Written by a pelvic floor physical therapist at Empower Your Pelvis, in Kansas City, Missouri (Lee Summit, MO and Overland Park, KS)

Did you know that up to 50% of women who have had children may experience some form of pelvic organ prolapse (POP)? It's a condition that isn't often talked about, but it’s more common than you might think—and it’s something many women deal with, especially after pregnancy and childbirth.

What is Pelvic Organ Prolapse?

Pelvic organ prolapse (POP) occurs when one or more of the pelvic organs, such as the bladder, uterus, or rectum, shift from their normal position and press against the walls of the vagina. This can happen when the pelvic floor muscles and tissues become weakened or stretched, often due to pregnancy, childbirth, or even aging.

3 Most Common Types of Pelvic Organ Prolapse (POP)

1. Cystocele (Bladder Prolapse):
   A cystocele occurs when the bladder drops and presses against the vaginal wall. Women with cystocele often report feeling pressure in the vaginal area, especially during or after lifting heavy objects, such as babywearing. This pressure can also be felt when the rectum fills with stool, further pressing against the bladder.

2. Uterine Prolapse:
   After pregnancy and childbirth, the uterus may shift lower in the pelvic region. Some women experience difficulty keeping a tampon in place or find intercourse uncomfortable due to the cervix being hit during deeper penetration. It’s important to note that the uterus naturally moves up and down during different stages of the menstrual cycle, which is why discomfort may be more noticeable between days 14-21 of the cycle, though this can vary for each woman.

3. Rectocele (Rectum Prolapse):
Rectocele happens when the rectum bulges into the vaginal wall. Women with rectocele may feel a noticeable bulge in the vagina when the rectum is full of stool. In some cases, women need to "splint," meaning they use their fingers to apply pressure inside the vagina to help empty the bowels during a bowel movement.

Signs and Symptoms of Pelvic Organ Prolapse

Not everyone with pelvic organ prolapse will notice symptoms, but here are some common signs to watch for:

• A feeling of pressure or heaviness in the pelvic area

• Difficulty emptying the bladder or bowel

• A bulge or protrusion in the vaginal area

• Lower back pain or discomfort

• Pain during intercourse

If you’re experiencing any of these symptoms, it’s important to consult with a pelvic health specialist to get the support and care you need.

What Causes Pelvic Organ Prolapse?

While childbirth is one of the most common causes of POP, there are other contributing factors as well:

• Pregnancy and childbirth: The strain on your pelvic muscles during pregnancy and delivery can lead to weakening over time.

• Aging and menopause: As we age, estrogen levels drop, which can weaken the connective tissues in the pelvic area.

• Chronic coughing or constipation: Repeated straining can increase the pressure on your pelvic floor.

• Heavy lifting: Lifting heavy objects frequently can contribute to pelvic floor strain.

Treatment Options for Pelvic Organ Prolapse

The good news is, there are several treatment options available to help manage pelvic organ prolapse. Depending on the severity, your healthcare provider may recommend:

• Pelvic floor physical therapy: Strengthening the pelvic muscles through specific exercises can provide relief and even reverse some cases of prolapse.

• Pessaries: A pessary is a small device inserted into the vagina to help support the pelvic organs.

• Surgery: In more severe cases, surgical intervention may be necessary to restore the organs to their proper position.

Take Control of Your Pelvic Health

If you suspect you might have pelvic organ prolapse, you’re not alone—and you don’t have to live with discomfort. Consulting with a pelvic floor physical therapist can help you better understand your condition and develop a treatment plan tailored to your needs.

At Empower Your Pelvis, we specialize in helping women regain control and confidence in their pelvic health. Our team of experts is here to guide you through your journey with personalized care, including pelvic floor exercises and education to support your long-term wellness.

Get Professional Help

If you're looking for “pelvic floor therapy near me”, consider scheduling a consultation at one of our locations in Kansas City-Overland Park, Kansas, or Lees Summit, Missouri. Click here to book your appointment.

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With wellness in your pelvis-

Amanda Fisher, PT, DPT
Owner, Empower Your Pelvis, a pelvic floor physical therapy clinic in Kansas City (Lee’s Summit, MO and Overland Park, KS)