women’s health
Pelvic Organ Prolapse
◗ Up to 50% of women who have had a baby experience vaginal prolapse throughout their lifetime.
Pelvic organ prolapse refers to loss of support for uterus, bladder, colon or rectum leading to prolapse of one or more of these organs into the vagina. The pelvic organs are supported by the pelvic floor muscles, ligaments and connective tissues.
Risk factors:
Obstetric history (Pregnancy and childbirth)
Chronic constipation/straining
Chronic respiratory conditions (excessive coughing)
High BMI
Symptoms:
Heaviness or dragging sensation within the vagina
Lump or a bulge
Incomplete emptying of the bladder or bowels
Incontinence
Increased frequency of urination
Urgency
Difficulty inserting tampons
Pain with sexual intercourse
Back pain or abdominal discomfort
Management:
Pelvic floor muscle training
Lifestyle modifications
Education around safe activities + exercise
Bowel & Bladder care
Topical Oestrogen
An assessment with a Women’s Health Physiotherapist is the best place to start when it comes to the management of a prolapse. The function of the pelvic floor muscles is especially important as there is level 1 evidence to suggest that pelvic floor muscle training is effective in reducing pelvic floor symptoms.
We suggest a multifactorial conservative management approach as this is considered first line treatment for prolapse. A combination of strategies may be recommended for you to help manage your prolapse symptoms.