Pelvic organ prolapse happens when the muscles and tissues that support the pelvic organs — such as the bladder, uterus, or bowel — become stretched or weakened.This can happen after childbirth, menopause, or with ongoing pressure on thepelvic floor (like heavy lifting or chronic constipation).
Pelvic floor prolapse can affect comfort and daily activities. Physiotherapy may support symptom management for chronic pelvic pain through an individualised approach based on your needs.
You might notice:
A feeling of heaviness, pressure, or bulging in the vagina
A sensation of “something coming down”
Discomfort or dragging in the lower abdomen or back
Leaking urine or difficulty emptying the bladder completely
Changes in bowel control
Discomfort during intimacy
Feeling that symptoms worsen after long periods of standing or at the end of the day
These symptoms can vary from mild to more noticeable — but support is available.
Our Women’s Health Physiotherapists are specially trained to assess and manage pelvic organ prolapse and related symptoms. We take the time to understand your concerns, assess your pelvic floor support, and discuss all the options available to help you feel more comfortable and confident.
Pessary fitting can be an effective, non-surgical option for managing pelvic organ prolapse.
A pessary is a small medical device, made of soft silicone, that is placed inside the vagina to help support the pelvic organs. It works a bit like a brace — providing gentle support to reduce the feeling of pressure or bulging.
Pessaries for bladder prolapse, uterine prolapse or vaginal prolapse come in different shapes and sizes, and your physiotherapist will help you find the right one for your body and lifestyle.
Your appointment will include:
A private discussion about your symptoms and medical history
A gentle pelvic examination (only with your consent) to assess the level and type of prolapse
Pessary fitting and trial, to ensure comfort and support
Education on how to care for your pessary — including insertion, removal, and cleaning
Pelvic floor exercises and muscle training to improve your long-term support
Guidance on daily habits, exercise, and self-care to prevent symptom worsening
Follow-up appointments are important to make sure your pessary continues to fit well and feels comfortable.
Pessary fitting and ongoing review
Pelvic floor muscle training to build strength and endurance
Reformer Training to strengthen deep core and pelvic floor to improve inner stability and pelvic support
Lifestyle advice — including posture, lifting techniques, and exercise modification
TENS therapy or other modalities to help with pelvic discomfort
Our goal is to provide practical and emotional support throughout each patient’s pelvic health care and recovery.
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