Comprehensive Guide to Effectively Managing Pelvic Organ Prolapse for Women

Pelvic organ prolapse (POP) is a condition that affects many women, especially after childbirth or during menopause. It happens when pelvic organs (such as the bladder, uterus, or rectum) fall into the vaginal canal due to weak pelvic floor muscles and / or a reduction in connective tissue or ligament support. This guide offers practical tips for effectively managing pelvic organ prolapse, helping women regain confidence and improve their quality of life.

Understanding Pelvic Organ Prolapse

Recognizing the symptoms of pelvic organ prolapse is essential for effective management. Common signs include:

• A feeling of heaviness or pressure in the pelvic region

• Urinary incontinence, which affects around 30% of women who experience POP

• A sensation of something feeling stuck within the vagina

• Discomfort during intercourse

• Visible bulging at the vaginal opening

  
  

While these symptoms can be uncomfortable, it is crucial to understand that many women face similar challenges. There are various management strategies available that can help.

Strengthening the Pelvic Floor

One of the most effective ways to manage pelvic organ prolapse is through pelvic floor exercises, commonly known as Kegel exercises. Strengthening the muscles that support your pelvic organs can help prevent further descent and relieve some symptoms.

To perform Kegel exercises, follow these steps:

1. Identify your pelvic floor muscles by trying to stop urination midstream.

2. Once located, contract these muscles for 10 seconds, then relax for 10 seconds.

3. Aim for 10 repetitions, three times a day.

   
   

Pelvic Floor Training and Pilates

In addition to Kegels, incorporating physical activities that engage your core and pelvic muscles, such as yoga or Pilates, can be beneficial. A recent study found that women who practiced Pilates saw a 45% reduction in symptoms related to pelvic organ prolapse after just three months.

Lifestyle Modifications

Making specific lifestyle changes can significantly alleviate symptoms of pelvic organ prolapse. Here are some effective strategies:

1. Maintain a Healthy Weight: Research indicates that being overweight can increase the risk of prolapse by 50%. Maintaining a healthy weight reduces pressure on the pelvic floor.

   
   

2. Avoid Heavy Lifting: When lifting heavy items, use your legs instead of straining your pelvic region to prevent worsening symptoms.

   
   

3. Manage Constipation: Straining during bowel movements can worsen prolapse symptoms. Aim for a fibre-rich diet, including foods like fruits, vegetables, and whole grains, and drink plenty of water to stay hydrated.

   
   

4. Use Supportive Devices: At Sussex Physiotherapy we fit medical grade silicone pessaries. These are inserted into the vagina for support. Women also often find some relief from supportive underwear such as SRC Supportwear.

   
   

Seeking Professional Help

Consulting with a healthcare professional is vital for proper diagnosis and management of pelvic organ prolapse. Pelvic Health Physiotherapists and Urogynaecologists specialise in this area, and can provide personalised treatment plans based on individual needs.

In some cases, surgery might be required to repair the pelvic floor. It’s essential to discuss all options, both surgical and non-surgical, while understanding their potential risks and benefits.

Taking Charge of Your Health

Pelvic organ prolapse is a manageable condition that can greatly affect a woman's quality of life. By recognizing symptoms promptly and following practical strategies like pelvic floor exercises, lifestyle changes, and seeking professional advice, women can take control of their health.

Remember, you are not alone on this journey. Seeking support is a positive step toward managing pelvic organ prolapse effectively.