Many women (young and older) notice a feeling that something is “not quite right” in their pelvis. It might come on suddenly when lifting or coughing, or build up slowly in the afternoon after a busy day. It might be there all the time.
If you’re noticing these changes, you’re not alone — and you don’t have to just “put up with it”.
Ready to get clarity? A Women’s & Pelvic Health physiotherapy assessment can help identify what’s going on and give you a plan.
- Book Women’s & Pelvic Health Physio: https://whittleseaphysiotherapy.bookings.pracsuite.com/guest
- Prefer to talk first? Call 03 9716 2250
What does prolapse feel like?
People describe prolapse symptoms in different ways. Common descriptions include:
- A heavy, dragging, or pressure sensation in the pelvis
- A bulging feeling in or near the vagina
- Symptoms that feel worse later in the day or after being on your feet
- Symptoms triggered by lifting, coughing, sneezing, or straining
It’s important to get checked by a doctor, because sometimes (rarely) pelvic symptoms can be due to something more serious. More often, these symptoms relate to pelvic floor muscle weakness and/or pelvic organ prolapse.
What is pelvic organ prolapse?
Pelvic organ prolapse happens when the pelvic organs (such as the bladder, uterus, or bowel) move downward and create pressure against the vaginal wall. This can contribute to that “not quite right” sensation.
Prolapse is very common. Childbirth is often a main contributor, because some of the supporting structures in the pelvis can become overstretched. Women who’ve never had children can experience prolapse too, particularly if they have a hypermobility disorder.
Even though it’s common, that doesn’t mean you have to live with symptoms or assume nothing can be done.
What causes prolapse (and who is at risk)?
Prolapse and pelvic floor weakness can be influenced by a mix of factors, including:
- Pregnancy and childbirth
- Constipation and straining
- Repeated heavy lifting
- Chronic coughing
- Reduced tissue support with age and hormonal changes
- Hypermobility disorders
How pelvic health physiotherapy can help
Treatment depends on what’s happening for you.
Typically, a pelvic health physio will:
- Discuss your symptoms, goals, and relevant history
- Assess your prolapse (for example, which area is involved and how it behaves with movement)
- Assess pelvic floor muscle function (strength, coordination, and endurance)
From there, we usually recommend a tailored plan which may include:
- Specific pelvic floor exercises (and making sure you’re doing them effectively)
- Advice to reduce pressure on the pelvic floor during daily activities
- Strategies to help you stay active safely
For many women, the right exercises and strategies can significantly reduce symptoms over time.
Practical tips to reduce symptoms (starting today)
Depending on your situation, symptom management strategies may include:
- Managing constipation: enough fibre and water, good toilet posture, and medications if needed (as advised by your GP/pharmacist)
- Rest breaks: a short lie-down during the day (hips slightly elevated) can reduce strain on muscles and connective tissue
- Keeping fit and healthy: staying active in ways that feel comfortable
- Using a pelvic floor “brace” during effort: gently squeezing pelvic floor muscles before and during activities like lifting, coughing, sneezing, or blowing your nose
Sometimes these steps, combined with a targeted exercise plan, are enough to manage symptoms completely.
If the body needs more support, we may discuss a pessary (a small silicone support inserted into the vagina). A pessary can act like a supportive “sports bra” for the pelvic organs.
In some cases, surgery is considered — but it’s not the first step for everyone, and many people do very well with conservative care.
Do I need an internal examination?
An internal exam is the most effective way to assess prolapse position and pelvic floor muscle function.
For proper diagnosis, at least one internal examination is usually completed by a GP, women’s/pelvic health physio, or gynaecologist.
That said, we understand some women prefer not to have repeated internal examinations. If an internal exam has already been completed by another professional (for example, your GP), it may not always be necessary to repeat it straight away. We can also use other measures to estimate pelvic floor function.
If a closer assessment is needed to guide safe, effective treatment, we’ll explain why and talk through your options.
Why treat prolapse?
Apart from the uncomfortable heaviness or “not quite right” feeling, prolapse can be associated with bladder or bowel symptoms, such as:
- Urinary leakage
- Difficulty starting urine flow
- Bowel symptoms (including difficulty emptying)
These symptoms can sometimes be more bothersome than the prolapse itself. Treatment aims to help you feel more comfortable, confident, and able to get on with life.
When should I see a GP urgently?
Seek urgent medical care if you have symptoms such as:
- Inability to pass urine
- New or heavy vaginal bleeding
- Severe or rapidly worsening pelvic pain
- Any symptoms that feel sudden, unusual, or concerning
If you’re unsure, it’s always appropriate to check in with your GP.
Book a Women’s & Pelvic Health appointment in Whittlesea
If any of these symptoms sound familiar, or they’ve jogged your memory of something that didn’t feel quite normal, we’re here to help.
- Book Women’s & Pelvic Health Physio: https://whittleseaphysiotherapy.bookings.pracsuite.com/guest
- Prefer to talk first? Call 03 9716 2250
Many women are concerned about privacy. If you’d like to discuss something discreetly, please let reception know — we can arrange a more private space. Physiotherapy appointments are always private.
FAQ
Can prolapse improve without surgery?
For many people, symptoms can improve with the right conservative care. A tailored plan may include pelvic floor rehabilitation, symptom-management strategies, and (when appropriate) pessary support.
Is it safe to exercise with prolapse?
Often, yes — but the type of exercise and how you manage pressure matters. A pelvic health physio can help you choose options that support your goals and symptoms.
Do Kegels help prolapse?
Pelvic floor exercises can help, but they’re not one-size-fits-all. Technique, timing, and the right progression matter — and some people need relaxation and coordination work as well as strengthening.
What is a pessary?
A pessary is a small silicone support inserted into the vagina to help support the pelvic organs. It can reduce symptoms for some women and may be used alongside pelvic floor rehabilitation.