When estrogen levels go down, so do collagen levels. Less collagen makes it more likely that those supportive tissues will tear. Pelvic organ prolapse may be a progressive condition, gradually getting worse and causing more severe symptoms. But in many cases it does not progress and may improve over time.

How do I know if my prolapse is getting worse?

Signs of worsening pelvic organ prolapse include: Pressure or a bulging sensation in the vagina that gets worse as the day goes on. Difficulty urinating. Lower back pain.

What happens if prolapse is left untreated?

If prolapse is left untreated, over time it may stay the same or slowly get worse. In rare cases, severe prolapse can cause obstruction of the kidneys or urinary retention (inability to pass urine). This may lead to kidney damage or infection.