Pelvic organ prolapse doesn't have to stop you doing the things you love.

Pelvic organ prolapse is a common condition that can occur when the muscles and connective tissues supporting the pelvic organs become weakened or stretched. While it is more common after pregnancy and childbirth, it can also occur during menopause, after pelvic surgery, or simply as part of the ageing process.

Many women live with symptoms for months or years because they believe it's a normal part of getting older or having children. Although prolapse is common, it is not something you have to simply put up with. Pelvic health physiotherapy can help manage symptoms, improve pelvic floor function and support you in returning to the activities that are important to you.

What is pelvic organ prolapse?

Pelvic organ prolapse occurs when one or more of the pelvic organs, such as the bladder, uterus or bowel, descend into the vaginal canal due to reduced support from the pelvic floor muscles and surrounding connective tissues.

There are different types of prolapse, including:
  • Bladder prolapse (cystocele)
  • Uterine prolapse
  • Rectal prolapse into the vagina (rectocele)
  • Small bowel prolapse (enterocele)

Some women have a prolapse without experiencing any symptoms, while others notice symptoms that affect their daily life or ability to exercise.

Common symptoms of pelvic organ prolapse

Symptoms vary from person to person but may include:
  • A feeling of heaviness, dragging or pressure in the pelvis
  • A bulge or lump in the vagina
  • A sensation that something is "falling down"
  • Difficulty emptying the bladder or bowel
  • Urinary leakage
  • Pelvic discomfort during prolonged standing or exercise
  • Symptoms that worsen later in the day or after heavy lifting

If you're experiencing these symptoms, an assessment with a pelvic health physiotherapist can help determine whether prolapse may be contributing.

Who is at risk?

Pelvic organ prolapse can affect women of all ages, but it is more common in those who have experienced:
  • Pregnancy and vaginal birth
  • Forceps or vacuum-assisted delivery
  • Maternal birth injuries
  • Menopause
  • Chronic constipation
  • Repeated heavy lifting
  • Persistent coughing
  • Previous pelvic surgery

Having one or more of these risk factors does not necessarily mean you will develop a prolapse, but they can increase the likelihood.

How can physiotherapy help?

Pelvic health physiotherapy is often recommended as a first-line treatment for pelvic organ prolapse.

Treatment may include:
  • Assessment of your symptoms and pelvic floor function
  • Individualised pelvic floor muscle training
  • Advice on managing pressure through the abdomen during lifting and exercise
  • Strategies to reduce symptom aggravation
  • Core and hip strengthening
  • Education about bladder and bowel habits
  • A graduated return to exercise and daily activities

Every treatment plan is tailored to your symptoms, lifestyle and goals.

Learn more about our Pelvic Health Physiotherapy service and how we can support your recovery.
Wondering whether you can continue exercising with a prolapse? Read our guide to Can I Exercise With Pelvic Organ Prolapse? for more information about managing exercise and building your strength safely.

Book an appointment

If you're experiencing symptoms of pelvic organ prolapse, our pelvic health physiotherapists can assess your concerns and develop an individualised treatment plan to help you feel confident and supported.

Book an appointment with Better Bodies Physiotherapy in Palmerston North today.

Prolapse FAQ

Will my prolapse go away?
A prolapse often doesn't always completely disappear, but many women experience significant improvements in their symptoms with appropriate physiotherapy, pelvic floor rehabilitation and lifestyle advice.
Do I need a referral to see a pelvic health physiotherapist?
No. You can book directly with Better Bodies Physiotherapy without a referral. If your prolapse is due to a maternal birth injury, you may be covered by ACC, we'll discuss this with you during your appointment and help guide you through the process if appropriate.
Can I still exercise if I have a prolapse?
In most cases, yes. Exercise is important for overall health, but certain activities may need to be modified while your symptoms are managed. Your physiotherapist can help you return to exercise safely and confidently.
Is pelvic organ prolapse common after childbirth?
Yes. Pregnancy and childbirth place significant demands on the pelvic floor, increasing the risk of prolapse. While many women recover well, some continue to experience symptoms that can benefit from physiotherapy.
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