Displacement of the pelvic organs and the laxity of the vaginal walls may cause a woman to lose interest in sex, or pressure during intercourse may cause pain.

Repeated labors, particularly difficult ones, are believed to stretch and weaken all those structures which support the uterus. Tears through the lower vagina and perineum (the area between vagina and rectum) can weaken the pelvic floor and later lead to prolapse.

This is why most doctors who deliver babies often carry out an episiotomy by making a cut in this area to enlarge the opening as the baby is born, rather than allow a large head to tear it in an uncontrolled manner.

After menopause, the tissues may be weakened by the lack of circulating oestrogen, the female hormone. When the uterus falls down, it causes a feeling of pressure and discomfort, which may be worse when the woman strains by coughing or carrying heavy loads.

If the cervix protrudes, it may become inflamed and ulcerated by rubbing against the underclothes.

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