June Shines a Light on Pelvic Organ Prolapse

June is Pelvic Organ Prolapse (POP) Awareness Month, a time to highlight a condition that affects nearly 50% of women, yet remains widely misunderstood—and often unspoken. Though not life-threatening, pelvic organ prolapse won’t resolve on its own and can seriously affect quality of life if left untreated.
What happens in Pelvic Organ Prolapse?
Pelvic organ prolapse occurs when the muscles and ligaments that support the pelvic organs—bladder, uterus, vagina, and bowel—become weakened or damaged. As a result, one or more of these organs may bulge into or even outside the vaginal canal. This can occur in the front wall (anterior), back wall (posterior), or the top of the vagina (apical)—and many women experience prolapse in more than one area simultaneously.
Symptoms of Pelvic Organ Prolapse
Symptoms can range from a feeling of heaviness or pressure in the pelvis, to urinary leakage, constipation, or a noticeable bulge in the vaginal area. Many women also report discomfort during sex or a sensation that “something is falling out.” While mild cases may go unnoticed, moderate to severe prolapse can significantly impact daily life.
Common Causes
Common causes include pregnancy and childbirth, chronic coughing, straining due to constipation, and repeated heavy lifting. Symptoms may include a dragging sensation in the pelvis, a feeling of a bulge, urinary or bowel changes, and discomfort during sex.
Prolapse Treatment Options
Historically, surgery was considered the only solution. Today, pelvic health physical therapy offers a non-invasive, highly effective alternative or complement. Trained physical therapists assess pelvic floor muscle function and guide patients through targeted rehabilitation.
But There is Conservative Treatment
Pelvic health physical therapy offers a non-invasive, evidence-based path forward. Trained therapists can guide patients through pelvic floor muscle training, core strengthening, and pressure management techniques that support and stabilize weakened tissue. These exercises not only relieve symptoms but may also help prevent progression in mild to moderate cases.
If you suspect prolapse, speak to your healthcare provider. With early intervention and the right care, many women can avoid surgery—and reclaim their sense of comfort and control.