SPECIALIST CARE FOR PELVIC ORGAN PROLAPSE

UNDERSTANDING PELVIC ORGAN PROLAPSE

Dr Fay Chao in Melbourne, VIC, provides compassionate and clinically informed care for individuals seeking assessment and management of pelvic organ prolapse, offering a supportive environment where each person’s symptoms, concerns and experiences are taken seriously. Pelvic organ prolapse is a condition that affects the pelvic floor’s ability to support internal structures, and while common, many people are unsure when to seek help or what treatment options exist.

As a certified RANZCOG Urogynaecology Subspecialist, Dr Fay Chao offers clarity around symptoms, contributing factors and pathways to care. Her approach is grounded in evidence-based medicine and emphasises the importance of understanding how prolapse affects daily life, movement, comfort and general wellbeing.

WHAT IS PELVIC ORGAN PROLAPSE?

Pelvic organ prolapse occurs when the muscles, ligaments and connective tissues of the pelvic floor weaken or stretch, reducing the level of support provided to organs such as the bladder, uterus, vagina or bowel. This change in support may cause one or more of these organs to shift downwards or bulge into the vaginal area.

Prolapse can develop gradually, often following life events or physical changes that place strain on the pelvic floor. While the condition can vary from mild to more noticeable, early assessment provides a clearer understanding of what is occurring and helps guide timely management strategies.

COMMON SIGNS & SYMPTOMS

Not everyone experiences symptoms in the same way, but individuals often report one or more of the following:

  • A bulge or lump felt in the vagina or protruding beyond the vaginal opening
  • Difficulty emptying the bladder fully or experiencing a slow urinary stream
  • Urinary frequency, urgency or stress incontinence
  • Bowel symptoms such as difficulty passing stool or feeling unable to empty completely
  • Discomfort or altered sensation during sexual activity
  • A sensation of heaviness, dragging or pressure in the pelvic region
  • Pelvic or lower back discomfort that worsens after long periods of standing

These symptoms may fluctuate depending on daily activity levels, hormonal changes or physical strain. While prolapse is not life-threatening, it can significantly affect comfort, confidence and day-to-day functioning.

WHY Does PELVIC ORGAN PROLAPSE OCCUR?

Pelvic organ prolapse can result from a combination of contributing factors, including:

  • Pregnancy and childbirth
  • Age-related changes to pelvic tissues
  • Family history or inherited tissue characteristics
  • Chronic constipation or increased abdominal pressure
  • Heavy lifting over long periods
  • Persistent coughing
  • Previous pelvic surgery

Understanding these factors helps guide personalised recommendations and forms an important part of the initial consultation.

HOW DR FAY CHAO APPROACHES PROLAPSE MANAGEMENT

Dr Chao’s approach focuses on clear explanation, comprehensive assessment and thoughtful, individualised planning. Consultations explore symptom patterns, lifestyle factors, health history and how prolapse affects daily routines or comfort. A pelvic examination is often required to assess and determine the type and degree of prolapse, allowing the appropriate management options to be discussed.


Management may involve conservative strategies, pelvic floor rehabilitation, supportive devices or surgical intervention where suitable. As each treatment option has specific benefits and considerations, Dr Chao ensures that individuals are given the information needed to make decisions confidently and at their own pace.

FAQS ABOUT PELVIC ORGAN PROLAPSE

  • What causes pelvic organ prolapse?

    Prolapse can develop due to changes in pelvic floor support. Contributing factors may include childbirth, ageing, genetics, chronic straining, heavy lifting, menopause, or previous surgery. Often, it is a combination of influences rather than a single cause.

  • Is pelvic organ prolapse dangerous?

    Prolapse is usually not medically dangerous, but it can impact comfort, daily activities and quality of life. Seeking assessment can help clarify what type of support is needed.

  • Can prolapse improve without surgery?

    Yes. Many people experience symptom improvement with pelvic floor physiotherapy, pessary use or lifestyle adjustments. Surgery is only one of several options.

  • How do I know if I need surgery?

    Surgery may be considered when symptoms significantly affect daily activities or when conservative approaches are not effective or preferred. Dr Fay Chao provides guidance based on individual anatomy, symptom severity and personal preferences.

  • What should I expect at my first appointment?

    Your consultation will include a supportive discussion about your symptoms, a review of relevant history and, if appropriate, a gentle examination. You will also have time to ask questions and explore potential management options.

To discuss treatment options for pelvic organ prolapse, please contact us on (03) 9802 4668.