Bladder prolapse and delivery

  How does having a pro lapse into the vagina (not serious before pregnancy) effect the birthing.  I mentioned to my OB (who hasn't given me an internal yet Im 33 weeks) that my OB in Australia mentioned the pro lapse 2 years ago.  I asked my OB will that effect birthing and she said maybe but didn't go into details.  Also sex has become almost impossible because every time my husband and I attempt it feels as if I have a bladder infection because of the irritation of the motion.  But after testing there isn't one.  I feel as if the bladder must be protruding more into the vagina and this is causing the irritation.  Any information would be appreciated.

[HFHS MD-JM]

_
Dear Donna,
Bladder prolapse into the vagina has never caused difficulty with vaginal delivery in my experience.  It is flexible tissue and is naturally pushed out of the way by the head without increased discomfort.  One other factor to consider regarding discomfort of intercourse during pregnancy is the high progesterone state may cause some decrease in lubrication.  This is also known to occur during breast feeding postpartum.  This is just a possibility, I really can't tell without an examination.
This information is provided for general medical education purposes only.  Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition.

keyword:  pregnancy, prolapse