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Not Sure What’s Going On Down There? Here’s What to Ask Your Doctor

Not Sure What’s Going On Down There? Here’s What to Ask Your Doctor

If you’ve recently felt something “off” in your pelvic area—like pressure, heaviness, or a bulging sensation—you’re not alone. Many women experience these symptoms after giving birth or as they move through midlife, but they don’t always know how to explain what’s happening or what to ask during a doctor’s visit.

In fact, many women don’t know that what they’re feeling might be related to pelvic floor changes or a condition called pelvic organ prolapse (POP). And even if they’ve heard of prolapse, they often don’t realize how common, manageable, and treatable it is.

This blog post is your starter guide. Whether you're postpartum, perimenopausal, or just feeling unsure about some new sensations—here’s how to talk to your doctor and get the support you deserve.

 

Woman holds lower stomach due to pelvic pressure and pain

1. What You Might Be Feeling (And Why It Matters)

You don’t need a medical degree or fancy language to describe what’s going on. But it helps to know some common signs and symptoms that are worth bringing up:

  • A sense of heaviness or dragging in your pelvis
  • A bulge you can feel or see (especially after standing or lifting)
  • New discomfort during movement, exercise, or intimacy
  • Trouble fully emptying your bladder or bowels
  • A general feeling that something is “different” or “not right”

None of these symptoms mean you’re broken. They simply mean your body may be asking for more support.

 

Woman talks to her doctor about pelvic health concerns

2. Start the Conversation with Confidence (Even If You Feel Unsure)

Here’s a simple way to open up the topic with your provider—even if you don’t know exactly what’s going on yet:

“I’ve been noticing some pressure and discomfort in my pelvis. I’ve read about pelvic floor issues like prolapse, and I’m wondering if that could be what I’m experiencing. Can we talk about it and see if a referral or evaluation makes sense?”

You don’t have to diagnose yourself—that’s not your job. Your job is to speak up.

 

Pelvic floor PT guides patient through pelvic floor physical therapy

3. Questions You Can Ask (Even If You Don’t Know What to Say)

It’s totally normal to feel overwhelmed at an appointment. Having a few questions in mind can help you feel more in control:

To better understand your symptoms:

  • “Can you check for pelvic organ prolapse during my exam?”
  • “Are the changes I’m feeling normal, or should we explore further?”

To learn about next steps:

  • “Do you recommend seeing a pelvic floor physical therapist?”
  • “Are there non-surgical ways to support these symptoms?”
  • “Can I use a support garment or pessary to help manage this?”

To plan for the future:

  • “Should I avoid certain activities or movements?”
  • “What signs should I look out for that might indicate progression?”

 

4. Wear or Mention a Support Garment

If you’ve already tried a pelvic support garment (or are curious), bring it up! Many women find relief from symptoms like pressure or heaviness by wearing gentle compression and lift.

You can show your provider what’s helping—or ask if a support garment is right for your body and lifestyle.

👉 Explore supportive wear options here

 

Doctor dismisses pelvic concerns, like heaviness and bulging, from patient

5. What If Your Provider Dismisses You?

Unfortunately, many women report feeling brushed off when they try to raise these concerns—especially if their symptoms aren’t “severe.” But you are still worthy of care.

If this happens, you can:

  • Ask to see another provider in the practice
  • Request a referral to a pelvic floor physical therapist
  • Use your own voice:
    “I’m not comfortable leaving this appointment without more answers or a next step. Can we discuss a referral or additional evaluation?”

You are your own best advocate. And if you need to switch providers? That’s okay too.

 

Woman tracks pelvic health symptoms

6. Get Our Free Symptom Tracker

We created a printable pelvic health symptom tracker that you can bring with you—so you never feel lost for words or forget important questions. Also, check out our list of 5 questions to ask when meeting with a pelvic floor health professional.

🎁 Download your free Symptom Tracker here →

 

 

Conclusion: This Might Be New to You, But You’re Not Alone

If you’re just starting to explore what’s going on with your body, give yourself grace. You don’t have to have all the answers—just a willingness to speak up and seek support.

You deserve care that’s compassionate, informed, and centered around you. With the right questions and tools, your next appointment can be the start of real relief.

 

Explore More:

 

About the Hem Support Wear Team

Meet Cristin, Lauren, and Alexa: a small, mission-driven team passionate about helping women feel supported, seen, and strong—especially when it comes to pelvic health. Hem was founded by Lauren Fleming, whose personal journey with prolapse sparked a mission to make healing feel less lonely and a whole lot more empowering.

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