Levator avulsion

 A levator avulsion is where part of the pelvic floor muscles are pulled off the pubic bone. This can affect between 10-35% of women following their first delivery.
The loss of this support can make your pelvic floor weaker, enlarge the opening of the vagina and increase the likelihood of prolapse.

A levator injury is not repaired, but if you have been diagnosed with one it makes it even more important to strengthen the intact pelvic muscles - to provide as much support as possible to the pelvic organs.

Levator injuries are often not diagnosed immediately but may be picked up by your physiotherapist or gynaecologist during a pelvic examination.