1. Childbirth: Vaginal delivery can stretch and weaken the pelvic floor muscles, leading to a cystocele. 2. Menopause: Decreased estrogen levels can weaken the pelvic tissues. 3. Chronic Coughing: Conditions such as chronic bronchitis or asthma can put pressure on the pelvic floor. 4. Heavy Lifting: Frequent heavy lifting can also strain the pelvic muscles. 5. Obesity: Excess weight can increase pressure on the pelvic floor.
