Can You Fix a Prolapse With Pelvic Floor Exercises?

Ever heard of the term “prolapse” and wondered what it meant? It might sound scary, but it’s actually a relatively common condition, especially for women. A prolapse occurs when an organ in the pelvic area, like the bladder, uterus, or rectum, drops down and bulges into the vagina. It can happen for many reasons, from pregnancy and childbirth to aging and even chronic constipation. So, the question is, can you fix a prolapse with pelvic floor exercises?

Can You Fix a Prolapse With Pelvic Floor Exercises?
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The answer isn’t as simple as a yes or no. While pelvic floor exercises, also known as Kegels, aren’t a cure-all, they can be a vital part of managing and even preventing a prolapse. Let’s dive deeper into the world of pelvic floor health and explore how these exercises can make a difference.

Understanding the Pelvic Floor

What is the Pelvic Floor?

Think of the pelvic floor like a hammock of muscles and ligaments that stretch across the base of your pelvis. It’s like a support system for all the organs in your lower abdomen. It helps with bladder and bowel control, sexual function, and even helps maintain proper posture.

How Does it Connect to Prolapse?

When the pelvic floor muscles weaken, they lose their ability to hold those organs in place. This can lead to a prolapse, where an organ or part of it bulges through the vaginal opening. However, it’s important to remember that prolapse can have other causes beyond weakened pelvic floor muscles.

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Understanding pelvic organ prolapse (and why kegels aren't enough ...
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Who Should Consider Pelvic Floor Exercises?

Here’s a list of individuals who can greatly benefit from incorporating pelvic floor exercises into their routine:

  • Women who have recently given birth: Pregnancy and childbirth put a lot of stress on the pelvic floor muscles, often leading to weakness.
  • Women experiencing urinary or fecal incontinence: Difficulty controlling bladder or bowel function is often linked to a weakened pelvic floor.
  • Women with prolapse: While exercises may not completely resolve a prolapse, they can significantly improve symptoms and prevent further progression.
  • Older individuals, both men and women: As we age, our muscles naturally lose strength, and the pelvic floor is no exception. Regular exercise can help maintain function.
  • Individuals undergoing certain medical treatments: Surgeries or radiation therapy in the pelvic area can sometimes damage the pelvic floor muscles, highlighting the importance of strengthening these muscles.

Understanding Pelvic Floor Exercises

What are Kegels?

Kegel exercises target the pelvic floor muscles specifically. They involve contracting and releasing these muscles, similar to how you would hold back urine or stop yourself from passing gas. The key to effective Kegels is to isolate the correct muscles.

How to Find the Right Muscles:

If you’re unsure if you’re engaging the correct muscles, try this simple trick:

  • Imagine you need to stop urination midstream and use that feeling to identify those muscles.
  • You should feel a lifting sensation inside your pelvis, without tightening your belly or buttock muscles.

Types of Kegels:

Kegel exercises can be performed in various ways, including:

  • Quick contractions: Hold the contraction for a few seconds and then relax, repeat several times.
  • Long holds: Try holding the contraction for longer periods, up to 10 seconds, before relaxing.
  • Repeat sets: Aim for several sets of Kegels each day, with breaks in between.
  • Integrate with daily activities: You can do Kegels while sitting, standing, walking, and even during activities like cooking or driving.
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Benefits of Pelvic Floor Exercises

Beyond their role in managing prolapse, Kegel exercises offer a range of benefits for overall pelvic health:

  • Improved bladder control: Stronger pelvic floor muscles can help prevent urinary leakage, especially during activities like sneezing, coughing, or exercising.
  • Enhanced bowel control: Pelvic floor muscles play a crucial role in bowel function. Strengthening these muscles can help manage issues like constipation or fecal incontinence.
  • Improved sexual function: These exercises can enhance sensation and control during sexual activity, making it more satisfying.
  • Improved posture: Strong pelvic floor muscles contribute to core stability and good posture, reducing back pain and improving overall body alignment.

Caution & Considerations

Seeking Professional Guidance

While self-guided Kegels are beneficial, consulting a healthcare professional or a pelvic floor physical therapist is highly recommended. They can assess your individual needs, guide you on proper technique, and address any underlying issues that might be contributing to prolapse. Incorrectly performed exercises could even make symptoms worse.

Don’t Overdo It:

Just like any other exercise, moderation is key. Overdoing it can lead to fatigue and even worsen pelvic floor muscle tension, which can be counterproductive. Start with a few sets of Kegels daily and gradually increase the number and duration of exercises as your muscles strengthen.

Other Options:

Pelvic floor exercises are a valuable tool, but they may not be sufficient alone. For severe cases of prolapse, your healthcare provider might recommend additional interventions such as:

  • Pessaries: These are devices inserted into the vagina to support the prolapsed organ.
  • Surgery: In some cases, surgery may be necessary to repair the prolapsed organ and restore its position.
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Prolapse Prevention

While not every case of prolapse can be prevented, maintaining a healthy lifestyle can significantly reduce the risk:

  • Maintain a healthy weight: Excess weight puts extra strain on the pelvic floor muscles.
  • Engage in regular exercise: Regular physical activity strengthens muscles throughout the body, including the pelvic floor.
  • Eating a high-fiber diet: Constipation puts strain on the pelvic floor. A fiber-rich diet helps regulate bowel movements.
  • Avoid smoking: Smoking weakens muscles throughout the body, including the pelvic floor.
  • Practice good bladder habits: Don’t hold your urine for prolonged periods, empty your bladder completely each time, and avoid unnecessary straining when urinating or defecating.

Can You Fix A Prolapse With Pelvic Floor Exercises

The Takeaway

Pelvic floor exercises are an essential component of managing and preventing prolapses. They can strengthen muscles, improve symptoms, and positively impact overall pelvic health. Remember, while Kegels can be impactful, they are not a magical cure-all. Seeking professional guidance from a healthcare provider is crucial for tailored advice and personalized treatment plans.

Embrace a holistic approach that includes healthy lifestyle choices and proactive measures to strengthen your pelvic floor. If you’re experiencing symptoms or have concerns about prolapse, don’t hesitate to seek medical advice. With proper intervention and care, you can live a healthy and fulfilling life, free from the discomfort and inconvenience of prolapse.


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