Pelvic Organ Support &Pessary Fitting

Understanding Pelvic Organ Prolapse

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).

While prolapse is very common, it’s not something you haveto simply “live with.”There are gentle, effective ways to manage symptoms and improve your comfort and quality of life.

Common Symptoms of Pelvic Organ Prolapse

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.

How We Can Help

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.

One of the most effective, non-surgical options for prolapse management is pessary fitting.

What Is a Pessary?

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 come in different shapes and sizes, and your physiotherapist will help you find the right one for your body and lifestyle.

What to Expect in Your Consultation

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 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.

Our Treatment Approach

Your management plan may include:

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

Bladder and bowel management strategies to reduce strain

Lifestyle advice — including posture, lifting techniques, and exercise modification

TENS therapy or other modalities to help with pelvic discomfort

Our goal is to help you feel supported — literally and emotionally — through every stage of your recovery.

Our Expert Women’s Health Physio