###Human: Why are my vaginal walls collapsed and cervix shifted to right side? ###Assistant: Hi. How are you doing? You seem to be suffering a lot at this young age of 25 years. From your history and examination findings, I feel there is deep infiltrating endometriosis. Usually, bowel symptoms, distended bowels into the vagina, nodules in ligament could mean that. But the uterus will be stuck and will never descend, especially after a surgery. But when you say cervix is outside the vagina, it means cervical descent or elongation. It could mean a nulliparous prolapse. The best method would be to have an examination done, scan taken, to know if any large cyst is pushing uterus out. If everything is normal, you can have 3 to 4 doses of monthly Lupreolide 3.75 mg i.m. Followed by tablet Ormeloxifene 60 mg weekly twice for any number of years. I have found it more effective than Dienogest. If prolapse is significant, it may resolve if any cyst of pressure from inside is relieved. You have bowel symptoms and you said cervix is pushed to the right, so there must be something on the left side, the location of the colon, sigmoid colon, and rectum. Have a scan anyway.