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The uterus is held in place by a group of muscles and ligaments. Several factors can contribute to the weakening of these muscles and ligaments, causing the uterus to sag. These factors include the loss of muscle tone as women age, injury due to childbirth especially women who have had many babies or large babiesobesity, chronic coughing, chronic constipation and all place added tension on the pelvic muscles. While mild cases of Japanese college of Millcreek prolapse often have no symptoms, more severe cases can actually interfere with bowel, bladder, and sexual functions. Vaginal vault prolapse is a condition in which the upper portion of the vagina loses its normal shape and sags or drops down into the vaginal canal or outside of the vagina.

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