Pelvic Organ Prolapse (POP) occurs when the muscles and tissues supporting the pelvic organs weaken allowing one or more organs to descend from their normal position into or beyond the vagina wall. It is a very common condition, affecting up to 50% of women over 40 and in many cases can be effectively managed without surgery.
Mild prolapse often causes no symptoms and treatment is not always necessary. Many women are unaware they have a prolapse until it's identified at a routine examination.
Common symptoms include a feeling of heaviness or dragging in the pelvis -often worsening through the day – along with bladder bladder and bowel changes and discomfort during intercourse. Some women also notice a sensation of something bulging at the vaginal opening.
We understand that coming for a prolapse assessment can feel personal and daunting. Our physiotherapists provide a warm, professional and completely confidential environment where you'll be listened to and treated with care.
Your first appointment will begin with a detailed discussion covering your symptoms and how long you've experienced them, your obstetric and gynaecological history, relevant medical background and any previous treatments, and how the prolapse is affecting your daily life activity and confidence.
A physical assessment will also be carried out which may include an internal pelvic floor assessment to assess the position of the pelvic organs and the strength, coordination and tone of your pelvic floor muscles. This is always performed with your full consent and explained clearly beforehand.
Following assessment your physiotherapist will discuss their findings and create a personalised plan tailored to your type and stage of prolapse.
Many women begin to notice improvements within 6 to 12 weeks of consistent physiotherapy and home exercise. Your physiotherapist will review your progress regularly and adjust your programme as needed.
You may experience a feeling of heaviness or a dragging sensation in the pelvis which can worsen as the day progresses. It can also cause bladder and bowel symptoms and discomfort with intercourse. Some women may notice a bulge at the vaginal opening particularly after long periods of standing or physical activity.
Not necessarily. Evidence shows that pelvic floor muscle training and lifestyle advice can improve both symptoms and the stage of prolapse. With the right physiotherapy support and lifestyle modifications, many women experience significant improvement and prevent further progression.
Yes, with the right guidance. High impact activities and heavy lifting may need to be temporarily modified but staying active is encouraged. Your physiotherapist will advise you on safe exercise and teach you how to protect your pelvic floor during physical activity.
Yes, large scale research has shown that individualised pelvic floor training delivered by specialist physiotherapists effectively reduces prolapse symptoms and improves quality of life.
Our Women’s Health Assessment will thoroughly assess your pelvic organ prolapse concerns, identify the cause of your symptoms and provide the most appropriate treatment plan for you.
