Pelvic organ prolapse


The organs within a woman’s pelvis (uterus, bladder and rectum) are normally held in place by ligaments and muscles known as the pelvic floor.

If these support structures are weakened by overstretching or tearing such as when you deliver a baby, the pelvic organs can bulge or sag (prolapse) down into the vagina.

 Sometimes a prolapse may be large enough to protrude outside the vagina.

Why is this occurring?

  • Genetic Predisposition
  • Weight gain
  • Constipation and Straining
  • Repeated heavy lifting
  • Childbirth especially traumatic childbirth and repeated vaginal births
  • Chronic Cough
  • Previous Prolapse Surgery
  • Previous Hysterectomy 

What are the signs and symptoms?

Women with mild prolapse may have no symptoms or discomfort at all.

Symptoms that may occur are:

  • A heavy sensation or dragging in the pelvis or vagina
  • You may be able to see or feel a lump or bulge coming from the vagina when you are in the shower or having a bath
  • Lower back pain that eases when you lie down.
  • Your bladder might not completely empty or your urine stream might be weak
  • Urinary tract infections might be reoccurring
  • It might be hard for you to empty your bowel.
  • Pain or lack of sensation during sex.

What can be done to help me?

We know 50% of people are performing their pelvic floor exercises incorrectly, 30% are causing further damage.

However, evidence shows a correct technique assessed by a Pelvic Floor Physiotherapist combined with individualised pelvic floor program can significantly reduce prolapse symptoms.

We can also provide expert advice regarding reducing aggravating factors and modifying general exercise programs