Prolapse: A Supportive Dysfunction

Yes, a supportive dysfunction, but what else exactly is pelvic organ prolapse? It is the descent, laxity and/or weakness of one or more of the anterior vaginal wall, posterior vaginal wall, the uterus (cervix), or the apex of the vagina.

What may be some of the associated symptoms?  Vaginal bulging, pelvic pressure, low backache, bleeding, splinting, incontinence

What typically makes symptoms improve? Gravity reduced positions (ie: lying down). What makes symptoms worse? Straining and increasing intra-abdominal pressure.

But guess what?! A person may be asymptomatic and still have evidence of prolapse (up to 80% in one study of 9000 first time moms!). 

What are possible risk factors? Childbirth, rapid childbirth, surgery, chronic constipation, systemic disease, and joint hypermobility are some of the risk factors.

What's in the research? A study in 2009 by Hagen et al found that stage 1 and 2 prolapse with 16 weeks of pelvic floor exercises and lifestyle modifications found *statistically significant* improvement in the exercise group in all the following categories: symptoms of prolapse, stage of prolapse, and quality of life reports!

So now what?! Find a pelvic floor physical therapist near you to learn more about these exercises that may be beneficial for you! A pelvic floor PT can provide exercise prescription specific to your needs and goals!

If we're local to you (Berlin, MD) please reach out! We'd love to help you find a plan that works for you! Schedule here.

You are not alone!