OB-GYN (Obstetrician-Gynecologist) Questions Menopause

Anterior Prolapse

I have recently gone through or going through Menopause. For the last several months my bladder issues have increased drastically. I've read why your bladder can drop, etc and what may have caused this problem... vaginal childbirth, heavy lifting etc, which they all apply to my past. A few days ago is when I noticed this ball-like of tissue while showering. It's not protruding out of my vagina, but was quite large inside. My question is though....Is it safe to have intercourse while this tissue is swollen like that inside of my vagina? I don't want to make it worse; however, I don't want to put my fiancee's needs off either. Please help me to know what to do? Thank you so much for your advice.

Female | 53 years old
Complaint duration: 4 MONTHS
Medications: NONE
Conditions: ANTERIOR PROLAPSE (BLADDER)

16 Answers

Please see an OBGYN as soon as possible. Whatever is protruding from your vagina needs to be evaluated properly. If, in fact, it is some type of prolapse (uterine, bladder, rectum), intercourse could cause an array of medical problems.
It is okay to have sex. In general, menopause in itself is not the cause of prolapse. There are surgeries to fix it.
It is ok to have sex with this condition.
You should get checked by an ob/gyn to see how bad the prolapse is, and also it should not affect your sexual activity, but if it is bothering you as a bulge, there are non-surgical and surgical options that can help to get it fixed.
It is probably bladder drop it’s ok to have sex with this condition
It is perfectly safe to have intercourse. It will not worsen your situation
This is probably just prilapse of the vaginal wall. A physicians examination is required before making a definitive diagnosis. If this is the case it is OK to have intercourse. Consider that a babies head goes through the vagina during birth. The vagina is quite tough and difficult to damage. I hope this helps
I would have your gynecologist examine you and make sure there are no other concerns.
It is not dangerous to be sexually active when you have a prolapse as you describe. It is a very common issue with menopausal women as you note. Pelvic floor exercises help and I would suggest seeing a Urogynecologist for Further assistance like pelvic floor physical therapy and pessary management.

Mitch Schuster MD, FACOG, FACS
Yes, it is safe to have sex. It will not make it worse. Go ahead. You need this treated by surgery or pessary. You need an experienced gynecologist.

G. Shabib
This could be the bladder, but also could be the posterior and is full of stool in the rectum, causing the bulge. Try emptying the rectum with a low Elena and see if it disappears or empty the bladder to see if it disappears. This may be of some help not only to differentiate its location, but to facilitate intercourse while awaiting repair by surgery.

Rob Muller
No risk having intercourse.
The condition you presented is what is referred to as CYSTOCELE, where the bladder herniates into the vaginal space or vault. It usually occurs with laxity in the pelvic floor muscles in relation to aging, postmenopausal state, multiple vaginal births with large size fetuses, prolonged second stages of labor- where one tends to push for a long duration before delivery, obesity, heavy lifting, chronic constipation with persistent increase intra-abdominal pelvic pressure. Most women describe a sense of "vaginal fullness", "vaginal occupying mass", occasionally their sex partner reports 'hitting something' during coitus. There is sometimes incomplete bladder emptying and may require splinting- where one has to physically place the hand in the vagina to literally lift the blabber from the vaginal vault to empty the bladder.
This can be disruptive of quality of life not to mention the psychological and overly self consciousness challenge this places on the woman. Depending on the extent of the bulge, it can be managed conservatively or surgically. The 1st or 2nd degree condition could be manged with weight loss, Kegel exercises, and for women who are not sexually active, their gynecologist may recommend pessary device to help relieve the bulge.
Most 3rd and 4th degree conditions may require surgical procedure referred to as ANTERIOR REPAIR or as generally called "BLADDER LIFT". This does not require any artificial material such as the mesh but utilizes the patient's own tissue to re-enforce the vaginal- bladder layer. It is usually a same-day- procedure and may not require hospital stay.
This gives a more lasting solution with good prognosis in majority of cases.
Sexual intercourse may continue as long as it does not make the encounter uncomfortable for either partner. Chances the bladder may "burst" from a cystocele during intercourse is unlikely. The sooner you visit with your gynecologist to address this the better.
I will recommend you follow up with your gynecologist who will discuss the treatment options with you. Hope this helps. You may reach me at my website: pineridgeobgyn.com with any further question
It is fine to have intercourse with prolapse as long as there is no pain. The ball-like structure you describe is most likely not swelling, but possibly the prolapsed cervix or the anterior wall of the vagina.

Dr. Leslie-Brown
The ball you are noticing could be your cervix (lower part of the uterus) prolapsing. Usually, intercourse is uncomfortable; if you feel fine, then it’s fine to have intercourse. Definitely make an appointment with your OBGyn to discuss your treatment options if you are uncomfortable.

Take care!
Yes, it is safe and should not cause an issue with intercourse. When it does protrude, it will become more of an issue.