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How Is Pelvic Floor Prolapse Treated?

How Is Pelvic Floor Prolapse Treated?

Did you know that around one in three women experience some degree of pelvic floor prolapse during their lifetime? This condition, which involves the weakening of the pelvic floor muscles and the descent of pelvic organs within the vagina or towards the vaginal opening, can significantly impact a woman's quality of life. From causing discomfort, pain, and pelvic pressure to affecting bowel and bladder function - pelvic floor prolapse is undoubtedly a cause for concern. However, the good news is that there are effective treatment options available to address this issue. In this comprehensive guide, we'll discuss various treatment modalities, their effectiveness, and how they can help you regain your confidence and improve your daily functioning. Read on to learn more about these treatment options, and don't forget to share this post and explore other guides on Pelvic Floor Therapy!

Pelvic Floor Exercises (Kegels)

The first line of treatment for pelvic floor prolapse is often conservative - involving pelvic floor exercises or Kegel exercises. These exercises help strengthen the pelvic floor muscles, providing better support to the pelvic organs and reducing symptoms of prolapse. Kegel exercises involve contraction and relaxation of the pelvic floor muscles, just like you would do to stop the flow of urine. It's essential to maintain proper form while performing Kegels to ensure the best possible outcomes. Consult with a pelvic floor therapist or qualified health professional to get personalized guidance on the correct technique and frequency of Kegels.


A pessary is a medical device, usually made of soft silicone, that is inserted into the vagina to support the pelvic organs. It can be an effective treatment option for women who cannot, or do not want to undergo surgery. Pessaries come in multiple shapes and sizes, and a healthcare provider must measure and fit the right one according to the individual's needs. Regular follow-ups are necessary to ensure the pessary's correct placement, maintenance, and hygiene.

Lifestyle modifications

Addressing factors that worsen pelvic floor prolapse is crucial in managing the condition. Examples of lifestyle modifications that may help include:

Weight loss

Carrying excess weight puts additional pressure on the pelvic floor muscles, thus worsening prolapse symptoms. Adopting a healthy diet and regular exercise may help in losing weight and relieving symptoms.

Avoiding heavy lifting

Heavy lifting or straining can exacerbate pelvic floor prolapse. Be cautious during activities that involve intense physical exertion, like weightlifting or carrying heavy objects.

Treating constipation

Chronic constipation can put pressure on the pelvic floor muscles, aggravating prolapse symptoms. Increase fiber intake and consult a healthcare provider about stool softeners or other medications that can help reestablish regular bowel movements.

Surgical interventions

If conservative measures are unsuccessful or if the severity of the prolapse warrants it, surgery may be recommended. Surgical options for pelvic floor prolapse include:


This procedure involves attaching the prolapsed organ(s) to the sacrum (tailbone) using a mesh, to restore the normal anatomical position.

Vaginal vault suspension

Various techniques are employed to suspend the vaginal vault (highest part of the vagina) to the sacrum or nearby supportive structures.


This surgery involves the removal of the uterus and may be considered if the uterus is prolapsed or causing other complications.

How Is Pelvic Floor Prolapse Treated Example

Megan, a 45-year-old woman, has been experiencing pelvic pressure, discomfort, and difficulty emptying her bladder. She is diagnosed with mild pelvic floor prolapse. Her healthcare provider recommends a course of pelvic floor exercises under the supervision of a specialized pelvic floor therapist. Following her therapist's guidance, Megan learns the proper technique for Kegel exercises and performs them regularly for several months. Gradually, she experiences a reduction in her symptoms and regains control of her bladder function. Megan embraces a healthier lifestyle, avoids heavy lifting, and manages her weight to ensure long-term success in managing her condition.

Pelvic floor prolapse can be a daunting condition to face, but the various treatment options available provide hope that you can regain control and improve your quality of life. From simple exercises to medical devices and surgery, you have a range of choices to address your pelvic floor health. Start by consulting a healthcare provider and exploring the best treatment path for your needs. And remember, sharing is caring! Spread the word and help others discover the world of Pelvic Floor Therapy and the benefits of understanding and addressing their pelvic health. Don't forget to explore more posts on pelvic floor therapy to empower yourself with valuable knowledge and make informed decisions about your health!


About Annie Starling

Annie Starling, MD, is a respected authority in gynaecology and women's health with over 15 years of enriching experience. Her expansive knowledge and compassionate approach have been instrumental in transforming countless lives. Alongside her medical career, Annie has an impressive acting background, bringing a unique blend of expertise and empathetic communication to her work. She's not just a doctor; she's an educator, an advocate, and a trailblazer, deeply committed to empowering women through health education. Her blog posts reflect her passion for the field, offering a wealth of insights drawn from her vast professional experience. Trust Annie to guide you on your journey to better pelvic health.

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