A pelvic organ prolapse occurs when there has been stretch on the vaginal wall and structures supporting the pelvic organs. Laxity in the front or back wall of the vagina or a descending cervix (and uterus) can develop into a pelvic organ prolapse. Prolapses can be associated with feelings of vaginal or pelvic heaviness and a lump or bulge in the vagina or at the entrance to the vagina.
Front (or anterior) vaginal wall prolapses can result in the bladder bulging down into the vagina which can be uncomfortable and may impact bladder function and emptying. Back (or posterior) vaginal wall prolapses can impact bowel emptying.
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Lifestyle factors like straining, coughing, heavy lifting can all contribute to the development of pelvic organ prolapse. Pregnancy and vaginal deliveries can contribute to the development of pelvic organ prolapse. Low levels of oestrogen occurring in menopause and when breast feeding can also contribute to increased vaginal wall laxity.
Sarah will conduct a thorough assessment to determine all the factors that might be contributing to your prolapse. Factors that can be modified will then be discussed. Sarah will provide a full pelvic floor assessment and explain her findings to you so you can understand what you are feeling and what can be done to help you. Individualised pelvic floor muscle exercises, specific resistance exercise, rest and optimising bowel function can all be a part of your care plan and help reduce your symptoms.
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A pessary support might be considered to help support your prolapse if you would like to explore this option.