Maternity Physio and Pelvic Health

POP! – Pelvic Organ Prolapse

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POP is short for Pelvic Organ Prolapse. POP happens when the one or more of the organs inside your pelvis (bladder/bowel/uterus) fall or protrude into the vaginal canal. 50% of women will have some degree of POP after childbirth. Eek! But don`t panic, it normal for things to shift around after a pregnancy and things can improve drastically with time, healing, cessation of breastfeeding and good pelvic floor rehab.

I’m here to shed some light on POP and spread the POP word. Pregnancy and childbirth can cause a weakened pelvic floor and stretched connective tissue down there, meaning it`s not supporting these organs and holding them up where they should be.  The funny thing about POP is that it doesn’t always have symptoms (listed below) but it can still be lurking around. So its always a good idea to allow your body time to heal and recover after birth, gradually building up the activity.

By the way, this postnatal condition is also relevant to C-section mums as its the pregnancy itself which can stretch the pelvic floor along with its physical, postural and hormonal changes. pelvic_floor

As I said, you may have POP without symptoms or they can become more apparent later in life with hormonal changes or maybe you have taken on too much too soon after birth (no Burpees please 🙂

But just in case you`re wondering, Here are some of the signs that POP may be part or your life at the moment Or there are “strange happenings down there”

  • a bulging feeling inside your vagina
  • a general heaviness down there, especially on standing activity or by the end of the day.
  • Leaking urine on exertion
  • difficulty voiding your bladder or bowel fully
  • painful sex
  • an inserted tampon just doesn’t sit right
  • your urine spray has actually changed!

There are various degrees of POP which can be assessed by a pelvic floor Physiotherapist or Gynaecologist. They will look at your perineum and into the vagina as you push downwards or cough, to see if there is any pelvic organ drop. The good news is that POP and its associated symptoms can be helped and even improved with the right pelvic floor rehab with the guidance of a pelvic floor Physiotherapist and or the use of a pessary (or sports bra for your vagina, as I like to call it). This avoids the need for surgery ,which is not always successful. So don’t struggle on, get help.

The following guidelines and lifestyle habits can make a huge difference in avoiding and improving POP, which would be a great idea to follow during and after being pregnant.

Avoiding constipation– with good diet and hydration.  Straining too much during a bowel motion will just stretch the pelvic floor muscles further.

Avoid lifting heavy things -if you can, when you do need to lift something or even get up from a chair get into the habit of exhaling and zipping up you pelvic floor. Breathing out will ensure you get rid of unnecessary pressure pushing down on your pelvic floor. Pre-zipping your pelvic floor is protecting your pelvic organs, holding them up!

Avoid impact exercise too early– I know I am banging on a bit but its true that often new mums are eager to get back to their pre-pregnancy self (I`ve been there and done stupid things myself). However, it is important to ensure you strengthen the pelvic floor and core muscles so they are up to the task of slinging up your organs before adding in the demand of impact such as running or Zumba! Make that bridge from delivery to full on exercise count. Love your pelvic floor now and it will love you back for life.

If you would like some deeper info- check out this interview with Michelle Lyons- an expert physio who knows lots about POP –HERE

You can also check out this article on vaginal exercisers which can help with pelvic floor strengthening