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WLM | Wyoming Woman COULD YOUR PELVIC ORGANS Let you down? S ir Isaac Newton first described the Universal Law of Gravitation in 1687 when the apple fell on his head. It has since been more simply described by the old saying, “What goes up must come down.” Many of us experienced this truth with the fall of the stock market in 2008. While falling stocks may be considered normal, it is not normal for your pelvic organs to fall. Nevertheless, many women today suffer from pelvic organ prolapse (POP), which includes the herniation of these and other pelvic organs. The female pelvic organs consist of the bladder, uterus, vagina, urethra and rectum. The bony pelvis is shaped like a bowl without a bottom and is covered by muscle and connective tissue called fascia. These pelvic organs are placed within this connective tissue covering and therefore are potential weak points in the pelvic floor. These are the usual locations for problems to develop. Age, hormone changes, vaginal delivery and gravity all contribute to gradually weaken the pelvic floor. Eventually, these organs can “fall down” or drop downward. Many women may actually have prolapse of pelvic organs and not have symptoms. This may be recognized on their annual gynecology exam an