We need to talk about prolapse!
Sometimes the weakening of our pelvic floor during and after pregnancy is enough to cause a prolapse, which is when the internal organs fall through the connective tissue of your pelvic floor. This can be a bladder prolapse, a rectal prolapse, a uterine prolapse, or an intestinal prolapse.
Prolapse can also be caused by menopause, pelvic surgery, pressure in the abdomen (like a bad bout of coughing) and even congenital weakness.
Symptoms of a prolapse include:
- A dragging sensation or feeling that something is falling down, or feeling like something is falling out,
- A heavy or aching vagina or pelvic region,
- Lump or bulge in the vagina or vaginal entrance,
- Stress incontinence, or feeling like you can't quite empty your bladder,
- Feeling like you can't quite empty your bowel,
- Dull backache,
- Pain or a feeling of obstruction during sex
If you’re feeling a feeling of heaviness, or that your insides are coming outside – it’s essential to get your pelvis checked by your OBGYN and or a pelvic health physiotherapist. Prolapse isn’t a life sentence, and there is plenty that can be done to improve your symptoms.
Treatment For Prolapse
Treatment for your prolapse can include physical therapy, overseen by a pelvic health physiotherapist.
Your doctor might also recommend lifestyle changes, like a new approach to your fitness, perhaps weight loss. Women with prolapse need to exercise differently, and may find their symptoms improve if they reduce the pressure on the pelvic region.
Other treatments might include supporting the vaginal wall with a pessary, or surgery.
Some really useful websites for women are: