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In vaginal prolapse the vagina stretches or expands to protrude on other organs and structures. The situation seldom involves the vagina alone. Supports for the uterus often stretch allowing it to also fall prolapse when a woman strains during a bowel movement. This shows the uterus, which has dropped out of the opening to the vagina. If the uterus has been removed, the top of the vagina can also drop down.