Patient presents with complaints consistent with pelvic organ prolapse, specifically uterine prolapse.  Symptoms include vaginal pressure or fullness, sensation of a bulge or something "falling out",  lower back pain, dyspareunia, and urinary symptoms such as frequency, urgency, hesitancy, or incomplete emptying.  On physical examination, pelvic examination reveals [stage of prolapse: first-degree, second-degree, third-degree, or complete procidentia] uterine prolapse.  Anterior and posterior vaginal wall prolapse was assessed and documented.  The Baden-Walker system or Pelvic Organ Prolapse Quantification system (POP-Q) was used to quantify the degree of prolapse.  Patient's medical history, including parity, prior pelvic surgeries, chronic cough, constipation, and heavy lifting, was reviewed for contributing factors.  Differential diagnoses considered included cystocele, rectocele, and enterocele.  Patient education provided on pelvic floor exercises (Kegel exercises), pessary fitting and care, and lifestyle modifications including weight management and avoiding straining.  Treatment options including conservative management, pessary placement, and surgical intervention (e.g., hysterectomy, sacrocolpopexy, uterosacral ligament suspension) were discussed.  The patient's understanding of the diagnosis, treatment options, risks, and benefits was confirmed.  Follow-up appointment scheduled to assess treatment response and discuss further management as indicated.