Blog Series: Pelvic Organ Prolapse

As a pelvic floor physical therapist, I often see clients who have been diagnosed with pelvic organ prolapse (POP) and are understandably anxious about what it means for their health and lifestyle. The good news is that with the right information, management strategies, and mindset, POP is a condition that many women can live with comfortably. Let’s dive into what pelvic organ prolapse is, how to manage it effectively, and why you shouldn’t fear this diagnosis.

What is Pelvic Organ Prolapse?

Pelvic organ prolapse occurs when the muscles and tissues supporting the pelvic organs (such as the bladder, urethra, uterus, and rectum) become weak or stretched. This weakness can cause one or more of these organs to drop or press into the vaginal wall.

Understanding Pressure Management

One of the key factors in our programs for managing pelvic organ prolapse is learning how to manage intra-abdominal pressure. Activities that increase abdominal pressure—such as lifting heavy objects, straining during bowel movements, or even coughing—can put additional stress on the pelvic floor. For women with POP, understanding how to control and manage this pressure is crucial for reducing symptoms and preventing the prolapse from worsening.

Recent Research on Exercise and Prolapse

Contrary to the belief that exercise might worsen pelvic organ prolapse, recent research suggests that exercise can actually help improve symptoms. Studies have shown that pelvic floor muscle training (PFMT) is effective in reducing the severity of prolapse and improving symptoms such as heaviness, discomfort and incontinence. Engaging in regular exercise, including strength training, can help strengthen the pelvic floor muscles and support the pelvic organs.

In fact, lifting heavier weights with proper technique can be beneficial for women with POP. Research shows that women who lifted weights using correct form did not worsen their prolapse symptoms. Instead, they experienced improved strength and stability, which can help support the pelvic organs better.

Conclusion

Pelvic organ prolapse is a condition that affects many women, but it doesn’t have to control your life. With proper education, management strategies, and a proactive approach to your health, you can continue to live an active and fulfilling life. If you have concerns about POP, we’re here to help you every step of the way!