Pelvic Organ Prolapse (POP)
Definition
Pelvic organ prolapse occurs when one or more pelvic organs—such as the bladder, uterus, or bowel—descend into or outside the vaginal canal due to a loss of support from the pelvic floor muscles and connective tissues. Pelvic organ prolapse can vary from mild heaviness to visible bulging and may cause discomfort, pressure, or changes in bladder and bowel function.
Symptoms
Sensation of heaviness, pressure, or dragging in the vagina or pelvis
Visible bulge or lump in the vaginal area
Difficulty emptying the bladder or bowels
Leakage with coughing, sneezing, or exercise
Lower back or pelvic pain that worsens at the end of the day
Discomfort or reduced sensation during intercourse
Who is Most Affected?
Pelvic organ prolapse is more common in:
Women after childbirth, especially vaginal or forceps deliveries
Postmenopausal women due to hormonal changes
People with chronic coughing, constipation, or heavy lifting occupations
Individuals with connective tissue weakness or obesity
Those with a history of pelvic surgery
Management Approaches
Pelvic Floor Osteopathy can help manage pelvic organ prolapse through:
Pelvic floor muscle assessment and strengthening
Education on posture, lifting, and bladder/bowel habits
Manual therapy to improve pelvic mobility and tissue support
Guidance on pessary use and lifestyle modifications
Key Point
Pelvic organ prolapse is common but highly treatable. With the right support, education, and targeted pelvic floor care, many people experience lasting relief, improved comfort, and renewed confidence in daily life.
