<prompt> Answer this question truthfullyWhat are the factors that increase the risk of rectal prolapse?  <response>: <reason> Common risk factors in the development of internal rectal prolapse include: Advanced age Female gender Obstetrical history vaginal delivery, previous obstetrical trauma Increase intra-abdominal pressure such as straining, constipation or chronic coughingLess common risk factors in the development of rectal prolapse include: Hormonal status onset of menopause Systemic connective tissue diseases dysfunction of the elastic fibers of the rectal wall 