Pelvic Prolapse Without Pregnancy: What Every Woman Should Know

Many people think that only women who have had a vaginal birth are at risk for pelvic organ prolapse (POP), but that’s not true. Research shows that women who have had a C-section face a similar risk. In fact, 1 in 4 women who have never been pregnant will experience prolapse. So, if pregnancy isn’t always the cause, what is?

What is pelvic organ prolapse? Pelvic organ prolapse happens when the muscles and tissues that support the pelvic organs weaken, causing the bladder, uterus, or rectum to shift and press into the vaginal wall. This can lead to:
✔️ A feeling of pressure or heaviness in the pelvis
✔️ A bulging sensation in the vagina
✔️ Bladder or bowel issues, like leakage or difficulty emptying
✔️ Lower back or pelvic pain

Prolapse is often due to poor pressure management in the abdomen, which weakens the pelvic floor over time. Other risk factors include:
🔹 Genetics (inherited tissue weakness)
🔹 Chronic constipation & heavy lifting
🔹 Obesity
🔹 Hormonal changes (e.g., menopause)
🔹 Hysterectomy or previous surgeries

The good news? Pelvic organ prolapse can be managed! A team of specialists, including pelvic floor physical therapists, can help. Depending on the severity, treatments may include:
✔️ Lifestyle changes & pressure management strategies
✔️ Postural training & core strengthening
✔️ Pessary use (a small supportive device)
✔️ Surgical options in severe cases

And NO—it’s not just about Kegels! If you or someone you know is struggling with symptoms, reach out to our office for a quick consultation. You’re not alone, and help is available! 💙

Jessica Futch, PT, DPT

Awaken Pelvic Physical Therapy