On the Blog: Pelvic Organ Prolapse
Understanding Pelvic Organ Prolapse: What It Is and What Causes It
Pelvic organ prolapse (POP) occurs when one or more of the pelvic organs—such as the bladder, bowel, or uterus— descend into the vaginal canal. This happens when the supporting muscles and ligaments in the pelvic region stretch or weaken, causing the organs to shift with gravity. While it is often associated with pregnancy and childbirth, prolapse can occur in anyone, even without a history of childbirth.
What causes pelvic organ prolapse?
Pregnancy and childbirth are significant risk factors for prolapse due to the added weight and strain on the pelvic floor muscles. The stretching of ligaments and pelvic floor muscle dysfunction from birth can weaken the support structure of the organs. However, there are several other risk factors that can contribute to prolapse, including:
Repeated heavy lifting: Straining the pelvic area with frequent heavy lifting without proper strength and support from the pelvic floor can put pressure onto the pelvic organs.
Prolonged high-intensity exercise: Intense physical activity without appropriate pelvic floor strength can contribute to prolapse.
Chronic constipation: Straining during bowel movements can increase pressure on the pelvic organs, leading to prolapse.
Chronic coughing: Conditions like asthma or a persistent cough can exert pressure on the pelvic floor, increasing the risk of prolapse.
Menopause: Hormonal changes during menopause can weaken the pelvic floor and connective tissues, increasing the risk of prolapse.
Perineal or pelvic floor trauma: Damage during birth, especially with the use of forceps or vacuum delivery, can increase the risk of prolapse.
Managing Prolapse
While pelvic organ prolapse can be a challenging condition, it’s important to know that treatment options are available. If you suspect you have prolapse or are experiencing symptoms like pelvic heaviness or urinary urgency, or difficulty emptying your bladder or bowel, it’s important to consult with a healthcare professional who can assess your pelvic floor health and recommend a personalised treatment plan. With early intervention and appropriate management, prolapse can be managed effectively, helping you to regain comfort and confidence in your daily life.
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