What is a common presentation of uterine prolapse?

A sensation of pressure or bulging in the vagina is indeed a common presentation of uterine prolapse. This condition occurs when the pelvic floor muscles and ligaments weaken, allowing the uterus to descend into the vaginal canal. Patients frequently describe feelings such as heaviness, discomfort, or a bulging sensation in the vaginal area, particularly after prolonged standing, physical activity, or as the day progresses. This symptom is often exacerbated during activities that increase intra-abdominal pressure, such as coughing or lifting.

The other symptoms mentioned may arise in different gynecological conditions, but they are not typical presentations of uterine prolapse. Severe abdominal pain is more associated with conditions like ovarian cyst rupture or ectopic pregnancy. Irregular bleeding can occur due to various issues, including hormonal imbalances or structural uterine abnormalities, rather than being a direct symptom of prolapse. Severe dysmenorrhea typically relates to menstrual disorders like endometriosis or fibroids rather than prolapse itself. Hence, the sensation of pressure or bulging in the vagina is the hallmark symptom of uterine prolapse.