What is a sagging uterus and vagina?

The muscles around the uterus and vagina helps keep them in their position in the pelvic area. When there is a loss of muscle tone, the uterus and vagina can “sag”.

How does estrogen play a role in sagging uterus and vagina?

Estrogen plays an important role in maintaining good muscle tone in the muscles surrounding the uterus and vagina. When a woman reaches menopause, the decreased levels of estrogen causes a loss in muscle tone in the muscles around the uterus and vagina. The loss of muscle tone means the uterus or vagina can sag, ultimately leading to prolapse (genital tract prolapse). Genital tract prolapse is when the uterus or vagina moves down and out of its normal position.

What are the signs and symptoms of genital tract prolapse?

Some women with genital tract prolapse do not experience any symptoms (asymptomatic). Others report of a “lump” at the entrance to her vagina and some women describe a dragging sensation in the lower pelvis.

Another significant sign of genital tract prolapse is urinary stress incontinence. For more information on stress incontinence, please see the urinary incontinence page.

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