This document discusses the anatomy and causes of cervical elongation. The normal cervix is approximately 2.5cm in length. Elongation can occur in the supravaginal or vaginal portions. Supravaginal elongation is commonly associated with uterine prolapse and puts strain on the cervix. Vaginal elongation is usually congenital and can cause symptoms like feeling of something coming down and dyspareunia. Physical exam can distinguish the two by determining if the elongation is in the uterine canal or vaginal portion. Treatment depends on the cause, with supravaginal elongation addressed like prolapse and congenital elongation requiring cervical amputation or cervicopexy.