Female genital prolapse

Abstract

Female genital prolapse is a common presentation to general practice. Although frequently asymptomatic, genital prolapse causes some women significant, distressing and debilitating symptoms. Discomfort and feeling a ‘lump or bulge’ in the vagina or ‘something coming down’ is the most commonly reported symptom. Urinary and bowel dysfunction, including frequency and incontinence can occur and dyspareunia, change in body image and psychological symptoms are common. All of these can have detrimental effects on a woman’s wellbeing, quality of life and relationships. Multiple treatment strategies exist for prolapse, including reassurance, pelvic floor muscle training, pessary use and surgery. These can be discussed to facilitate a shared decision about the right management strategy with the patient. This article aims to give an overview of female genital prolapse and its management, and to increase knowledge and confidence for management of the condition in primary care.