What Prolapse Actually Is
Your pelvic organs (bladder, uterus, rectum) are suspended by your pelvic floor muscles like a hammock. When those muscles weaken, the organs descend lower than they should. This is prolapse. It can be a mild bulge or, in severe cases, organs actually protrude outside the body.
Different types of prolapse involve different organs. Cystocele is bladder descent. Rectocele is rectal descent. Uterine prolapse is the uterus descending. Many women have more than one type.
What Prolapse Feels Like
Common sensations include heaviness or fullness in the pelvis, pressure that worsens throughout the day, bulging sensation, pain during intercourse, difficulty with bowel movements, or pain with exercise. Some women say it feels like something is falling out, especially after standing or activity.
These feelings are terrifying. But here's the reality: prolapse is manageable, often without surgery.
Why Physical Therapy Works
PT strengthens your pelvic floor to provide better support for organs. It teaches you how to breathe and move in ways that don't increase pressure on the pelvic floor. It helps you avoid activities that aggravate prolapse. And it coordinates your abdominal muscles with your pelvic floor so everything works together. Many women see significant improvement or complete resolution of symptoms.
Pessaries and Physical Therapy Together
A pessary is a small device inserted into the vagina that supports pelvic organs, like a supportive bra. You wear it during the day and remove it at night. Some women use pessaries alone. Others combine them with PT for better results. Dr. Meg works with urogynecologists and can help fit or recommend pessaries.
Lifestyle Changes That Help
You'll learn which activities worsen prolapse and how to modify them. Heavy lifting, high-impact exercise, prolonged standing, and straining during bowel movements all increase pressure. PT teaches you safer alternatives and techniques. Many women return to their desired activities with proper guidance.
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Surgery doesn't have to be your only option. Schedule a free discovery call with Dr. Meg. Tell her what you're experiencing, and let's explore what's possible with conservative treatment.