What is Pelvic Organ Prolapse?

Pelvic organ prolapse (POP) is a common yet often overlooked condition affecting many women.

It occurs when the muscles and connective tissues supporting the pelvic organs weaken, causing one or more organs—such as the bladder, uterus, or rectum—to drop down into or protrude out of the vagina. 

What Causes Prolapse?

Several factors contribute to pelvic organ prolapse.

The most common cause is pregnancy and childbirth, especially after a vaginal delivery that involves prolonged pushing, large babies, or the use of forceps. Hormonal changes during menopause can also weaken pelvic tissues, increasing the risk of prolapse.

Other contributing factors include chronic straining due to constipation, heavy lifting, chronic coughing, and aging muscles. 

What are the Symptoms of Pelvic Organ Prolapse?

Symptoms vary depending on the severity and type of prolapse, but commonly include:

• A sensation of pressure or heaviness in the pelvis

• A bulge or tissue protruding from the vagina

• Difficulty with urination or feeling like the bladder isn’t emptying completely

• Constipation or difficulty with bowel movements

• Discomfort or pain during intercourse

• A dragging sensation in the lower back

Symptoms can vary from mild to severe and women can experience significant discomfort that affects their daily activities.

How a Pelvic Floor Therapist Can Help:

• Pelvic Floor Physical Therapy: Strengthening pelvic floor muscles with guided exercises can improve support for the organs and reduce symptoms.
  

• Pessary Use: A pessary is a small, removable device inserted into the vagina to provide structural support.
  

• Lifestyle Changes: Managing constipation, avoiding heavy lifting, and maintaining a healthy weight can help relieve symptoms.
  

• Hormone Therapy: In postmenopausal women, topical estrogen creams may improve tissue strength.

  
  

Can Prolapse Be Prevented?

While not all cases can be prevented, there are ways to reduce the risk:

• Perform Kegel exercises to keep the pelvic floor strong

• Eat a fiber-rich diet to prevent constipation and straining

• Use proper lifting techniques to reduce pelvic pressure

• Maintain a healthy weight to minimize strain on the pelvic organs

Pelvic organ prolapse is common and treatable with the support of a pelvic floor therapist at Boundless Pelvic Wellness. Reach out today to book a free virtual discovery call with one of our therapists.