Uterine Prolapse

Uterine prolapse is the least common form of prolapse and occurs when the uterus has descended from its original position in the pelvis. Risk factors for developing prolapse include difficult or traumatic labor and delivery, a history of vaginal deliveries with large babies, an increased Body Mass Index (BMI), history of constipation, and the aging process which leads to muscle weakness and hormonal changes that can influence tissue health.  Symptomatically it can feel as though something is falling within the vagina, such as the sensation of a tampon, a sensation of pelvic heaviness or pressure, and is the only type of prolapse that can contribute directly to low back pain. There are four stages of prolapse, with stage one being less severe, and stage four being most severe.

Pelvic health physical therapy has most success treating stages one and two, but can be extremely beneficial even with later stages if surgery ultimately is required, to ensure best long terms outcomes post-operatively. Physical therapy sessions focus on strategies to reduce excessive pressure down on the pelvic floor, education regarding breathing and its impact on pelvic health, development of an individualized core and lower body strengthening program, and possible suggestion for a pessary fitting with a qualified medical provider.