Do I Have Pelvic Organ Prolapse
Do I Have Pelvic Organ Prolapse? At-Home Self-Check, Symptoms, and When to See a Specialist Pelvic organ prolapse is one of the most common yet misunderstood conditions affecting women, especially after childbirth or with age. Many patients don’t search for “prolapse” at first—they search for symptoms: “Why does it feel like something is falling out?” “I feel a bulge down there—what is it?” “Why does sex hurt deep inside?” “Why does [...]
Something Is Falling Out of My Vagina
Why Does It Feel Like Something Is Falling Out of My Vagina? Causes, Symptoms, and What to Do If you’ve ever had the unsettling sensation that something is “falling out” of your vagina, you’re not alone—and you’re not imagining it. This is one of the most common early symptoms women search for online, yet it’s often misunderstood, dismissed, or misdiagnosed. Patients rarely use medical terms like “pelvic organ prolapse.” Instead, they [...]
Prolapse vs Vaginal Laxity
Prolapse vs Vaginal Laxity: How to Tell the Difference Prolapse vs Vaginal Laxity: How to Tell the Difference (Symptoms, Causes, and Treatment) Many women are told they have “vaginal laxity” when something feels off—but in reality, they may have pelvic organ prolapse, a completely different condition that requires a different type of treatment. Understanding the difference is critical, because: Treating the wrong condition leads to poor outcomes, persistent symptoms, and unnecessary procedures [...]
Does Uterine Prolapse Cause Vaginal Laxity
Does Uterine Prolapse Cause Vaginal Laxity? Expert Insight from Miklos and Moore Urogynecology Understanding the Connection Between Prolapse and Vaginal Support Many women who experience uterine prolapse also report a feeling of vaginal looseness or decreased support, often described as vaginal laxity. While these two conditions are closely related, they are not always identical—and understanding the difference is key to choosing the right treatment. At Miklos and Moore Urogynecology, patients are evaluated comprehensively to determine [...]
Bulge in Vagina: 7 Causes Explained
Bulge in Vagina: 7 Causes Explained (Symptoms, Diagnosis, and Treatment Options) Feeling or seeing a bulge in the vaginal area can be alarming. Many women describe it as: “A lump down there” “Something is coming out” “A pressure or fullness I can feel when I stand” “A tampon that won’t stay in” If you’re experiencing this, you’re not alone—and you’re right to pay attention. A vaginal bulge is not considered normal, [...]
Can Hysteropexy Relieve Collision Dyspareunia?
Can Hysteropexy Relieve Collision Dyspareunia? A Comprehensive Guide to Pain During Intercourse and Uterine Prolapse Expert Insight from Miklos and Moore Urogynecology Understanding Collision Dyspareunia (Deep Pain During Intercourse) Dyspareunia refers to pain during sexual intercourse. Collision dyspareunia is a specific type of deep dyspareunia, where discomfort occurs when penetration reaches deeper structures—most commonly the cervix or uterus. Patients often describe: A sharp, deep pain with penetration A sensation of “hitting something” internally Pain that worsens [...]
Hysteropexy Or Hysterectomy for Uterine Prolapse
Benefits of Hysteropexy Over Hysterectomy for Uterine Prolapse Expert Insight from Dr. John Miklos and Dr. Robert Moore Understanding Your Surgical Options When treating uterine prolapse, patients are typically offered two primary surgical approaches: Hysteropexy → Lifts and supports the uterus (uterus preserved) Hysterectomy with prolapse repair → Removes the uterus and reconstructs pelvic support Both procedures can be effective—but for many women, hysteropexy offers meaningful advantages in function, recovery, and quality of life. Preservation of Natural [...]
Do Kegels Fix Prolapse?
Do Kegels Fix Prolapse? What They Can—and Cannot—Do Pelvic organ prolapse is one of the most common pelvic floor conditions affecting women—yet one of the most misunderstood when it comes to treatment. If you’ve been told to “just do Kegels,” you’re not alone. Many women are advised to strengthen their pelvic floor muscles as a first-line approach. But this leads to a critical question: Can Kegels actually fix prolapse—or are [...]
Leaders in Complex Uterine and Vaginal Prolapse Care
Why Dr. John Miklos and Dr. Robert Moore Are Leaders in Complex Uterine and Vaginal Prolapse Care—and Why a Second Opinion Matters When facing complex pelvic organ prolapse, the decision of who to trust with your care can directly impact your long-term outcome, quality of life, and need for future surgeries. Not all surgeons have the training or experience to manage recurrent, multi-compartment, or previously failed prolapse repairs. This is where the expertise of Dr. John Miklos and Dr. Robert [...]
Leading Experts in Treating Female Urinary Incontinence and Vaginal Mesh Complications
Why Dr. John Miklos and Dr. Robert Moore Are Leading Experts in Treating Female Urinary Incontinence and Vaginal Mesh Complications Urinary incontinence and surgical mesh complications are among the most complex and difficult to treat conditions in urogynecology. While many physicians treat routine cases, far fewer have the advanced training and surgical experience required to successfully manage failed prolapse procedures, mesh-related pain, erosion, extrusion or recurrent incontinence. For patients seeking answers—and lasting solutions—Dr. John Miklos and Dr. Robert [...]
Vaginal Rejuvenation Combined with Prolapse Repair
Surgical Vaginal Rejuvenation Combined with Prolapse Repair: Insurance, Expertise, and Why Dr. John Miklos and Dr. Robert Moore Stand Out For women experiencing pelvic organ prolapse along with vaginal laxity or functional concerns, a combined surgical approach can address both medical necessity and quality-of-life goals. When performed by highly specialized surgeons, this approach restores anatomy, improves function, and can often be partially or fully covered by insurance when deemed medically necessary. Choosing the right surgical team [...]
Why a Woman May Experience Painful Sex After Gynecological Surgery
Why a Woman May Experience Painful Sex After Gynecological SurgeryAnd Why Dr. John Miklos and Dr. Robert Moore Are Uniquely Qualified to HelpPainful sex after gynecological surgery is far more common than most women are told. Whether the surgery was meant to relieve symptoms, restore anatomy, or improve quality of life, many women are shocked to discover that intercourse becomes painful only after the procedure—sometimes immediately, sometimes months or even years later.This pain [...]
Revision Vaginoplasty: Before-and-After Checklist and FAQs for Women with Painful Sex After Surgery
Revision Vaginoplasty: Before-and-After Checklist and FAQs for Women with Painful Sex After Surgery If you are considering revision vaginoplasty because sex became painful after your original vaginal tightening surgery, clarity is essential. Revision patients are not looking for cosmetic change—they are looking for relief, function, and the ability to have intercourse without pain. This guide is written specifically for women who: Were not in pain before vaginoplasty Developed painful intercourse (dyspareunia) afterward Feel vaginal tightness, [...]
Why Prolapse Surgery May Cause Painful Intercourse
Why Prolapse Surgery May Cause Painful IntercourseHow Anterior, Posterior, and Vaginal Vault Repairs Can Affect Sexual FunctionPelvic organ prolapse surgery is designed to restore anatomy, relieve pressure and bulge symptoms, and improve bladder or bowel function. For many women, it succeeds in doing exactly that. However, some women develop painful intercourse (dyspareunia) after prolapse surgery, even when the prolapse itself appears “fixed.”This outcome can be confusing and distressing—especially when surgery was [...]
Painful Sex After Vaginal Tightening Surgery: Why It Happens, What It Means, and When Revision Surgery Can Help
Painful Sex After Vaginal Tightening Surgery: Why It Happens, What It Means, and When Revision Surgery Can Help Vaginal tightening surgery—often called vaginoplasty, perineoplasty, or vaginal reconstruction—is commonly performed to improve vaginal laxity, support, or appearance after childbirth, aging, or pelvic surgery. Many women are satisfied with their results. However, for some, the outcome is unexpected and distressing: painful sex (dyspareunia) that was not present before surgery—or pain that is significantly worse afterward. If [...]














