Pelvic organ prolapse is a common condition that affects many individuals, particularly women, but often remains undiscussed due to its sensitive nature. Prolapse occurs when the pelvic organs including the bladder, uterus or rectum protrude into or outside the vaginal canal due to restricted or weakened pelvic floor muscles and connective tissues. This can result in a variety of symptoms and discomfort, impacting one’s quality of life.
Symptoms can include:
- Sensation of pressure in the pelvic region
- Feeling of a bulge in the vagina
- Urinary leakage, frequency or urgency
- Bowel symptoms such as constipation or difficulty fully emptying
- Pain during intercourse
Causes of prolapse can include:
- Pregnancy and childbirth
- Menopause
- Chronic constipation
- Pushing to urinate
- Obesity
What can we as physical therapists do for it? The role of pelvic floor PT is to release the muscles of the pelvic floor to better allow them to do their job of lifting and supporting the organs. If there is a restriction in these muscles, they become “stuck” and cannot efficiently support the bladder, uterus and rectum, causing pressure and worsening of the symptoms of a prolapse. A physical therapist will also prescribe specific exercises to strengthen the surrounding musculature of the hips to help support your pelvic musculature. In specific cases, behavior strategies and lifestyle changes may be put in place to optimize bladder and bowel function to help alleviate prolapse symptoms as well.
Facts on prolapse:
- 80% of women who gave birth have pelvic organ prolapse
- Prolapse varies in severity by grades 1 through 4
- Bridging is an effective way to decrease prolapse symptoms temporarily
Pelvic organ prolapse is a common condition that can significantly impact someone’s day to day activities, but it is important to know that treatment IS available. By understanding the symptoms, causes and treatment options as well as the importance of seeking pelvic floor help, you can take proactive steps to managing your condition and improve your overall well-being today! To learn more about pelvic organ prolapse and how it is treated, call us for a free consultation!