Pelvic organ prolapse happens when bladder, uterus or rectum descends from its natural position. This condition is enhanced when the pelvic floor is weak.

Symptoms of pelvic organ prolapse:

– Pain during sexual intercourse

– Leaking of urine or stool

– Back pain

– A feeling of heaviness in lower abdomen

– Bladder infections: If the urethra is bent due to the lowered position of the bladder there is a possibility of residual urine which can cause urinary infections.

– Pain during bowel movement: If the position of the rectum is affected or the uterus presses on the rectum or anal canal the bowel movement can become painful and/or constipation may occure

Common causes of pelvic organ prolapse:

– Pelvic floor weakness

– Weakness of the connective tissue (often with menopause due to the decrease in estrogen level).

– Pregnancy and birth

– Surgery in the pelvic area

– Chronic constipation

– Excessive weight

– Ageing

– Chronic bronchitis

Pelvic organ prolapse can lead to urine leakage when laughing, coughing, sneezing or jumping. In more severe cases even walking, climbing stairs and carrying loads becomes impossible. The cause of this issue is not always directly the bladder. If the uterus is sinking it can press on the bladder, which can also lead to unwanted urine loss.

What can I do?

Train your pelvic floor! The muscles of the pelvic floor can be trained like any other muscle and are the solution to counteract the sagging. The regularity of the exercises and good execution play an important role. Specially trained physiotherapists and osteopaths can help you to perceive the pelvic floor correctly in order to strengthen your pelvic floor efficiently.