Recover Your Balance: Prevention and Conservative Treatment of Pelvic Organ Prolapse

Pelvic organ prolapse (POP) is a common condition affecting millions of women worldwide. It’s often underestimated, but can significantly impact quality of life, causing discomfort, changes in bowel and bladder function, and a decrease in self-esteem. As a physiotherapist, I want to explain what it is, how to prevent it, and what conservative treatment options are available to help you feel better.

What is Pelvic Organ Prolapse?

Pelvic organ prolapse occurs when the pelvic organs – the bladder, uterus, and/or rectum – shift out of their normal position and press against the vagina. This can be caused by weakness in the muscles and tissues that support them, or by damage to the ligaments that hold them in place. There are different degrees of prolapse, depending on how much of the organs have shifted. It’s important to remember that it’s not a disease, but a condition that can be effectively managed.

Risk Factors and Prevention: Taking Control

While it’s not always possible to prevent prolapse, there are several factors that can increase your risk. Pregnancy and childbirth, particularly complicated vaginal births, are the main risk factors. Other factors include advanced age, obesity, chronic constipation, smoking, and menopause. But don’t worry! There are steps you can take to reduce your risk:

• Pelvic Floor Muscle Strengthening: Kegel exercises are fundamental. Make sure you’re performing the exercises correctly, focusing on contracting the muscles you use to stop the flow of urine. A physiotherapist can help you identify and strengthen the correct muscles.