There are several different causes for the symptoms of vaginal pressure, vaginal fullness, or tissue bulging or protrusion from the vagina.  A careful office evaluation will determine the cause, whether it is a cystocele (bladder), rectocele (rectum), uterine prolapse, or post-hysterectomy vaginal vault prolapse. Treatments depend on the severity and correct cause (diagnosis) of vaginal protrusions, and range from non-surgical (Kegel exercises, pessary placement, Intone or Apex pelvic floor rehabilitation, ThermiVa vaginal rejuvenation) to surgical repairs. Treatment options will be discussed and the least invasive, most conservative treatments will be recommended first.