Pelvic organ prolapse, also referred to as vaginal prolapse, occurs when the muscles and connective tissues of the pelvic floor no longer provide enough support for the pelvic organs. As a result, organs such as the bladder, uterus, or rectum may descend and create a sensation of pressure or bulging in the vaginal canal.
Pelvic organ prolapse is common, especially among individuals who have been pregnant, given birth vaginally, or gone through menopause. While it can feel alarming, many cases are highly manageable with the right care.
Common Symptoms of Pelvic Organ Prolapse
Symptoms vary depending on the type and severity of prolapse, but may include:
A feeling of heaviness, pressure, or fullness in the pelvis
A bulge or tissue felt at or near the vaginal opening
Discomfort with prolonged standing, walking, or exercise
Difficulty with bowel movements or bladder control
Pain or discomfort during intercourse
Low back or pelvic discomfort
Symptoms often worsen later in the day or after activities that increase abdominal pressure, such as lifting or straining.
What Causes Prolapse?
Prolapse develops when the pelvic floor muscles and connective tissue become stretched, weakened, or poorly coordinated. Contributing factors may include:
Pregnancy and vaginal delivery
Hormonal changes during menopause
Chronic constipation or straining
Repetitive heavy lifting or high-pressure exercise
Chronic coughing
Prior pelvic surgery
Prolapse does not happen because someone “did something wrong.” It reflects changes in tissue support and pressure management over time.
How Physical Therapy Helps
Pelvic floor physical therapy focuses on improving support, coordination, and pressure control—not just strengthening muscles in isolation.
Treatment may include:
Pelvic floor muscle training to improve strength, endurance, and timing
Breathing and pressure management strategies to reduce strain on the pelvic organs
Core and hip strengthening to improve load transfer through the body
Education on posture, lifting mechanics, and daily activity modifications
Guidance on safe exercise and return to activity
Many people are surprised to learn that pelvic floor muscles are often overactive, weak, or poorly coordinated rather than simply “too loose.” A physical therapist evaluates how the entire system works together and tailors care accordingly.
Can Pelvic Organ Prolapse Improve Without Surgery?
For many individuals, symptoms of vaginal prolapse improve significantly with conservative care. Physical therapy can reduce pressure, improve function, and help people return to daily activities and exercise with confidence.
Early intervention often leads to better outcomes, but meaningful improvements can occur at any stage. Surgery is not the only option, and physical therapy is often recommended as a first-line treatment.
When to Seek Help
If you notice pelvic pressure, vaginal bulging, or changes in bladder or bowel function, a pelvic health physical therapist can assess your symptoms and movement patterns.
At Breathe In Motion Physical Therapy & Wellness, our pelvic health team at both Brookfield and Mequon specializes in treating pelvic organ prolapse with individualized, one-on-one care. Our goal is to help you feel supported, informed, and confident in your body—now and long term.
If you have questions or would like to schedule an evaluation, we’re here to help.
