Pelvic Organ Prolapse

Pelvic organ prolapse (POP) is a common condition that affects many women, especially as we age and after childbirth. Understanding the risk factors, symptoms, and preventive measures can empower you to take proactive steps towards pelvic health.

What is Pelvic Organ Prolapse?

Pelvic organ prolapse occurs when the pelvic organs—such as the bladder, uterus, or rectum—descend into the vaginal space due to weakened pelvic floor muscles and connective tissues. This can lead to symptoms like a feeling of pressure or fullness in the pelvis, urinary leakage or frequent urination, or discomfort during intercourse.

Risk Factors

Several factors can increase the likelihood of developing pelvic organ prolapse:

Vaginal Delivery: The stress and trauma of childbirth, particularly multiple vaginal deliveries or large babies, can weaken pelvic floor support.
Age: As women age and approach menopause, hormonal changes and natural weakening of tissues can contribute to prolapse.
Parity: Women who have had multiple pregnancies are at higher risk due to repeated stretching of pelvic floor muscles.
Instrumental Delivery: Use of forceps or vacuum extraction during delivery can increase the risk of pelvic floor injury.
Weight of Baby: Delivering a larger-than-average baby can stretch and weaken pelvic floor muscles and tissues.

Prevalence

Pelvic organ prolapse is a prevalent condition, with studies indicating that up to 50% of women may experience some degree of prolapse during their lifetime. However, not all cases require treatment, and symptoms can vary widely in severity.

Prevention and Management

While pelvic organ prolapse may not always be preventable, there are steps you can take to reduce your risk and manage symptoms:

Pelvic Floor Exercises: Your pelvic floor PT will prescribe appropriate exercises to address the strength and/or endurance of your pelvic floor. We strongly encourage an appointment for individualized advice to assess your unique needs and ensure exercises are targeting what you need and are being done correctly. It's not as simple as doing 10 kegels every time you are at a stop light. You can try these 3 exercises to set a solid foundation for your pelvic floor. We recommend having a pelvic floor PT assess you are doing them correctly prior to completing.
Healthy Weight: Maintaining a healthy BMI reduces intra-abdominal pressure and strain on pelvic floor muscles.
Proper Lifting Techniques: Managing intra-abdominal pressure, especially during heavy lifting, can protect pelvic floor integrity.

When to See a Pelvic Floor Physical Therapist

If you experience symptoms of pelvic organ prolapse, such as pelvic pressure, urinary incontinence, or discomfort during intercourse, consider consulting a pelvic floor physical therapist. They can:

Assess Severity: Determine the extent of prolapse and its impact on your daily life.
Provide Exercises: Prescribe specific exercises to strengthen pelvic floor muscles and improve support for pelvic organs.

Pelvic organ prolapse is a common condition and understanding risk factors and taking preventive measures can empower women to prioritize their pelvic health. If you experience symptoms of prolapse or are concerned about your pelvic floor health, schedule a consult with us at Well Balanced Physical Therapy to provide personalized guidance and support.

By taking proactive steps and seeking appropriate care, you can enhance your quality of life and maintain pelvic health for years to come.