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Prolapse: pelvic floor exercises help to overcome pelvic organ prolapse


March 2011

Many Mothers suffer from Urinary Incontinence. One of the most embarrassing health issues a woman can face is urinary incontinence, also known as bladder leakage. However, one in three women over the age of 35 experience some level of incontinence. The following articles appeared in 2 magazines, we think you'll find them helpful.

My Child Magazine - read an article on urinary incontinence.
One of the most embarrassing health issues a woman can face is urinary incontinence. The main cause is a weak pelvic floor. more.

Cosmo Pregnancy - read an article sponsored by Pelvic Floor Exercise. Wet yourself laughing lately? Don't let incontenence rain on your preg more.


New research from Norway demonstrates that pelvic floor muscle training (PFMT) definitely improves prolapse severity. After 6 months, women in the study's PFMT group had significantly greater cranial elevation of the bladder and rectum, compared with women in the control group. They also had reduced prolapse symptoms and greater improvement in pelvic floor muscle strength and endurance. (Braekken 2010)

Expert Committee 12 "Adult Conservative Management" of the Fourth International Consultation on Incontinence (ICI) has made IMPORTANT recommendations about pelvic floor exercises and prolapse.

Read on below to find out:

- what this means for you and
- which is the best exerciser to help you manage and reduce the severity of your prolapse.


A pelvic organ prolapse occurs when the uterus, bladder or rectum descend from their normal position in the body and either protrude into the vagina or press against the wall of the vagina.

A prolapse is most common in older women who have had children. However a prolapse can also be present in younger women and women who have not had children.

Some estimates suggest that half of all women who have had more than one child have some degree of genital prolapse, although only 10-20% experience symptoms that lead them to seek help.

Treatments for prolapse include recommending lifestyle changes, such as strengthening the pelvic floor muscles, losing weight and avoiding constipation.

Other, more interventionist options include the use of a pessary device, and surgery. However surgery that involves using mesh has reportedly lead to a large number of complications and court cases in the US. Now a new Australian study has found that well over half of women who use a pessary experience unacceptable side effects, including vaginal bleeding, severe discharge, pain and constipation (Sarma and others)

Faced with these options, many women choose to try pelvic floor exercises for a prolapse FIRST.

Can I reverse an existing prolapse with pelvic floor exercises? Can I prevent a prolapse from happening?

The role of pelvic floor exercises in treating an existing prolapse or preventing a prolpase has not always been clear, and medical opinion has been divided.

For some time, pelvic floor exercises were generally considered appropriate only for cases of mild prolapse. However, a research review in 2006 suggested that pelvic floor muscle training may be more useful in cases where the prolapse is severe.

After reviewing current evidence, Expert Committee 12 "Adult Conservative Management" of the Fourth International Consultation on Incontinence (ICI), Paris, July 2008, stated that:

•  Pelvic floor exercises may reduce pelvic organ prolapse severity

•  Pelvic floor exercises may help prevent pelvic organ prolapse

•  Pelvic floor exercises before surgery may improve lower urinary tract symptoms and quality of life for women with a prolapse . **

Read more about how to exercise the pelvic floor muscles correctly.

Can a pelvic floor exerciser help with my prolapse?
Pelvic floor exercisers can assist any woman who is experiencing difficulty strengthening her pelvic floor, including women with a prolapse.

Most vaginal weights are not suitable for use with a prolapse, since the prolapse often precludes correct positioning of the weight. The exception to this, for some women, may be the Smartballs Teneo Uno which has been designed specifically with a for women with a prolapse in mind.

However a feedback pelvic floor exerciser can be very useful for women who have a prolapse.

Of the feedback pelvic floor exercisers in our range, the PFX2 is the most popular choice for women with a prolapse.

  • The PFX2 is most frequently recommended by pelvic floor physiotherapists, for this purpose
  • The sensor is long enough to position accurately for the majority of women with a pelvic organ prolapse.
  • It has the benefit of a soft sensor, which causes less discomfort on insertion than a rigid device.
  • It is an approved therapeutic device, manufactured to the highest standards as a health product.

In addition the PFX2 has features that make it an excellent choice for women who have not previously done regular pelvic floor exercises:

  • Its sensitivity at the lower end of the muscle activity scale means that it is suitable for women with relatively little voluntary control over their pelvic floor muscles.
  • Its clear feedback gauge provides visual feedback on the strength and duration of a contraction and is therefore highly motivating.

We are aware of many clients with a prolapse who have bought a PFX2 and found it effective for their needs.

Whether the PFX2 or the Smartballs Teneo Uno or other pelvic floor exerciser are appropriate for you will depend on the exact nature, degree and position of your prolapse. You may wish to seek help from a health professional before making a decision.

PFX2. More....
Smartballs Teneo Uno. More...
From Prolapse to Pelvic Power CD. More...

The PFX2 is the exerciser that health professionals most frequently suggest for women with a pelvic organ prolapse.

Why is the PFX2 the most popular choice?

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