Conditions we treat

PROLAPSE MANAGEMENT & PESSARY FITTING

Being diagnosed with Pelvic Organ Prolapse or even having the feeling that this might be the case after you've had your baby can be challenging, especially for new mums who are also adjusting to motherhood. Our physiotherapists are here to help and have extensive experience treating and educating on prolapse and helping you feel confident in your body once again. 

What is it?

Prolapse refers to the downward descent of the pelvic organs into the vaginal space or sometimes outside of the body. This can affect the bladder, urethra, bowel, uterus or intestines.

What causes it?

We know that the risk of prolapse is increased with vaginal delivery. It can present immediately following delivery or can occur gradually over time as the result of excessive and repeated intra-abdominal pressure and insufficient support by the pelvic floor and core abdominal musculature:

  • High impact activities or return to high impact too soon postnatal

  • Ongoing constipation/straining

  • Increased BMI

  • Heavy lifting

  • Chronic cough or sneezing

  • Genetics (stretchier connective tissues)

  • Hysterectomy

  • Age -related changes to pelvic floor muscle function and connective tissue support

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What does it feel like?

Common symptoms of prolapse include:

  • Sensation of vaginal heaviness or dragging

  • Noticeable bulge or lump at the vaginal opening on washing/wiping

  • Pain with intercourse

  • Low back pain

  • Difficulty emptying bladder or bowels

Early diagnosis and management can assist postnatal recovery and prevent progression of prolapse over time. 

 

At Body and Birth Physiotherapy, our Physiotherapists are trained in pessary fitting – a common conservative management for prolapse which facilitates worry free return to activities that would otherwise cause symptoms in some women such as baby cares, prolonged standing, walking, high impact physical activity and with bladder and bowel emptying.

Get in touch

Have questions? Reach out to our helpful team today