If something feels different—pressure, heaviness, or a sensation you can’t quite name—you’re not alone. Pelvic organ prolapse (POP) is common, especially after childbirth, menopause, or pelvic surgery, yet many people go years without understanding what they’re experiencing.
This guide is designed to help you perform a simple, at-home self-check so you can better understand your body before deciding whether to seek clinical care or explore conservative support options like a pessary. It is not a diagnosis—but it can help you have a more informed conversation with yourself, and with a provider if needed.
What Is Pelvic Organ Prolapse?
Pelvic organ prolapse occurs when one or more pelvic organs (such as the bladder, uterus, or rectum) shift downward and press into the vaginal canal due to weakened pelvic floor support.
Common sensations include:
- A bulge or something you can feel at or near the vaginal opening
- A sensation of something falling or pushing down inside the vaginal canal
- Pelvic pressure or heaviness
- Discomfort or difficulty during sexual intercourse, like something is in the way
- Difficulty fully emptying your bladder or a sensation of incomplete voiding
Why a Self-Check Can Be Helpful
A self-exam can help you:
- Understand whether your symptoms may align with prolapse
- Notice changes over time
- Decide whether conservative support (like a pessary) may be worth exploring
- Feel more prepared for a clinical visit, if you choose one
Many people are never taught what’s normal—or what’s not—when it comes to pelvic anatomy. This is about awareness, not self-diagnosis.
When Not to Do a Self-Exam
Do not perform a self-exam if you:
- Are pregnant
- Are experiencing active vaginal bleeding or infection
- Have significant pain with insertion
- Were advised by a clinician not to insert anything vaginally
If you’re unsure, it’s always appropriate to pause and consult a healthcare professional.
What You’ll Need
- Clean hands
- A private, comfortable space
- Optional: a mirror
- Optional: water-based lubricant
Many people find it easiest to do this exam while lying down with knees bent, squatting, or standing with one foot elevated—choose what feels most natural.
The Self-Check: What to Look and Feel For
Rather than focusing on medical staging, this self-check centers on what you feel, since symptoms—not numbers—drive care decisions.
📄 Download: Pelvic Organ Prolapse Self-Check Guide
Important Medical Disclaimer
This self-exam is for educational purposes only and does not replace medical advice, diagnosis, or treatment. If you experience pain, bleeding, or worsening symptoms, seek care from a qualified healthcare provider.
