CLINICAL CONDITIONS

Pelvic organ prolapse: symptoms and management

Prolapse, sometimes called organ descent, is a common condition — affecting an estimated 1 in 3 women after the age of 40. It can affect quality of life, and often raises a lot of questions. Understanding what's happening, recognizing the symptoms, and knowing what solutions are available can make a real difference in living well with prolapse.

What is pelvic organ prolapse?

  • Pelvic organ prolapse occurs when the bladder, uterus, or rectum descends within the pelvis and presses against the vaginal wall, in some cases, leading to partial or complete exteriorization of one or more organs.
  • This can be transient, especially after childbirth, sometimes resolving gradually on its own, or it can become permanent.
  • It can cause significant discomfort, affect quality of life, lower self-esteem, impact body image, and limit certain physical, social, and sexual activities.
  • Prolapse is still often treated as taboo - something many women feel ashamed of, or simply don't understand.
  • Common predisposing factors include:
  • Age, and the natural loss of pelvic floor muscle tone
  • Menopause and the resulting decline in estrogen
  • Multiple or traumatic childbirths
  • Obesity
  • Carrying heavy loads or repeated physical strain
  • Chronic constipation
  • What to do in case of organ prolapse?

    Prolapse can be treated or its symptoms managed, depending on severity, quality of life, and impact on anatomical structures.

    Perineal rehabilitation

    Perineal rehabilitation helps strengthen the pelvic muscles and may limit the progression of prolapse or reduce symptoms. It can be carried out with a pelvic floor physiotherapist or a trained midwife, through contraction exercises, biofeedback, or electrostimulation.

    Pessaries

    A pessary is a medical device inserted into the vagina to support prolapsed organs. It is an effective non-surgical alternative for women wishing to avoid surgery. Think of it as a removable shelf that allows pelvic organs to sit higher in the vagina. Some women wear one daily, while others only during certain activities (like exercise).

    Compression underwear

    Pelvinity offers an innovative, non-invasive way to relieve symptoms of heaviness or pressure, and may be a welcome option for women who find the ring or cube pessary uncomfortable or impractical. Designed specifically for women with prolapse or vulvar varices, it provides targeted support through a compression hammock effect.

    Surgery

    There are several surgical techniques, each with advantages and limitations. If you feel your symptoms are progressing or if conservative management techniques aren't sufficient, speak to your healthcare professional to understand your options.

    Pelvinity: targeted pelvic compression

    Discomfort associated with pelvic organ prolapse aren't something you simply have to accept. Solutions exist to relieve symptoms and improve quality of life.

    Whether through pelvic floor rehabilitation, a pessary, or a support garment like Pelvinity, you can find an approach suited to your needs.

    If you're experiencing significant discomfort, talk to your doctor — together, you can find the best path forward for your situation.

    Discover Pelvinity: targeted compression for symptom relief