Pelvic organ prolapse (POP) happens when the pelvic floor muscles and tissues become weak or stretched, causing one or more organs in the pelvis—like the bladder, uterus, rectum, or vaginal walls—to drop out of their usual position.
It’s a common condition, especially among women who have had children, going through menopause, or experienced pelvic surgery or trauma. Here’s how to recognise the symptoms and manage POP effectively.
Symptoms of Pelvic Organ Prolapse
The symptoms of pelvic organ prolapse can vary depending on the organ involved and the severity of the condition. Common symptoms include:
Pelvic Pressure or Heaviness
A sensation of pressure, heaviness, or fullness in the pelvis often worsens after prolonged standing or physical activity.
Vaginal Bulge
A visible or palpable bulge of tissue at the vaginal opening, especially when straining, coughing, or lifting heavy objects.
Urinary Issues
Difficulty starting or completing urination.
Increased frequency or urgency to urinate.
Stress incontinence (leakage when sneezing, coughing, or exercising).
Bowel Symptoms
Difficulty emptying the bowels.
A feeling of rectal fullness or blockage.
Pain or Discomfort During Intercourse
Pain or a sensation of looseness during intimacy can impact relationships and confidence.
Lower Back Pain
Mild, dull pain in the lower back due to the strain from the prolapsed organs.
Advice from a Gynaecologist
1. Seek a Medical Evaluation Early
If you suspect POP, consult a gynaecologist promptly. Early assessment helps determine the type and severity of prolapse. A physical exam or imaging may be needed to confirm the diagnosis.
2. Practice Pelvic Floor Exercises
Strengthening pelvic floor muscles through Kegel exercises can help support pelvic organs and reduce symptoms. A pelvic physiotherapist can teach you proper techniques for maximum benefit.
3. Make Lifestyle Adjustments
Maintain a Healthy Weight: Reducing excess pressure on the pelvic floor.
Avoid Heavy Lifting: Minimize activities that strain the pelvic muscles.
Prevent Constipation: Eat a fibre-rich diet, stay hydrated, and avoid straining during bowel movements.
4. Consider Medical or Surgical Options
Pessary Device: A removable silicone device inserted into the vagina to support the pelvic organs.
Surgery: Surgery can restore normal anatomy and relieve symptoms in severe cases.
Takeaway
Pelvic organ prolapse can be uncomfortable, but it’s manageable with early intervention and the right treatment plan. Don’t hesitate to seek advice from Dr Anmar Mariud; you don’t have to live with discomfort.