Physiotherapy for Pelvic Organ Prolapse

What is it?

Pelvic organ prolapse (POP) is the descent of one or more of the pelvic organs. This is a problem for people when they become symptomatic. Women will often report a heaviness, dragging or lump or bulge around their vagina which is new for them.

Who does it affect?

While pelvic organ prolapse (POP) is possible in men, it is most commonly reported in women. Risk factors for POP include pregnancy, childbirth, increasing age, being female, being Caucasian, being overweight, having a history of constipation, or being a smoker.

How can it be treated?

Depending on the stage of the pelvic organ prolapse (POP), it can often be treated conservatively. Management includes identifying modifiable risk factors such as managing weight, constipation, smoking status, and exercise choices. It also includes education regarding what a prolapse is and the anatomy and function of the pelvic floor. Pelvic floor muscle training is a significant part of managing current symptoms and preventing recurrence or worsening of symptoms. Medical management is also an option if required. This often involves the use of a pessary or surgery.

What can Embodied Confidence by Leonie Mills Physio do for me?

Leonie will take a thorough history and establish the risk factors relevant for you. With your consent, a comprehensive assessment will be completed to determine the stage of your prolapse and appropriate management. Advice will be provided regarding managing any lifestyle factors relevant for you including managing weight, constipation, and smoking status. You will be provided with alternative exercise options if this is relevant for you and advice regarding when and how to graduate back to exercise of your choice. You will also be supported to complete a pelvic floor muscle training program to manage symptoms and prevent worsening and recurrence.