This condition is caused by pregnancy/multiple childbirths with normal delivery through the vagina leading to weakening of the pelvic muscles, weakening and loss of tissue tone after menopause and loss of natural
estrogen, being overweight or obese
and its additional strain on pelvic muscles,
and conditions leading to increased pressure in the abdomen such as chronic cough (with bronchitis and asthma), straining (with constipation), pelvic tumors (rare), or an accumulation of fluid in the abdom