<![CDATA[Background: Pelvic organ prolapse in older women remains a major reproductive health issue in gynecology. Decreased pelvic floor compartment strength, which can affect multiple structures, presents new challenges beyond the scope of gynecology. Understanding the pathophysiological cascade from one compartment to another is essential to help determine appropriate initial therapy for individuals suffering from pelvic organ prolapse. Case presentation: In this case report, a patient with severe uterine prolapse for one month developed rectal prolapse and severe hemorrhoids, leading to anemia. Definitive management should be postponed to allow initial management to improve the patient's general condition. Conclusion: Asymptomatic pelvic organ prolapse should not be ignored, as it can lead to the development of other diseases and reduce the individual's quality of life. Chronic increased intra-abdominal pressure can lead to pelvic organ prolapse in more than one compartment and ultimately impair venous return. Pessary ring placement is the first option if the prolapsed mass can fully retract into the vaginal introitus. However, regular monitoring is mandatory to avoid complications after pessary ring installation.]]>
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