Endometriosis and Pelvic Floor Physical Therapy
JUN 19, 2024Endometriosis can significantly impact one’s quality of life, but a well-rounded approach with various strategies can help to manage the condition.
Read MoreCall it a bad rap. Women tend to think the worst about pelvic prolapse. They imagine their uterus will fall out or worry that it’s a sign of cancer. Not only is pelvic prolapse more common than you might think – it’s also not as scary as you might imagine.
Too often, women don’t speak up or suffer in silence. The good news is this condition can often be managed conservatively for years, but surgery is also an option if needed or desired.
What exactly is pelvic prolapse? It occurs when muscles and tissue in your pelvic floor weaken and can no longer support pelvic organs, allowing them to drop down. It can occur with your bladder, rectum, uterus or top of the vagina.
Picture being on one side of a curtain, and someone on the other side pushes a sofa up against the curtain and intrudes on your space. Now think of your vaginal wall as a curtain, and picture your bladder or rectum pushing up against that layer of separation.
Things that make that “curtain” not as strong include pregnancy and vaginal childbirth, which weakens pelvic floor muscles, menopause, aging and repeated heavy lifting/chronic straining. Contributing factors include being overweight/obese, frequent constipation/straining during bowel movements and chronic coughing from smoking, asthma or other conditions.
Symptoms of pelvic prolapse can vary greatly. For some women, it might feel like the pressure of a misplaced tampon or like you’re sitting on a ball. These symptoms can change, for example be worse some days or better in the morning and worse in the afternoon. Things to watch for include:
When should you talk to your doctor about pelvic prolapse? If you have troubling symptoms or if you’re just plain worried.
To diagnose prolapse, a provider will take your history and perform vaginal and rectal exams, which may be while lying, standing, straining and coughing. Your bladder may be checked for complete emptying.
If you can’t fully empty your bladder, or you have bleeding, my advice for treatment will likely be stronger. But I see lots of women who live with prolapses for years. What’s important is your quality of life and how much the prolapse bothers you. Treatment options include:
Pelvic prolapse can happen at any age, but most often occurs after menopause. The most important thing you can do is speak up when it bothers you. Let’s start by talking about your symptoms and ways to manage this condition. Something as simple as using proper lifting techniques or practicing pelvic floor exercises can help prevent prolapse or decrease its severity. If you have questions, reach out to your provider.
Endometriosis can significantly impact one’s quality of life, but a well-rounded approach with various strategies can help to manage the condition.
Read MoreAfter nine months of pregnancy, you may be wanting to get your body back to some sort of normalcy. Learn how from one of our pelvic floor physical therapists.
Read MoreThe male pelvic floor supports the pelvic organs including the bowel, bladder and prostate. They contract when there is an increase in intra-abdominal pressure.
Read MoreWhen you need local health information from a trusted source, turn to the CHI Health Better You eNewsletter.