Pelvic Organ Prolapse & Pelvic Floor Physical Therapy: What You Need to Know
Pelvic organ prolapse (POP) is a condition many people experience — especially after childbirth, menopause, or years of heavy lifting — but few feel comfortable talking about. If you've noticed a feeling of heaviness or pressure in your pelvis, or feel like something is "falling" or bulging in the vaginal area, you’re not alone — and there is help.
One of the most effective and empowering ways to manage prolapse symptoms is through pelvic floor physical therapy. It’s conservative, evidence-based, and tailored to help you feel strong, supported, and back in control of your body.
What Is Pelvic Organ Prolapse?
Pelvic organ prolapse happens when the muscles and connective tissues that support your pelvic organs (bladder, uterus, and rectum) become weakened or stretched. As a result, one or more organs may drop and press into the vaginal wall.
Common causes include:
Vaginal childbirth (especially with large babies or prolonged pushing)
Hormonal changes during menopause
Chronic straining (constipation, coughing, heavy lifting)
Previous pelvic surgery
Genetics or connective tissue disorders
Signs You Might Have Prolapse
A sensation of pelvic heaviness or pressure
Feeling like something is “falling out” or bulging from the vagina
Tissue visible at the vaginal opening
Difficulty inserting tampons or with sexual intercourse
Urinary symptoms like leaking, hesitancy, or frequent urges
Bowel issues like constipation or incomplete emptying
Symptoms that worsen after standing, lifting, or at the end of the day
It can feel alarming — but prolapse is common, manageable, and doesn’t always require surgery.
How Pelvic Floor Physical Therapy Can Help
Pelvic floor PT is a first-line treatment for many types of prolapse, especially in the early to moderate stages. Here's how it works:
1. Assessment of Pelvic Floor Function
Your PT will evaluate how your pelvic floor muscles are functioning — not just their strength, but also coordination, tone, and endurance. Some people have muscles that are too weak; others are overactive and can't fully relax.
2. Strengthening & Support
If appropriate, your therapist will guide you through a program to:
Improve pelvic floor muscle strength and responsiveness
Enhance deep core and postural stability
Support pelvic organs during everyday movements
This can reduce symptoms like pressure, leakage, and discomfort.
3. Breath & Pressure Management
Breathing and movement strategies are key. Poor mechanics can increase intra-abdominal pressure, worsening prolapse symptoms. You'll learn how to lift, bend, and move in ways that protect your pelvic floor and minimize downward strain.
4. Lifestyle & Behavior Strategies
Small changes can have a big impact. Your PT can help with:
Bladder and bowel habits
Constipation relief
Postural adjustments
Safe return to exercise and sexual activity
5. Education & Empowerment
Understanding your body is powerful. Pelvic floor PT equips you with the tools and confidence to manage prolapse on your own terms — not out of fear, but with informed, supportive care.
Is It Too Late for Pelvic Floor Therapy?
It’s never too late. Whether your symptoms started recently or years ago, pelvic floor therapy can make a difference — even if surgery is being considered. Many people also benefit from PT before or after surgery to improve outcomes and long-term support.
Final Thoughts: You’re Not Alone — and You’re Not Broken
Prolapse can feel scary or isolating, but it doesn’t define you. Pelvic floor physical therapy offers a safe, effective, and personalized approach to restoring strength, reducing symptoms, and helping you get back to the activities and life you love.
If you're experiencing pelvic heaviness, bulging, or discomfort, reach out to a pelvic floor physical therapist for a full assessment. Healing is possible — and it starts with understanding your body and what it needs.
