Fellowship-Trained Urogynecologist
Urogynecology & Reconstructive Pelvic Surgery
Green Bay, Wisconsin
✓ Medically reviewed March 2026
Can Pelvic Organ Prolapse Cause Back Pain?
Some women with pelvic organ prolapse report low back pain or a dragging sensation in the lower back, particularly toward the end of the day or after prolonged standing. While prolapse isn’t a primary cause of back pain, the two can be related.
The Connection
Prolapse can contribute to low back discomfort through:
- Ligament tension — the uterosacral ligaments that support the uterus and vaginal vault attach near the sacrum. When prolapse stretches these ligaments, it can create a pulling sensation in the lower back
- Postural compensation — women with prolapse may unconsciously change their posture or movement patterns, leading to back strain
- Pelvic floor dysfunction — the pelvic floor works closely with the core and back muscles. Weakness in one area affects the others
Back pain with prolapse is usually more of a dragging or aching sensation in the low back, different from typical back pain. It tends to worsen through the day and improve when lying down — which matches the pattern of prolapse symptoms.
When to Seek Help
If you have low back pain along with pelvic pressure, vaginal bulging, or bladder/bowel changes, it’s worth getting evaluated for prolapse. Treating the prolapse often helps the back symptoms too.
I always ask about back pain when evaluating prolapse. When we support the prolapsed organs — whether with a pessary or surgery — many women tell me their back pain improves as well.
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