Bulge Down There?

Pelvic organ prolapse is when one or more of the organs in the pelvis slip down from their normal position and bulge into the vagina. A prolapse happens when the pelvic muscles and tissues are too weak to support these organs. Although concerning, it is not life threatening, but it can cause pain/ discomfort. Prolapse is usually addressed with conservative care first- involving taking pressure off the prolapse and strengthening.

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Contributing factors for prolapse can be due to tears during childbirth, chronic constipation, asthma, allergies, COPD, hormonal changes, aging, previous surgeries, pelvic floor muscle strength, or also being overweight.

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Here are some things to try. Get pressure off those organs!

• Manage constipation by keeping stools soft and avoid excessive pushing during a bowel movement is key.

• Standing, lifting, etc puts excessive pressure on the prolapse, so put your feet up in middle of your day to bring the prolapse back up towards your head.

• Avoid excessive lifting, but if you have to remember not to hold your breath! The motto is "Blow as you go" meaning, exhale as you lift or exerting yourself as this will decrease extra pressure on the bulge.

• Avoid straining when urinating- remember to breathe 

• Bridges- My favorite "go to" exercise if you do not experience any back pain.

• Pessary can be prescribed from your MD to help with positioning of the prolapse

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Here is a great link and visualization from ACOG- American College of Obstetricians and Gynecologists that shows what a prolapse looks like!

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Check in with your MD or pelvic floor physical therapist to help prevent worsening and to help manage your symptoms if you suspect a prolapse.

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