Understanding Pelvic Organ Prolapse
Who It Affects, How It’s Treated, and Why Physical Therapy Matters
Pelvic Organ Prolapse (POP) is a condition that affects many—but isn’t often talked about. It can bring discomfort, confusion, and sometimes fear. But with the right care and support, most people can manage prolapse symptoms effectively and confidently.
What Is Pelvic Organ Prolapse?
Pelvic organ prolapse happens when one or more pelvic organs (like the bladder, uterus, or rectum) shift out of their normal position and press against the vaginal walls. This occurs when the muscles and connective tissues of the pelvic floor weaken or stretch, often due to physical strain or life changes.
Who Can Be Affected?
POP is more common than you might think, especially among:
Postpartum individuals, especially after a vaginal delivery
Postmenopausal women, due to hormonal changes that affect tissue strength
People who lift heavy objects or experience chronic coughing or constipation
Those with a family history of prolapse
Anyone who’s had pelvic surgery, such as a hysterectomy
Even though prolapse can range in severity, many people with mild prolapse may not notice symptoms until the condition progresses.
Common Symptoms
A feeling of heaviness or pressure in the pelvis
A visible or palpable bulge at the vaginal opening
Difficulty emptying the bladder or bowels
Urinary leaking or urgency
Pain or discomfort during intimacy
A dragging sensation that worsens at the end of the day
If these symptoms sound familiar, it’s worth seeking a professional opinion—especially from someone trained in pelvic floor health.
Treatment Options
The best treatment depends on how severe the prolapse is and your personal goals (like avoiding surgery or returning to activity).
1. Lifestyle Adjustments
Avoid straining and heavy lifting
Manage constipation
Stay active and maintain a healthy weight
Stop smoking to reduce chronic cough
2. Pelvic Floor Physical Therapy
Physical therapy is a first-line treatment for many people with mild to moderate prolapse. It includes:
Guided pelvic floor muscle training (beyond Kegels)
Breathing techniques to reduce internal pressure
Posture and movement strategies for daily life
Education about lifting, toileting, and symptom management
3. Pessary Support
A pessary is a small device inserted into the vagina to support pelvic organs. It’s a great option for people who want to delay or avoid surgery—or who need extra support during exercise or busy days.
4. Local Hormone Therapy
For postmenopausal individuals, localized estrogen can help improve tissue tone and comfort.
5. Surgery
When other treatments aren’t enough, surgery may be considered. Procedures vary, so it’s important to have a comprehensive discussion with your care provider.
Why Choose Physical Therapy?
Pelvic floor physical therapy offers a safe, effective, and empowering approach to managing prolapse. Here's why it's so helpful:
Addresses the root causes, not just the symptoms
Builds strength and awareness in your core and pelvic muscles
Improves bladder and bowel control
Supports long-term prevention
Empowers you with knowledge—so you can move confidently again
Whether you’re newly postpartum, nearing menopause, or somewhere in between, pelvic health physical therapy can be a game-changer.
You’re Not Alone
Pelvic organ prolapse is common—but not something you have to just “live with.” If you’re experiencing symptoms or have questions about your pelvic health, our team at Natural Fit Physio is here to support you.
Let’s talk about what’s going on, what your goals are, and how we can help you feel better in your body.
Book a Pelvic Health Assessment Today
Take the first step toward feeling strong and supported again.