prolapse

WHAT IS PELVIC ORGAN PROLAPSE (POP)?

Almost one in five Australian women will be affected by pelvic organ prolapse (POP) during their lifetime.

Many women may feel lost when it comes moving well, or returning to exercise with POP, but there are many ways to help return to movement that you enjoy whilst protecting your pelvic floor.

Whether you are a candidature for surgery, or during rehabilitation from surgery, exercise has an important role in reconnecting and strengthening your pelvic floor muscles and the musculature surrounding the pelvis.

WHAT IS POP?

POP is the displacement of a pelvic organ (bladder, bowel or uterus) onto the vaginal wall. All of the pelvic organs are supported by a complex of muscles, ligaments, and fascia that attach to the bony anatomy of the pelvis. When these are weakened, those organs can descend.

Prolapse is common, fixable and managable.

WHAT CAN CAUSE PELVIC FLOOR WEAKNESS?

  • child birth
  • being overweight
  • constipation
  • persistent heavy lifting with bad technique
  • excessive coughing – causing repetitive straining
  • changes in hormonal levels with menopause or surgery like hysterectomy.

 

WHAT ARE POP SYMPTOMS?

Prolapse can have a variety of symptoms, including:

  • Pressure, pain, or fullness in vagina, rectum, or both
  • Feeling  a downward dragging or like your “insides are falling out”
  • Urinary incontinence, stress incontinence
  • Constipation
  • Lower Back, pelvic or abdominal pain
  • Lack of sexual sensation or painful intercourse

 

Women can be hesitant to openly discuss these symptoms, but prolapse is very important to identify, and modifying exercises is necessary for exercise to be performed safely.

If you think you may have prolapse, first seek guidance from your GP or Women’s Health Physiotherapist.

WHY IS EXERCISE IMPORTANT?

Exercise is important for your general health and fitness, and especially important for maintaining bone mineral density and mobility moving towards menopause.

Specific exercises for prolapse, including pelvic floor exercises, can help improve and manage prolapse symptoms and support your body, however certain exercises are contraindicated for prolapse – and can make things worse.

PELVIC FLOOR EXERCISES:

  • Improve bladder and bowel control
  • Reduce the risk of prolapse
  • Improve recovery from childbirth, gynecological surgery and prolapse
  • Increase sexual sensation and orgasmic potential increase social confidence and quality of life

Pelvic Floor exercises have their place to help improve motor control, strength and endurance of your pelvic floor, however a program of these exercises alone is not enough!

EXERCISE CONSIDERATIONS

  • Lighten your weights or resistance so that you don’t feel pressure down on your pelvic floor as you move
  • Avoid holding your breath by exhaling with effort
  • Maintain good posture
  • Avoid all abdominal exercises like sit ups and crunches – and instead chose abdominal exercises that resistance lateral and frontal flexion like side planks.
  • Keep your legs closer together during exercise, no wide legged squats or squat jumps
  • Lift your pelvic floor before you move and relax afterwards. Notice how many reps that you can do before your pelvic floor muscles tire
  • You may need to add some rests, or reduce the number of reps that you do in a row, while your pelvic floor muscle fitness improves.

 

Want to learn more?

An Accredited Exercise Physiologist can help create an individualised exercise program for you, that is pelvic floor safe and may help elevate your prolapse symptoms, allowing you to transition back to moving without fear, return to sport and support your to reach your personal fitness goals.