Pelvic Organ Prolapse

Pelvic organ prolapse is a condition where the muscles and ligaments supporting a woman's pelvic organs weaken, causing the organs to drop and press against the vaginal wall, leading to discomfort, pain, and pressure in the pelvis.

The basics

Pelvic Organ Prolapse is a condition that affects women, especially those who have given birth or gone through menopause. It occurs when the muscles and tissues that support the pelvic organs become weakened, causing discomfort, pain, and a feeling of pressure in the pelvic area. Pelvic Organ Prolapse can also cause urinary and bowel problems. It is a chronic condition that can worsen over time if left untreated. Treatment options include pelvic floor exercises, pessaries, or surgery. With the right treatment, many women with Pelvic Organ Prolapse can improve their quality of life and reduce the impact of their symptoms.

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The presentation of Pelvic Organ Prolapse can vary depending on the severity of the condition. Common symptoms may include:

  • A feeling of pressure or fullness in the pelvic area
  • A sensation of something bulging or protruding from the vagina
  • Pain or discomfort during sexual intercourse
  • Urinary problems, such as incontinence or difficulty emptying the bladder
  • Bowel problems, such as constipation or difficulty emptying the rectum
  • Lower back pain or discomfort in the pelvic area
  • A pulling or stretching sensation in the groin area

These symptoms can range from mild to severe and can significantly impact a woman's quality of life. If you are experiencing any of these symptoms, it is important to speak with your healthcare provider to determine the best course of treatment.

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Therapies & treatments

Pelvic Floor Muscle Training

Pelvic floor muscle training is a type of exercise designed to strengthen the muscles that support the pelvic organs, which can alleviate symptoms of pelvic organ prolapse. A trained physiotherapist can help individuals learn how to properly perform pelvic floor exercises and develop a personalized exercise plan.


Physiotherapy can be helpful in addressing movement patterns that contribute to pelvic organ prolapse symptoms, such as straining during bowel movements or lifting heavy objects. A trained physiotherapist can help individuals develop proper body mechanics and teach exercises to strengthen the pelvic floor muscles.


Working with a registered dietitian can help individuals develop a healthy eating plan for weight management and overall health, which can alleviate symptoms of pelvic organ prolapse. A dietitian may recommend foods that are high in fiber to prevent constipation, as well as foods that promote overall pelvic health.


Various medications may be prescribed to alleviate symptoms of pelvic organ prolapse, including pain, incontinence, and constipation. For example, laxatives or stool softeners may be prescribed to help prevent constipation, while anticholinergic medications may be prescribed to help manage overactive bladder symptoms.

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Self-care strategies

Good Bowel Habits

Prevent straining during bowel movements, which can worsen symptoms, by drinking enough water, eating a fiber-rich diet, and avoiding constipation.

Avoid Heavy Lifting

Refrain from lifting heavy objects, which can put pressure on pelvic floor muscles and exacerbate symptoms. If lifting is necessary, use proper techniques and avoid holding your breath.

Stay Active

Engage in low-impact exercises like walking, swimming, or cycling to strengthen pelvic floor muscles and improve overall health.

Manage Your Weight

Maintain a healthy weight through a balanced diet and regular exercise to alleviate extra pressure on pelvic floor muscles and reduce symptoms.

Good Bladder Habits

Manage urinary incontinence, a common symptom, by avoiding caffeine and alcohol, practicing timed voiding, and performing pelvic floor muscle exercises.

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Pelvic Organ Prolapse

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