07/02/2025
Hi! It's Nina here helping you to understand more about Pelvic Organ Prolapse
Do you feel a bulge, heaviness or feel like you are sitting on a ball in the pelvic area? What should you do? There is help for you! Here are some things to get you started:
See your GP/gynaecologist/women's health practitioner (me!)
Not all prolapses are the same. They can vary based on which organ is descending and how far it has descended (grade):
Cystocele: The bladder falls backward into the front va**nal wall, the most common type of prolapse
Urethrocele: A prolapse of the urethra (the tube that carries urine)
Uterine prolapse: A prolapse of the uterus
Vaginal vault prolapse: prolapse of the va**na
Enterocele: Small bowel prolapse
Rectocele: the re**um falls forward into the back va**nal wall
Prolapse will also be graded based on how far the organ has fallen
See a Pelvic Floor Therapist
Ask your doctor for a referral to pelvic floor therapy, Make an appointment with me, Nina Parnham for a discovery call. Pelvic floor therapy can rebuild and restore pelvic floor strength and function.
Breathe!
Holding your breath will create extra pressure in the abdomen, which will encourage your organs to migrate further south. Practice deep breathing on a regular basis and also exhale with movement.
Exhale with Movement
Do not hold your breath while you move. Try exhaling with the following activities:
Transitioning from lying down to sitting up
Transitioning from sitting to standing
While lifting anything (baby, groceries)
While pushing anything (strollers, wheelie bin, shovelling)
While bending over to empty the dishwasher, take out laundry, weeding your garden
Putting on your socks, shoes and pants
Getting out of the car
During exercise
Reaching overhead
Deep Breathing
Practice breathing exercises whenever you can! Stuck in traffic? Breathe! Waiting in line at the grocery store? Breathe! Frustrated with someone? Breathe! Try to practice deep breathing at least 3-4 times a day at first, and it will naturally become a tool your body uses to discharge stress and tension.
Relax shoulders and upper chest
Take a slow, deep breath in through the nose to fill the lungs fully
Hold the breath for 2-3 seconds
Breathe out slowly through the mouth, as if gently blowing on a candle
Stop Straining in the Bathroom
Constantly straining to make a bowel movement or to empty your bladder in a hurry is not only pushing your waste out, it is also pushing your organs downward.
Take your time and visualise the pelvic floor getting soft and heavy. Deep breathing, when done correctly, is much more efficient at emptying the bladder and bowel than straining and pushing.
Always sit on the toilet seat. No hovering!
Feet firmly planted on a step stool
Legs are separated to hip width’s distance or wider, elbows resting on thighs
Lean forward with your knees higher than your hips
Allow belly to get soft, floppy, and relaxed
Stay relaxed on the toilet; relax your breathing and practice deep breathing exercise as outlined above.
Allow yourself time. Don’t rush.
Taking the time to make these small changes throughout your day will reduce the pressure on your prolapse. Again, don’t freak out and set up an appointment with me to get you back to doing the things you love, symptom free. https://ninaparnham.com/?s=mot