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Pelvic organ prolapse
Pelvic prolapse care - supported and in control
Pelvic organ prolapse can feel overwhelming — physically and emotionally. You might notice a heaviness, bulge, or pressure in your pelvis, or changes in your bladder, bowel, or sexual function. These symptoms are common, but they can be well managed.
We provide expert physiotherapy care to help you understand your prolapse, feel supported, and take steps to improve your symptoms and quality of life.
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Experienced Clinicians – Our team has a high level of expertise dealing with a variety of pelvic conditions.
Evidence-Based Care – We use the latest research and clinical guidelines to inform your treatment.
Holistic Approach – We consider your lifestyle, goals, and wellbeing—not just your pain.
Supportive Environment – We take the time to listen, educate, and support you every step of the way.
Why is physiotherapy important for pelvic organ prolapse?
Pelvic organ prolapse happens when the muscles and tissues that support the pelvic organs (bladder, uterus, bowel) become stretched or weakened. This can cause one or more of these organs to drop into the vaginal space.
You might notice:
- A feeling of heaviness, pressure, or bulging in the vagina
- Bladder changes, such as leaking or difficulty emptying
- Bowel changes, such as constipation or incomplete emptying
- Discomfort during exercise, standing, or intimacy
Prolapse is common after pregnancy, childbirth, or menopause, but it can also happen at other times in life.Our goal is to help you feel understood, supported, and empowered with a treatment plan tailored to you and your goals.
Your physiotherapy program may include:
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Pelvic floor assessment and treatment – evidence-based techniques to release tension or strengthen where needed
- Bladder and bowel education – so you can better understand your condition and how to support it
- Exercise and movement therapy – to restore strength, flexibility, and confidence
- Relaxation and breathing techniques – to reduce tension and pain flare-ups
Pessary fittings
Our physiotherapists are equipped to fit pessary devices that are placed inside the vagina to support the uterus and rectum to prevent prolapses from recurring.
How long do I leave my pessary in place?
- It depends on the type of pessary that's needed. Some can be left in for a week and others need to be removed daily.
Can I have sex with a pessary in place ?
- No, it needs to be removed.
Does a pessary increase the risk of infection or odour?
- Like any foreign matter in the body, there is always a small risk - your physiotherapist will discuss with you how to minimise this.
Is it painful to have fitted or have in situ?
- No, your pessary should be comfortable. It may take several trials of different pessaries to find the one that best suits you.