Curious about what prolapse feels like? Worried you might have it? Receiving a diagnosis of Pelvic Organ Prolapse can be overwhelming, leaving you feeling uncertain about even the simplest activities like sneezing without experiencing vaginal pressure. It's normal to feel confused and unsure about finding effective solutions.

While it's true that searching online for answers can be disheartening, it's important to remember that not all prolapse diagnoses are the same. The good news is that many cases of prolapse can be treated without resorting to surgery. There are likely ways you can improve your condition and find relief. However, to determine the appropriate treatment for prolapse, it's essential to have a clear understanding of what it entails.

Instead of relying solely on internet searches, seeking professional guidance is crucial. Consulting with a healthcare provider, such as a Pelvic Health Physiotherapist, can provide you with the support and knowledge you need. We can offer tailored recommendations based on your specific situation.

Remember, you don't have to face Pelvic Organ Prolapse alone. With the right information and support, you can take proactive steps towards managing and improving your prolapse symptoms.

What is Pelvic Organ Prolapse?

Pelvic Organ Prolapse refers to a condition where one or more pelvic organs descend or protrude into the vaginal walls due to weakened or stretched connective tissues that normally support them. There are different types of prolapse, each affecting specific organs within the pelvic region.

1. Anterior Prolapse:

   This occurs when the bladder or urethra droops down into the vaginal space. It can lead to symptoms such as urinary incontinence, frequent urination, or a sensation of pressure in the pelvic area.

2. Posterior Prolapse:

   In this case, the rectum or intestines sag into the vagina. Symptoms may include difficulty with bowel movements, a feeling of incomplete emptying, or discomfort during bowel movements.

3. Apical Prolapse:

   Apical prolapse involves the descent of the cervix or scar tissue from a previous hysterectomy into the vaginal canal. It can cause a sense of heaviness or pulling in the pelvis.

The weakening or stretching of the pelvic support structures can occur due to various factors such as pregnancy, childbirth, hormonal changes, obesity, chronic coughing, or repeated heavy lifting. While pelvic organ prolapse can be distressing and affect your quality of life, it's important to know that effective treatment options are available.

What does prolapse feel like?

 Pelvic organ prolapse (POP) can manifest with various symptoms that may impact your daily life. Some common sensations associated with prolapse include

1. Vaginal pressure or bulging:

   You might experience a sensation of pressure or a bulging feeling, as if something is trying to protrude from your vagina. This can be particularly noticeable when standing or engaging in physical activities.

2. Feeling that your insides are falling out:

   Prolapse may give you a sense that your internal organs are descending or "falling out" of your vagina. This can be distressing and uncomfortable.

3. Low back pain:

   Many individuals with pelvic organ prolapse may experience low back pain that worsens throughout the day. The discomfort is often relieved by lying down.

4. Pelvic heaviness:

   A feeling of pelvic heaviness or fullness is a common symptom. It may be more pronounced towards the end of the day, especially after prolonged periods of standing or physical exertion.

5. Difficulty emptying the bladder or bowels:

   Prolapse can affect the proper functioning of the urinary and digestive systems. You may struggle with fully emptying your bladder or bowels, leading to a sense of incomplete evacuation.

6. Need to re-position during bowel movements:

   Some individuals with prolapse find that they need to change their position or support their perineum manually during bowel movements to help with emptying.

7. Urinary leakage:

   Prolapse can contribute to urinary incontinence, causing involuntary urine leakage, particularly during activities that put pressure on the pelvic area, such as coughing, sneezing, or exercising.

It's important to note that these symptoms can vary in intensity and may not be experienced by everyone with pelvic organ prolapse.

Grades of Prolapse

Pelvic organ prolapse can be classified into varying stages or degrees based on the Pelvic Organ Prolapse Quantification (POP-Q) system. This system measures the degree of descent, location, and size of the bladder, uterus, and rectum relative to standardized points in the vagina, such as the hymen or anterior commissure.

The grades of prolapse range from 0 to 4, representing the severity of the condition:

• Grade 0:

  No prolapse is present. The pelvic organs are in their normal anatomical position.

• Grade 1:

  Mild prolapse where the organs descend slightly but remain within the upper half of the vagina.

• Grade 2:

  Moderate prolapse where the organs descend to the level of the hymen.

• Grade 3:

  Severe prolapse where the organs descend beyond the hymen but do not protrude from the vaginal opening.

• Grade 4:

  The most advanced stage of prolapse where the organ involved protrudes outside the vaginal opening. This stage usually requires surgical intervention.

For grades 1 to 3, Pelvic Physiotherapy and supportive devices can be effective treatment options. PT aims to address the underlying factors contributing to prolapse and helps you strengthen the muscles. 

Pelvic physiotherapists can help improve muscle tone, pelvic floor strength, and provide support to the pelvic organs. Your Pelvic Health Physiotherapist can assess your specific condition and develop a personalized treatment plan tailored to your needs. They can guide you through exercises, lifestyle modifications, and the appropriate use of supportive devices to manage and potentially improve your prolapse.

Remember, early intervention and seeking professional guidance are key to effectively addressing pelvic organ prolapse and promoting optimal pelvic health.

When seeking treatment for pelvic organ prolapse… 

It's important to start by consulting with Pelvic Health Experts , such as our Pelvic Physiotherapists at Harmony Physiotherapy, Ottawa. Your Team Harmony Physiotherapist will guide you through the process and develop a personalized treatment plan based on your specific needs. Here's an overview of what you can expect during your initial evaluation:

Thorough History: 

At Harmony Physiotherapy, Ottawa your pelvic physiotherapist will take a comprehensive history, asking about your daily activities, physical job requirements, bowel and bladder function, any pain or discomfort during intercourse, and details about your pregnancies and deliveries. This information helps them understand the potential factors contributing to your prolapse and tailor the treatment accordingly.

Assessment of Daily Routine: 

Your therapist will assess your day-to-day activities to identify any physical stresses or habits that may be impacting your pelvic floor. Understanding your exercise routine, including the types of exercises you do and their intensity, will also be taken into consideration.

Internal Assessment: 

A crucial part of the evaluation may involve an internal assessment, where the physiotherapist will assess the tone, strength, and coordination of your pelvic floor muscles. 

Treatment Plan: 

Based on the information gathered, your Pelvic Physiotherapist will develop a customized treatment plan. This may include a combination of techniques such as pelvic floor exercises, manual therapy, biofeedback, lifestyle modifications, and education about posture and body mechanics. They will guide you through each step, ensuring your comfort and addressing any concerns along the way.

The aim of treatment is to strengthen and support the pelvic floor muscles, improve muscle coordination, and manage any associated symptoms. Your physiotherapist at Harmony Physiotherapy, Ottawa  will also provide guidance on self-care strategies and offer recommendations for supportive devices, if needed.

Remember, treatment for pelvic organ prolapse is highly individualized, and the expertise of a pelvic health expert at Harmony Physiotherapy Ottawa  is invaluable. They will work with you to develop a comprehensive plan that addresses your specific needs and helps you achieve optimal pelvic health.

Contact Harmony Physiotherapy Ottawa at our clinic to get the care you need!