"Think of a trampoline that has lost its bounce. The organs sit lower than they should, causing that dragging sensation."
Dr. Jaya Maheshwari uses a simple visual to show how the pelvic muscles support the uterus and bladder, and what happens when they tear or stretch.
