Gynaecology & Obstetrics

A 38-year-old woman complains to a physician because of having chronic pelvic pressure. On fuher questioning, she repos chronic lower back pain, constipation, difficulty in walking, and difficulty while intercourse. Pelvic examination showed uterine cervix lying low within the vaginal canal, but does not protrude through the introitus. Which of the following is the most likely diagnosis?