Materiały źródłowe

• #1 Conservative prevention and management of pelvic organ prolapse in women – PubMed

  https://pubmed.ncbi.nlm.nih.gov/22161382/

  Pelvic organ prolapse is common, and some degree of prolapse is seen in 50% of parous women. […] Conservative management approaches, such as giving lifestyle advice and delivering pelvic floor muscle training (PFMT), are often used in cases of mild to moderate prolapse. […] To determine the effects of conservative management (physical and lifestyle interventions) for the prevention or treatment of pelvic organ prolapse in comparison with no treatment or other treatment options (such as mechanical devices or surgery). […] A large trial of PFMT supplementing surgery is needed to give clear evidence about the usefulness of combining these treatments. […] Other comparisons which have not been addressed in trials to date and warrant consideration include those involving lifestyle change interventions, and trials aimed at prolapse prevention.

• #2 7 Ways to Prevent Prolapse

  https://eu.perifit.co/pages/content-7-ways-to-prevent-prolapse

  7 ways to prevent prolapse […] Although there is no definite way to prevent uterine prolapse, there are certainly ways to lower the risk. […] Among those who give birth vaginally, about 50% will develop some form of pelvic organ prolapse in their lifetime. […] These exercises are especially important after delivering a baby. […] But, as always, the best time to start is now as there are many more benefits to a stronger pelvic floor than just a quicker postpartum recovery and prolapse prevention. […] Just as extra weight affects your joints, it is also a strain for your muscles and the structural integrity of your pelvic floor. […] Not lifting things that are too heavy for you, and learning to use your legs rather than waist or back is important for preventing both prolapse and back injuries.

• #3 Prevention – Voices for PFD

  https://www.voicesforpfd.org/pelvic-organ-prolapse/prevention/

  Currently we don’t know what causes the prolapse, but it is probably caused by a combination of things. Because there are likely multiple causes, there is no single way to prevent these problems. […] A woman cannot change her genetic risk, which influences the strength of her connective tissue, however, women can make lifestyle choices to help reduce their risk of developing POP. […] Pelvic muscle exercises (Kegels) strengthen or retrain the nerves and muscles of the pelvic floor. Regular daily exercising of the pelvic muscles can be helpful. Although pelvic floor exercises may not correct the prolapse, they may help control symptoms and limit the worsening of prolapse. […] To decrease your risk, try to avoid activities that increase pressure inside the abdomen and on the pelvic floor.

• #4 Prevention – Voices for PFD

  https://www.voicesforpfd.org/pelvic-organ-prolapse/prevention/

  Currently we don’t know what causes the prolapse, but it is probably caused by a combination of things. Because there are likely multiple causes, there is no single way to prevent these problems. […] A woman cannot change her genetic risk, which influences the strength of her connective tissue, however, women can make lifestyle choices to help reduce their risk of developing POP. […] Pelvic muscle exercises (Kegels) strengthen or retrain the nerves and muscles of the pelvic floor. Regular daily exercising of the pelvic muscles can be helpful. Although pelvic floor exercises may not correct the prolapse, they may help control symptoms and limit the worsening of prolapse. […] To decrease your risk, try to avoid activities that increase pressure inside the abdomen and on the pelvic floor.

• #5 Prevention of Pelvic Organ Prolapse – Women’s Pelvic Health, Incontinence Treatment

  https://www.pelvichealth.com/prevention-of-pelvic-organ-prolapse

  Because vaginal and uterine prolapse has several different causes, there is no single way to prevent these problems. Currently, a woman cannot change her genetic risk profile which influences the strength of her connective tissue. She can however make wise choices that influence those risks which are modifiable. […] In general, avoiding increased pressure inside the abdomen and on the pelvic floor is wise. This can be done by: […] Maintaining a normal weight or losing weight if overweight. Overweight women are at a significantly increased risk of developing prolapse. […] Constipation and chronic straining during bowel movement increase a womens chance of developing prolapse, especially a rectocele. A diet with plenty of fiber and fluids, as well as regular exercise is important for maintaining regular bowel function. If constipation persists despite these measures, further evaluation and treatment is recommended.

• #6 Let’s talk about it: pelvic organ prolapse – UAB News

  https://www.uab.edu/news/health-medicine/let-s-talk-about-it-pelvic-organ-prolapse

  Roughly one-quarter of women in the United States over 18 report having a pelvic floor disorder, which includes pelvic organ prolapse. […] It is incredible what womens bodies can do and withstand, but this does not mean they are not susceptible to wear and tear such as with pelvic organ prolapse, Dunivan said. […] Its time for these women to understand they are not alone and they do not have to suffer in silence. […] Dunivan reiterates the preferred type of treatment is prevention and early intervention. […] As athletes exercise to condition their bodies for success, women should incorporate pelvic floor exercises, such as kegels, to lower their risk of prolapse. […] Maintaining healthy weight, choosing foods with fiber and not smoking can also reduce ones risk of prolapse, according to the Office on Womens Health. […] Pelvic organ prolapse is not dangerous but can be bothersome and dramatically affect ones quality of life, Dunivan said. […] However, treatment and prevention are limited as long as the conversations around pelvic organ prolapse are considered taboo.

• #7 Prevention – Voices for PFD

  https://www.voicesforpfd.org/pelvic-organ-prolapse/prevention/

  Currently we don’t know what causes the prolapse, but it is probably caused by a combination of things. Because there are likely multiple causes, there is no single way to prevent these problems. […] A woman cannot change her genetic risk, which influences the strength of her connective tissue, however, women can make lifestyle choices to help reduce their risk of developing POP. […] Pelvic muscle exercises (Kegels) strengthen or retrain the nerves and muscles of the pelvic floor. Regular daily exercising of the pelvic muscles can be helpful. Although pelvic floor exercises may not correct the prolapse, they may help control symptoms and limit the worsening of prolapse. […] To decrease your risk, try to avoid activities that increase pressure inside the abdomen and on the pelvic floor.

• #8 Pelvic Organ Prolapse – Prevention and Management | Article

  https://pinpointphysio.ca/article/pelvic-organ-prolapse-prevention-and-management

  Pelvic organ prolapse (POP) is a condition that affects many women. […] The incidence of this increases after childbirth and as women increase in age, but awareness and prevention strategies can help decrease the chances of developing this condition. […] We cannot change the genetic risk of POP (which impacts the strength of the connective tissue); however, we can modify several lifestyle choices to help reduce the risk of developing POP. […] Daily exercise of the pelvic floor will improve the strength and endurance of this important muscle group. This muscle group acts as a hammock to support the pelvic organs. Regular exercise may also decrease the symptoms of POP and limit the worsening of this condition. […] A high fiber diet with plenty of water and other fluids will help to keep you regular. Chronic straining and constipation can increase the risk of developing POP.

• #9 Prevention – Voices for PFD

  https://www.voicesforpfd.org/pelvic-organ-prolapse/prevention/

  Currently we don’t know what causes the prolapse, but it is probably caused by a combination of things. Because there are likely multiple causes, there is no single way to prevent these problems. […] A woman cannot change her genetic risk, which influences the strength of her connective tissue, however, women can make lifestyle choices to help reduce their risk of developing POP. […] Pelvic muscle exercises (Kegels) strengthen or retrain the nerves and muscles of the pelvic floor. Regular daily exercising of the pelvic muscles can be helpful. Although pelvic floor exercises may not correct the prolapse, they may help control symptoms and limit the worsening of prolapse. […] To decrease your risk, try to avoid activities that increase pressure inside the abdomen and on the pelvic floor.

• #10 Conservative management of pelvic organ prolapse in women | Cochrane

  https://www.cochrane.org/CD003882/INCONT_conservative-management-of-pelvic-organ-prolapse-in-women

  Pelvic organs, such as the uterus, cervix, bladder or bowel, may protrude into the vagina because of weakness in the tissues that normally support them. […] Conservative methods, such as pelvic floor muscle training (exercises to improve the pelvic floor muscles) or lifestyle changes (for example, avoiding lifting or losing weight), are commonly recommended for prolapse. […] The evidence from the trials suggests there is some benefit from conservative treatment of prolapse, specifically for PFMT as compared to no intervention. […] More randomised controlled trials are still needed to look at different regimens of PFMT, the cost in relation to benefit, and the long-term effects. […] There is a dearth of trials addressing lifestyle changes as a treatment for prolapse, and trials aimed at prevention of prolapse.

• #11 Prolapsed Uterus Exercise: What to Do and Not Do

  https://www.healthline.com/health/womens-health/prolapsed-uterus-exercises

  Pelvic floor exercises can ease symptoms and sometimes reverse a mild case, but severe cases may call for additional treatment. […] Research shows that pelvic floor muscle exercises can reduce organ prolapse and ease symptoms. Pelvic floor exercises, also called Kegel exercises, are known to help strengthen muscles and provide support for pelvic organs. […] You cant control everything that can contribute to a prolapsed uterus. But research shows that pelvic floor muscle training can help reduce prolapse symptoms. It can also help prevent further prolapse in people who already have prolapse. Making a habit out of Kegels is a good idea. […] Other ways to help lower the chances of pelvic organ prolapse are: manage weight, treat chronic cough or constipation, try not to strain when you go to the bathroom, use good technique when lifting heavy objects. […] Pelvic muscle exercises may also help prevent organ prolapse, so consider making Kegels part of your daily routine.

• #12 How We Treat Pelvic Organ Prolapse

  https://www.medstarhealth.org/blog/treating-pelvic-organ-prolapse

  Of course, its always better to prevent a problem than to treat it. Women can take some very basic measures to preserve pelvic muscle tone: […] Maintaining healthy weight helps prevent a multitude of health issues, including pelvic organ prolapse. Excess weight can place more pressure on the muscles and organs of the pelvis, causing strain, wear, and tear. […] Practicing Kegels is advisable for all women, particularly after childbirth and when approaching menopause. Ten repetitions, three times a day may be all it takes to keep pelvic muscles strong and functioning well. […] Pelvic floor problems can worsen over time, making activities of daily living more and more difficult. Untreated, this condition can also set the stage for recurrent urinary tract infections, kidney disease, and other long-term problems.

• #13 Pelvic Organ Prolapse | Women | Continence Health Australia (formerly the Continence Foundation of Australia)

  https://www.continence.org.au/who-it-affects/women/prolapse

  What can be done to prevent prolapse? […] Ways to help prevent prolapse […] As prolapse is due to weak pelvic tissues and pelvic floor muscles, all women need to keep their pelvic floor muscles strong – no matter what their age. […] Pelvic floor muscles, just like any other muscles, can be strengthened with the correct exercises. It is important to have your pelvic floor muscle training technique checked by an expert such as a Pelvic Floor Health Physiotherapist or a Nurse Continence Specialist. […] […] […] After surgery, you should make sure you: […] have expert training to ensure your pelvic floor muscles work to support your pelvic organs […] avoid straining when using your bowels […] keep your weight within the right range for your height and age […] learn safe ways of lifting, including sharing the lifting of heavy loads […] see your doctor if you have a cough that won’t go away, and […] see your doctor if these measures don’t lead to improvement

• #14 Evidence-Based Prevention and Treatment of Pelvic Floor Dysfunction – Urinary Tract Health

  https://www.medpagetoday.com/resource-centers/urinary-tract-health/evidence-based-prevention-and-treatment-pelvic-floor-dysfunction/1034

  Three new evidence-based studies suggest best practices for prevention and treatment of urinary incontinence and pelvic organ prolapse. […] Pelvic floor muscle retraining can prevent prolapse symptoms 2 years post-intervention, even in women exhibiting level 2 or 3 anatomical prolapse, and reduces uptake of further prolapse treatment. […] The first, a prospective study by Suzanne Hagen, PhD and colleagues, suggests that pelvic floor muscle training may be effective in preventing symptoms of prolapse. […] The PREVPROL trial offers hope that non-surgical prevention of prolapse symptoms may be possible. […] In total, these data provide evidence that pelvic floor retraining may help delay onset of prolapse symptoms.

• #15 Prevention – Voices for PFD

  https://www.voicesforpfd.org/pelvic-organ-prolapse/prevention/

  Overweight women are at a significantly increased risk of developing prolapse. […] Smoking increases your risk of POP. If you smoke, quit. […] A diet with plenty of fiber and fluids helps to maintain regular bowel function. Constipation increases your risk for POP. […] Chronic straining and constipation increase your chance of developing prolapse. This is especially true for posterior vaginal wall prolapse. […] Physical activity helps maintain normal weight, as well as regular good bowel function. Pelvic floor muscle exercises (Kegels) improve the strength of the pelvic floor and limit the likelihood of developing prolapse. Strong muscles are important for general health, especially as you age. […] Chronic cough increases abdominal and pelvic pressure—see a doctor to discuss treatment options. Persistent constipation also requires further evaluation and treatment.

• #16 Pelvic Organ Prolapse Prevention Tips | Serrano OB-GYN

  https://www.serrano-obgyn.com/blog/pelvic-organ-prolapse-prevention-tips

  If youre carrying extra pounds, your pelvic floor may be picking up some of this burden, which can weaken the support. A meta-analysis confirms this, concluding that women who are overweight or obese are more likely to have pelvic organ prolapse than women of normal weight. […] Chronic constipation and straining for bowel movements can weaken your pelvic muscles, so you want to do what you can to make bowel movements go more smoothly, which starts with adding dietary fiber. Whether in your foods or in a supplement, make sure you have a good amount of fiber in your diet if you have problems with constipation. […] POP is progressive, so we want to address your problem as quickly as possible. In the early stages, targeted exercises often work. If, however, your condition progresses, we may need to get more aggressive and use pessaries (small support devices that you insert into your vagina) or even surgery to reposition your organs.

• #17 Pelvic Organ Prolapse Prevention Tips | Serrano OB-GYN

  https://www.serrano-obgyn.com/blog/pelvic-organ-prolapse-prevention-tips

  If youre carrying extra pounds, your pelvic floor may be picking up some of this burden, which can weaken the support. A meta-analysis confirms this, concluding that women who are overweight or obese are more likely to have pelvic organ prolapse than women of normal weight. […] Chronic constipation and straining for bowel movements can weaken your pelvic muscles, so you want to do what you can to make bowel movements go more smoothly, which starts with adding dietary fiber. Whether in your foods or in a supplement, make sure you have a good amount of fiber in your diet if you have problems with constipation. […] POP is progressive, so we want to address your problem as quickly as possible. In the early stages, targeted exercises often work. If, however, your condition progresses, we may need to get more aggressive and use pessaries (small support devices that you insert into your vagina) or even surgery to reposition your organs.

• #18 Prevention and management of pelvic organ prolapse

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4166938/

  A scoring system (UR-CHOICE) has been proposed to predict the risk of future pelvic floor dysfunction. […] Pelvic floor muscle training (PFMT) has been proposed as a measure to prevent pelvic organ prolapse. However, a recently published study, comparing a nurse-led intervention (pelvic floor muscle training and bladder training) at 5, 7, and 9 months after delivery to standard care, showed that the prevalence of prolapse symptoms or objectively measured pelvic organ prolapse did not differ between the groups at the 12-year follow-up. […] As pelvic organ prolapse has been associated with urogenital atrophy, it is possible that oestrogens, alone or in conjunction with other measures, may prevent its development by improving the strength of weakened supporting ligaments, muscles and vaginal mucosa. […] Modification of other risk factors could also reduce the risk of pelvic organ prolapse. Reduction of straining and intra-abdominal pressure could help prevent the development of prolapse. […] Weight loss with diet or bariatric surgery has also been suggested as a preventive measure.

• #19 Pelvic Organ Prolapse: Types, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/24046-pelvic-organ-prolapse

  Many causes of POP are out of your control. But you can put healthy habits into place to reduce your risk. […] Do pelvic floor exercises daily. Having muscle control in your pelvic floor provides stronger support for your organs. […] Maintain a healthy weight. Talk to your provider about what a healthy weight means for you. […] Prevent constipation. Chronic constipation can strain your pelvic floor muscles. Choosing high-fiber foods and drinking plenty of fluids can help prevent constipation. […] Don’t smoke. Smoking can lead to chronic coughing, which can put undue pressure on your abdominal cavity and strain your pelvic floor muscles. […] Protect your pelvic floor when you lift. Get help lifting heavy objects. When lifting alone, bend your hips and knees to squat while keeping your back as straight as possible. Don’t twist your torso while you’re lifting. Correctly positioning your body prevents injury to your lower back and protects your pelvic floor, too.

• #20 Pelvic Prolapse: Causes, Symptoms, Treatment and Prevention | Dr Jay Mehta

  https://www.shreeivfclinic.com/blogs/pelvic-prolapse-causes-symptoms-treatment-prevention/

  1. While pelvic prolapse may not always be preventable, specific preventive measures and self-care practices can help reduce the risk and manage symptoms. Here are some recommendations: […] 2. Maintain a healthy weight: Excess weight can strain the pelvic floor muscles, so maintaining a healthy weight through a balanced diet and regular exercise can help prevent pelvic prolapse. […] 3. Practice pelvic floor exercises: Regular pelvic floor exercises such as Kegels can help strengthen the muscles supporting the pelvic organs. […] 4. Avoid heavy lifting: Minimize heavy lifting activities, as they can put excessive pressure on the pelvic floor. […] 5. Manage chronic conditions: If you have chronic conditions like constipation or chronic coughing, work with your Gynecologists to manage them effectively, as they can contribute to pelvic prolapse.

• #21 Posterior vaginal prolapse (rectocele) – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/rectocele/symptoms-causes/syc-20353414

  Posterior vaginal prolapse results from pressure on the pelvic floor or trauma. Causes of increased pelvic floor pressure include: […] To help keep posterior vaginal prolapse from getting worse, you might try to: […] Perform Kegel exercises regularly. These exercises can strengthen pelvic floor muscles. This is especially important after having a baby. […] Treat and prevent constipation. Drink plenty of fluids and eat high-fiber foods, such as fruits, vegetables, beans and whole-grain cereals. […] Avoid heavy lifting and lift correctly. Use your legs instead of your waist or back to lift. […] Control coughing. Get treatment for a chronic cough or bronchitis, and don’t smoke. […] Avoid weight gain. Ask your health care provider to help you determine the best weight for you. Ask for advice on how to lose weight, if needed.

• #22 Prevention of Pelvic Organ Prolapse – Women’s Pelvic Health, Incontinence Treatment

  https://www.pelvichealth.com/prevention-of-pelvic-organ-prolapse

  Because vaginal and uterine prolapse has several different causes, there is no single way to prevent these problems. Currently, a woman cannot change her genetic risk profile which influences the strength of her connective tissue. She can however make wise choices that influence those risks which are modifiable. […] In general, avoiding increased pressure inside the abdomen and on the pelvic floor is wise. This can be done by: […] Maintaining a normal weight or losing weight if overweight. Overweight women are at a significantly increased risk of developing prolapse. […] Constipation and chronic straining during bowel movement increase a womens chance of developing prolapse, especially a rectocele. A diet with plenty of fiber and fluids, as well as regular exercise is important for maintaining regular bowel function. If constipation persists despite these measures, further evaluation and treatment is recommended.

• #23 Prevention – Voices for PFD

  https://www.voicesforpfd.org/pelvic-organ-prolapse/prevention/

  Overweight women are at a significantly increased risk of developing prolapse. […] Smoking increases your risk of POP. If you smoke, quit. […] A diet with plenty of fiber and fluids helps to maintain regular bowel function. Constipation increases your risk for POP. […] Chronic straining and constipation increase your chance of developing prolapse. This is especially true for posterior vaginal wall prolapse. […] Physical activity helps maintain normal weight, as well as regular good bowel function. Pelvic floor muscle exercises (Kegels) improve the strength of the pelvic floor and limit the likelihood of developing prolapse. Strong muscles are important for general health, especially as you age. […] Chronic cough increases abdominal and pelvic pressure—see a doctor to discuss treatment options. Persistent constipation also requires further evaluation and treatment.

• #24 Pelvic Organ Prolapse: Types, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/24046-pelvic-organ-prolapse

  Many causes of POP are out of your control. But you can put healthy habits into place to reduce your risk. […] Do pelvic floor exercises daily. Having muscle control in your pelvic floor provides stronger support for your organs. […] Maintain a healthy weight. Talk to your provider about what a healthy weight means for you. […] Prevent constipation. Chronic constipation can strain your pelvic floor muscles. Choosing high-fiber foods and drinking plenty of fluids can help prevent constipation. […] Don’t smoke. Smoking can lead to chronic coughing, which can put undue pressure on your abdominal cavity and strain your pelvic floor muscles. […] Protect your pelvic floor when you lift. Get help lifting heavy objects. When lifting alone, bend your hips and knees to squat while keeping your back as straight as possible. Don’t twist your torso while you’re lifting. Correctly positioning your body prevents injury to your lower back and protects your pelvic floor, too.

• #25 Azthena logo with the word Azthena

  https://www.news-medical.net/health/Preventing-Pelvic-Organ-Prolapse.aspx

  For example, regular pelvic floor exercises (Kegels exercises, with or without biofeedback) have been supposed to prevent prolapse by strengthening the muscular supports of the pelvis. […] Other recommendation to reduce the pressure of the pelvic floor include: Losing weight if required, or keeping to a healthy weight, Preventing straining at stools by including adequate fiber in your diet, through plenty of fresh fruits and vegetables, as well as whole grains, Using the right lifting techniques to avoid putting strain on your pelvic muscles while lifting heavy things, Quitting smoking which weakens the muscles, and induces chronic cough. […] A vaginal hysterectomy with a McCall culdoplasty to buttress the vault of the vagina is one procedure which can reduce the incidence of this condition. Using a vaginal vault support procedure when repairing a prolapse vaginally could prevent its recurrence to some extent.

• #26 Uterine prolapse – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/uterine-prolapse/symptoms-causes/syc-20353458

  To reduce the risk of uterine prolapse, try to: […] Prevent constipation. Drink plenty of fluids and eat high-fiber foods, such as fruits, vegetables, beans and whole-grains. […] Avoid heavy lifting. If you have to lift something heavy, do it correctly. Correct lifting uses the legs instead of the waist or back. […] Control coughing. Get treatment for a chronic cough or bronchitis. Don’t smoke. […] Avoid weight gain. Talk with your doctor about your ideal weight and get advice on how to lose weight, if you need to.

• #27 Prevention – Voices for PFD

  https://www.voicesforpfd.org/pelvic-organ-prolapse/prevention/

  Overweight women are at a significantly increased risk of developing prolapse. […] Smoking increases your risk of POP. If you smoke, quit. […] A diet with plenty of fiber and fluids helps to maintain regular bowel function. Constipation increases your risk for POP. […] Chronic straining and constipation increase your chance of developing prolapse. This is especially true for posterior vaginal wall prolapse. […] Physical activity helps maintain normal weight, as well as regular good bowel function. Pelvic floor muscle exercises (Kegels) improve the strength of the pelvic floor and limit the likelihood of developing prolapse. Strong muscles are important for general health, especially as you age. […] Chronic cough increases abdominal and pelvic pressure—see a doctor to discuss treatment options. Persistent constipation also requires further evaluation and treatment.

• #28 Prevention of Pelvic Organ Prolapse – Women’s Pelvic Health, Incontinence Treatment

  https://www.pelvichealth.com/prevention-of-pelvic-organ-prolapse

  Because vaginal and uterine prolapse has several different causes, there is no single way to prevent these problems. Currently, a woman cannot change her genetic risk profile which influences the strength of her connective tissue. She can however make wise choices that influence those risks which are modifiable. […] In general, avoiding increased pressure inside the abdomen and on the pelvic floor is wise. This can be done by: […] Maintaining a normal weight or losing weight if overweight. Overweight women are at a significantly increased risk of developing prolapse. […] Constipation and chronic straining during bowel movement increase a womens chance of developing prolapse, especially a rectocele. A diet with plenty of fiber and fluids, as well as regular exercise is important for maintaining regular bowel function. If constipation persists despite these measures, further evaluation and treatment is recommended.

• #29 Prevention – Voices for PFD

  https://www.voicesforpfd.org/pelvic-organ-prolapse/prevention/

  Overweight women are at a significantly increased risk of developing prolapse. […] Smoking increases your risk of POP. If you smoke, quit. […] A diet with plenty of fiber and fluids helps to maintain regular bowel function. Constipation increases your risk for POP. […] Chronic straining and constipation increase your chance of developing prolapse. This is especially true for posterior vaginal wall prolapse. […] Physical activity helps maintain normal weight, as well as regular good bowel function. Pelvic floor muscle exercises (Kegels) improve the strength of the pelvic floor and limit the likelihood of developing prolapse. Strong muscles are important for general health, especially as you age. […] Chronic cough increases abdominal and pelvic pressure—see a doctor to discuss treatment options. Persistent constipation also requires further evaluation and treatment.

• #30 Pelvic Organ Prolapse: Types, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/24046-pelvic-organ-prolapse

  Many causes of POP are out of your control. But you can put healthy habits into place to reduce your risk. […] Do pelvic floor exercises daily. Having muscle control in your pelvic floor provides stronger support for your organs. […] Maintain a healthy weight. Talk to your provider about what a healthy weight means for you. […] Prevent constipation. Chronic constipation can strain your pelvic floor muscles. Choosing high-fiber foods and drinking plenty of fluids can help prevent constipation. […] Don’t smoke. Smoking can lead to chronic coughing, which can put undue pressure on your abdominal cavity and strain your pelvic floor muscles. […] Protect your pelvic floor when you lift. Get help lifting heavy objects. When lifting alone, bend your hips and knees to squat while keeping your back as straight as possible. Don’t twist your torso while you’re lifting. Correctly positioning your body prevents injury to your lower back and protects your pelvic floor, too.

• #31 Pelvic Prolapse: Causes, Symptoms, Treatment and Prevention | Dr Jay Mehta

  https://www.shreeivfclinic.com/blogs/pelvic-prolapse-causes-symptoms-treatment-prevention/

  6. Quit smoking: Smoking can weaken the connective tissues in the body, including those in the pelvic floor. Quitting smoking can have positive effects on overall pelvic health. […] 7. By incorporating these preventive measures into your lifestyle, you can take proactive steps to maintain optimal pelvic health.

• #32 Prevention and treatment of pelvic organ prolapse – Kentucky Living

  https://www.kentuckyliving.com/lifestyle/smart-health/prevention-treatment-pelvic-organ-prolapse

  Women who have experienced the discomfort of pelvic organ prolapse want to resolve the problem as soon as possible. […] To reduce the risk of prolapse and maintain overall reproductive wellness, women should consider the following actions: […] Quit smoking. Studies have shown smoking increases the chances of prolapse as well as recurrence after surgery. […] Maintain a healthy weight. […] Seek treatment for conditions that strain the pelvic floor. […] Avoid heavy lifting and repetitive strenuous activities. […] Any woman experiencing symptoms of pelvic prolapse should consult her gynecologist about a comprehensive approach to treatment.

• #33 Azthena logo with the word Azthena

  https://www.news-medical.net/health/Preventing-Pelvic-Organ-Prolapse.aspx

  For example, regular pelvic floor exercises (Kegels exercises, with or without biofeedback) have been supposed to prevent prolapse by strengthening the muscular supports of the pelvis. […] Other recommendation to reduce the pressure of the pelvic floor include: Losing weight if required, or keeping to a healthy weight, Preventing straining at stools by including adequate fiber in your diet, through plenty of fresh fruits and vegetables, as well as whole grains, Using the right lifting techniques to avoid putting strain on your pelvic muscles while lifting heavy things, Quitting smoking which weakens the muscles, and induces chronic cough. […] A vaginal hysterectomy with a McCall culdoplasty to buttress the vault of the vagina is one procedure which can reduce the incidence of this condition. Using a vaginal vault support procedure when repairing a prolapse vaginally could prevent its recurrence to some extent.

• #34 Can Pelvic Prolapse be Prevented?: Darin Swainston, MD, FACOG: OB/GYNs

  https://www.lasvegasgynsurgery.com/blog/can-pelvic-prolapse-be-prevented

  Overweight and obesity are strongly associated with pelvic prolapse. Carrying extra weight contributes to the problem because it increases the pressure inside your abdomen. […] You can further lower your risk of pelvic prolapse by making these lifestyle changes. […] A chronic smokers cough places tremendous pressure on your pelvic floor muscles, so taking steps to eliminate an ongoing, constant cough is an important way to prevent pelvic prolapse. […] Repeatedly lifting heavy objects weakens pelvic floor muscles. If your pelvic muscles are already weak, suddenly lifting one heavy item may contribute to prolapse.

• #35 Pelvic Prolapse: Causes, Symptoms, Treatment and Prevention | Dr Jay Mehta

  https://www.shreeivfclinic.com/blogs/pelvic-prolapse-causes-symptoms-treatment-prevention/

  1. While pelvic prolapse may not always be preventable, specific preventive measures and self-care practices can help reduce the risk and manage symptoms. Here are some recommendations: […] 2. Maintain a healthy weight: Excess weight can strain the pelvic floor muscles, so maintaining a healthy weight through a balanced diet and regular exercise can help prevent pelvic prolapse. […] 3. Practice pelvic floor exercises: Regular pelvic floor exercises such as Kegels can help strengthen the muscles supporting the pelvic organs. […] 4. Avoid heavy lifting: Minimize heavy lifting activities, as they can put excessive pressure on the pelvic floor. […] 5. Manage chronic conditions: If you have chronic conditions like constipation or chronic coughing, work with your Gynecologists to manage them effectively, as they can contribute to pelvic prolapse.

• #36 Can Pelvic Prolapse be Prevented?: Darin Swainston, MD, FACOG: OB/GYNs

  https://www.lasvegasgynsurgery.com/blog/can-pelvic-prolapse-be-prevented

  Overweight and obesity are strongly associated with pelvic prolapse. Carrying extra weight contributes to the problem because it increases the pressure inside your abdomen. […] You can further lower your risk of pelvic prolapse by making these lifestyle changes. […] A chronic smokers cough places tremendous pressure on your pelvic floor muscles, so taking steps to eliminate an ongoing, constant cough is an important way to prevent pelvic prolapse. […] Repeatedly lifting heavy objects weakens pelvic floor muscles. If your pelvic muscles are already weak, suddenly lifting one heavy item may contribute to prolapse.

• #37 Uterine Prolapse: Stages, Symptoms, Treatment & Surgery

  https://my.clevelandclinic.org/health/diseases/16030-uterine-prolapse

  Some factors like having multiple vaginal births or experiencing menopause cant be avoided. […] There are ways to reduce your risk of developing a prolapse. A few lifestyle tips that can reduce your risk of prolapse include: Maintain a healthy weight and exercise regularly. Do Kegel exercises to strengthen your pelvic floor muscles. Stop smoking. This reduces the risk of developing a chronic cough, which can put extra strain on your pelvic muscles. Using proper lifting techniques when carrying heavy objects. Avoid becoming constipated or straining to poop. […] There are several tips for lifting heavy objects that can help you avoid injury, including: Dont try to lift objects that are oddly shaped or too heavy for you to lift alone. Also, avoid lifting heavy objects above waist level. Before you lift an object, make sure you have firm footing. To pick up an object thats lower than the level of your waist, keep your back straight, and bend at your knees and hips. Dont bend forward at your waist with your knees straight. Stand with a wide stance close to the object youre trying to pick up, and keep your feet firm on the ground. Tighten your stomach muscles and lift the object using your leg muscles. Straighten your knees in a steady motion. Dont jerk the object up to your body. Stand completely upright without twisting. Always move your feet forward when lifting an object. If youre lifting an object from a table, slide it to the edge of the table so you can hold it close to your body. Bend your knees so youre close to the object. Use your legs to lift the object and come to a standing position. Hold packages close to your body with your arms bent. Keep your stomach muscles tight. Take small steps and go slowly. To lower the object, place your feet as you did to lift, tighten your stomach muscles and bend your hips and knees.

• #38 Uterine Prolapse: Stages, Symptoms, Treatment & Surgery

  https://my.clevelandclinic.org/health/diseases/16030-uterine-prolapse

  Some factors like having multiple vaginal births or experiencing menopause cant be avoided. […] There are ways to reduce your risk of developing a prolapse. A few lifestyle tips that can reduce your risk of prolapse include: Maintain a healthy weight and exercise regularly. Do Kegel exercises to strengthen your pelvic floor muscles. Stop smoking. This reduces the risk of developing a chronic cough, which can put extra strain on your pelvic muscles. Using proper lifting techniques when carrying heavy objects. Avoid becoming constipated or straining to poop. […] There are several tips for lifting heavy objects that can help you avoid injury, including: Dont try to lift objects that are oddly shaped or too heavy for you to lift alone. Also, avoid lifting heavy objects above waist level. Before you lift an object, make sure you have firm footing. To pick up an object thats lower than the level of your waist, keep your back straight, and bend at your knees and hips. Dont bend forward at your waist with your knees straight. Stand with a wide stance close to the object youre trying to pick up, and keep your feet firm on the ground. Tighten your stomach muscles and lift the object using your leg muscles. Straighten your knees in a steady motion. Dont jerk the object up to your body. Stand completely upright without twisting. Always move your feet forward when lifting an object. If youre lifting an object from a table, slide it to the edge of the table so you can hold it close to your body. Bend your knees so youre close to the object. Use your legs to lift the object and come to a standing position. Hold packages close to your body with your arms bent. Keep your stomach muscles tight. Take small steps and go slowly. To lower the object, place your feet as you did to lift, tighten your stomach muscles and bend your hips and knees.

• #39 Prevention of Pelvic Organ Prolapse – Women’s Pelvic Health, Incontinence Treatment

  https://www.pelvichealth.com/prevention-of-pelvic-organ-prolapse

  Seek medical attention to evaluate and treat a chronic cough which increases abdominal and pelvic pressure. […] Avoid heavy lifting and learn how to lift safely by using leg and arm muscles as much as possible. […] Don’t smoke or kick the habit! […] Avoid repetitive strenuous activities. […] Learn and perform pelvic floor muscle exercises (Kegel) regularly to improve the strength of the pelvic floor, and limit the likelihood of developing prolapse. Once prolapse has developed pelvic floor exercises will not correct the prolapse, but they may limit the development of worsening prolapse and may diminish some of the symptoms. […] Be sure to have regular pelvic exams to check for early signs of prolapse. Ask your doctor if they are measuring your prolapse in a systematic way this will enable them to notice subtle changes over time. The most commonly used system of measure for prolapse is called the pelvic organ prolapse quantification or POP-Q system.

• #40 7 Ways to Prevent Pelvic Floor Prolapse

  https://www.lompocvmc.com/blogs/2023/may/7-ways-to-prevent-pelvic-floor-prolapse/

  Smoking, bronchitis, and allergies are common causes of chronic coughing that can increase your risk for pelvic floor prolapse. […] Lifting heavy objects frequently can lead to pelvic floor prolapse especially if you are using poor form or doing it incorrectly. […] If you meet any non-modifiable risk factors for this condition, have a conversation with your doctor about other ways you can reduce your risk. […] Your doctor may work with you to develop a healthy diet or meal plan that focuses on fiber intake, which can prevent constipation and promote regularity.

• #41 Prolapsed uterus | Better Health Channel

  https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/prolapsed-uterus

  Some women are at increased risk of uterine prolapse. Simple preventive measures include: […] pregnancy pelvic floor exercises throughout pregnancy […] vaginal childbirth post-partum pelvic floor exercises […] post-menopause oestrogen cream to boost flagging hormone levels, and pelvic floor exercises […] obesity loss of excess abdominal fat with dietary modifications and regular exercise […] chronic constipation its ideal if you have big, soft, formed stools. Usually, eating lots of fruit, vegetables and fibre, and drinking plenty of water will help. Avoid straining when using your bowels. Manage chronic constipation in consultation with your doctor […] other conditions treat underlying disorders (such as asthma and chronic bronchitis) in consultation with your doctor.

• #42 Pelvic Organ Prolapse – Prevention and Management | Article

  https://pinpointphysio.ca/article/pelvic-organ-prolapse-prevention-and-management

  Being overweight can increase the risk of developing POP. […] Smoking can increase the risk of developing POP. […] Seek help if you have a chronic cough or chronic constipation. These conditions will increase your intra-abdominal pressure and may lead to developing POP. There may be multiple treatment options that can help you. […] Pelvic floor exercises can significantly improve the management of your symptoms and prevent this condition from worsening.

• #43 Can Pelvic Prolapse be Prevented?: Darin Swainston, MD, FACOG: OB/GYNs

  https://www.lasvegasgynsurgery.com/blog/can-pelvic-prolapse-be-prevented

  Pelvic prolapse is a common condition that affects about 30% of women, causing problems like urinary incontinence and difficulty having sex. Prolapse occurs due to loss of muscle strength and low levels of estrogen two problems that can be corrected to help prevent pelvic prolapse. […] There arent any guarantees you can prevent pelvic prolapse, but you can significantly lower your risk by taking steps to change the things that cause the problem. […] Here are some of the top ways to avoid pelvic prolapse: […] Like other muscles in your body, your pelvic floor muscles gain tone and strength with regular exercise. You can strengthen these muscles with Kegel exercises, which help prevent prolapse and also may relieve symptoms if you already have a mild prolapse. […] Women naturally lose muscle strength and mass as they get older, but the problem accelerates after menopause when estrogen levels drop. In fact, lack of estrogen may be one of the top causes of pelvic prolapse.

• #44 Azthena logo with the word Azthena

  https://www.news-medical.net/health/Preventing-Pelvic-Organ-Prolapse.aspx

  The role of estrogens has been tested in preventing pelvic floor weakening as a result of urogenital atrophy following the onset of peri- and post-menopausal hormonal reductions. […] Topical estrogen treatment may be more useful than systemic administration, because of the reduction in side effects and the lower dosage necessary. Estrogen improves the strength of the muscular, ligamentous, and mucosal components of the pelvic supports.

• #45 Azthena logo with the word Azthena

  https://www.news-medical.net/health/Preventing-Pelvic-Organ-Prolapse.aspx

  The role of estrogens has been tested in preventing pelvic floor weakening as a result of urogenital atrophy following the onset of peri- and post-menopausal hormonal reductions. […] Topical estrogen treatment may be more useful than systemic administration, because of the reduction in side effects and the lower dosage necessary. Estrogen improves the strength of the muscular, ligamentous, and mucosal components of the pelvic supports.

• #46 Pelvic organ prolapse | RCOG

  https://www.rcog.org.uk/for-the-public/browse-our-patient-information/pelvic-organ-prolapse/

  Vaginal hormone treatment (estrogen): if you have gone through the menopause, your doctor may recommend vaginal estrogen treatment in the form of tablets, cream or a ring that is inserted into your vagina. Estrogen treatment can help to reduce the discomfort you may experience from having a prolapse. […] Vaginal support pessary: a pessary is a plastic or silicone device that fits into your vagina to help support the pelvic organs. This can be an effective way of helping your symptoms. […] Identifying the correct pessary may take more than one attempt as there are many different sizes and shapes. […] Pessaries do not usually cause any problems but can sometimes cause infection, discharge, bleeding or ulceration. […] You may want to consider surgery if other options have not helped. […] Your gynaecologist can advise which surgery is best for you. This will depend on your type of prolapse and symptoms, as well as your age, general health, your wish to have sexual intercourse and whether or not you have completed your family.

• #47 Pelvic organ prolapse | RCOG

  https://www.rcog.org.uk/for-the-public/browse-our-patient-information/pelvic-organ-prolapse/

  Pelvic organ prolapse is common, affecting 1 in 10 women over the age of 50 years. Mild prolapse often causes no symptoms and treatment is not always necessary. […] Prolapse symptoms can be reduced with lifestyle changes, including stopping smoking, weight loss, avoiding constipation where possible and heavy lifting. […] Even if you do not currently have any symptoms, you may wish to consider pelvic floor exercises and lifestyle changes to prevent your prolapse from getting worse. […] Your options for treatment will depend on the type and degree of prolapse you have and your individual circumstances, such as age, general health, whether you are sexually active and whether you have completed your family. […] Pelvic floor muscle exercises: to strengthen your pelvic floor muscles you may be referred to a specialist womens health physiotherapist for a course of physiotherapy treatment (36 months). Pelvic floor exercises may not get rid of your prolapse but are likely to improve your symptoms.

• #48 Pelvic Organ Prolapse | AAFP

  https://www.aafp.org/pubs/afp/issues/2017/0801/p179.html

  Pelvic organ prolapse is the descent of one or more of the anterior vaginal wall, posterior vaginal wall, the uterus (cervix), or the apex of the vagina (vaginal vault or cuff scar after hysterectomy). […] Most women should be offered a pessary as first-line treatment for pelvic organ prolapse. […] Do not exclude pessaries as a treatment option for pelvic organ prolapse. […] Lifestyle modifications such as smoking cessation and avoidance of heavy lifting and constipation may reduce symptoms. […] Pelvic floor muscle training exercises (Kegel), the systematic contraction of the levator ani muscles, may improve pelvic function. […] Pessaries are an option for all stages of prolapse, and they may prevent progression of prolapse and avert or delay the need for surgery. […] Women with pelvic organ prolapse may elect for observation, pelvic floor muscle training, pessary use, or surgery. The primary goal of any treatment is to improve symptoms and, for conservative management, to minimize prolapse progression.

• #49 Conservative prevention and management of pelvic organ prolapse in women – PubMed

  https://pubmed.ncbi.nlm.nih.gov/22161382/

  Pelvic organ prolapse is common, and some degree of prolapse is seen in 50% of parous women. […] Conservative management approaches, such as giving lifestyle advice and delivering pelvic floor muscle training (PFMT), are often used in cases of mild to moderate prolapse. […] To determine the effects of conservative management (physical and lifestyle interventions) for the prevention or treatment of pelvic organ prolapse in comparison with no treatment or other treatment options (such as mechanical devices or surgery). […] A large trial of PFMT supplementing surgery is needed to give clear evidence about the usefulness of combining these treatments. […] Other comparisons which have not been addressed in trials to date and warrant consideration include those involving lifestyle change interventions, and trials aimed at prolapse prevention.

• #50

  https://www.nhs.uk/conditions/pelvic-organ-prolapse/treatment/

  There are several treatment options available for pelvic organ prolapse. […] You may not need any treatment if the prolapse is mild to moderate and not causing any pain or discomfort. […] If you do not have any symptoms or the prolapse is mild, making some lifestyle changes may help and could stop the prolapse getting worse. […] They can also help reduce your risk of getting a prolapse in the first place. […] Doing pelvic floor exercises will strengthen your pelvic floor muscles and may well relieve your symptoms. […] If you have a mild prolapse and have been through the menopause, your doctor may recommend treatment with oestrogen to ease some of your symptoms, such as vaginal dryness or discomfort during sex. […] Vaginal pessaries allow you to get pregnant in the future. They can be used to ease the symptoms of moderate or severe prolapses and are a good option if you cannot or would prefer not to have surgery.

• #51 Pelvic Organ Prolapse – Urogynecology & Pelvic Health | UCLA Health

  https://www.uclahealth.org/medical-services/womens-pelvic-health/conditions-treated/pelvic-organ-prolapse

  There is no surefire way to prevent pelvic organ prolapse. However, you can lower your risk by: […] Regularly performing Kegel exercises to strengthen your pelvic floor muscles. […] Consult your doctor when pelvic organ prolapse symptoms first start to bother you. Don’t wait until your discomfort becomes severe. Regular pelvic exams can help detect uterine prolapse in its early stages. […] Medical devices, exercises, and lifestyle changes can sometimes provide relief from bothersome symptoms.

• #52 Pelvic organ prolapse | RCOG

  https://www.rcog.org.uk/for-the-public/browse-our-patient-information/pelvic-organ-prolapse/

  Vaginal hormone treatment (estrogen): if you have gone through the menopause, your doctor may recommend vaginal estrogen treatment in the form of tablets, cream or a ring that is inserted into your vagina. Estrogen treatment can help to reduce the discomfort you may experience from having a prolapse. […] Vaginal support pessary: a pessary is a plastic or silicone device that fits into your vagina to help support the pelvic organs. This can be an effective way of helping your symptoms. […] Identifying the correct pessary may take more than one attempt as there are many different sizes and shapes. […] Pessaries do not usually cause any problems but can sometimes cause infection, discharge, bleeding or ulceration. […] You may want to consider surgery if other options have not helped. […] Your gynaecologist can advise which surgery is best for you. This will depend on your type of prolapse and symptoms, as well as your age, general health, your wish to have sexual intercourse and whether or not you have completed your family.

• #53 Pelvic Organ Prolapse | AAFP

  https://www.aafp.org/pubs/afp/issues/2017/0801/p179.html

  Pelvic organ prolapse is the descent of one or more of the anterior vaginal wall, posterior vaginal wall, the uterus (cervix), or the apex of the vagina (vaginal vault or cuff scar after hysterectomy). […] Most women should be offered a pessary as first-line treatment for pelvic organ prolapse. […] Do not exclude pessaries as a treatment option for pelvic organ prolapse. […] Lifestyle modifications such as smoking cessation and avoidance of heavy lifting and constipation may reduce symptoms. […] Pelvic floor muscle training exercises (Kegel), the systematic contraction of the levator ani muscles, may improve pelvic function. […] Pessaries are an option for all stages of prolapse, and they may prevent progression of prolapse and avert or delay the need for surgery. […] Women with pelvic organ prolapse may elect for observation, pelvic floor muscle training, pessary use, or surgery. The primary goal of any treatment is to improve symptoms and, for conservative management, to minimize prolapse progression.

• #54

  https://atriumhealth.org/medical-services/prevention-wellness/womens-health/urogynecology-and-pelvic-surgery/pelvic-organ-prolapse

  Kegel exercises or physical therapy can help strengthen the pelvic muscles. This is helpful with urinary incontinence and may delay the development of prolapse. […] However, it is unlikely that exercises alone will repair significant vaginal prolapse. […] Pessaries are removable rubber or silicone devices that can be placed in the vagina to hold the organs in place. Once appropriately fitted, a pessary can be removed and cleaned on a regular basis by the patient for as long as she would like. […] Therefore, we recommend pessaries for young woman who may want to have more children, women who have a medical condition that makes surgery inadvisable, or for women who’d like to postpone surgery for some period of time perhaps to take care of an ill family member or when it may be more convenient for her schedule.

• #55

  https://atriumhealth.org/medical-services/prevention-wellness/womens-health/urogynecology-and-pelvic-surgery/pelvic-organ-prolapse

  Kegel exercises or physical therapy can help strengthen the pelvic muscles. This is helpful with urinary incontinence and may delay the development of prolapse. […] However, it is unlikely that exercises alone will repair significant vaginal prolapse. […] Pessaries are removable rubber or silicone devices that can be placed in the vagina to hold the organs in place. Once appropriately fitted, a pessary can be removed and cleaned on a regular basis by the patient for as long as she would like. […] Therefore, we recommend pessaries for young woman who may want to have more children, women who have a medical condition that makes surgery inadvisable, or for women who’d like to postpone surgery for some period of time perhaps to take care of an ill family member or when it may be more convenient for her schedule.

• #56 Pelvic organ prolapse | RCOG

  https://www.rcog.org.uk/for-the-public/browse-our-patient-information/pelvic-organ-prolapse/

  Vaginal hormone treatment (estrogen): if you have gone through the menopause, your doctor may recommend vaginal estrogen treatment in the form of tablets, cream or a ring that is inserted into your vagina. Estrogen treatment can help to reduce the discomfort you may experience from having a prolapse. […] Vaginal support pessary: a pessary is a plastic or silicone device that fits into your vagina to help support the pelvic organs. This can be an effective way of helping your symptoms. […] Identifying the correct pessary may take more than one attempt as there are many different sizes and shapes. […] Pessaries do not usually cause any problems but can sometimes cause infection, discharge, bleeding or ulceration. […] You may want to consider surgery if other options have not helped. […] Your gynaecologist can advise which surgery is best for you. This will depend on your type of prolapse and symptoms, as well as your age, general health, your wish to have sexual intercourse and whether or not you have completed your family.

• #57 Pelvic organ prolapse | RCOG

  https://www.rcog.org.uk/for-the-public/browse-our-patient-information/pelvic-organ-prolapse/

  Vaginal hormone treatment (estrogen): if you have gone through the menopause, your doctor may recommend vaginal estrogen treatment in the form of tablets, cream or a ring that is inserted into your vagina. Estrogen treatment can help to reduce the discomfort you may experience from having a prolapse. […] Vaginal support pessary: a pessary is a plastic or silicone device that fits into your vagina to help support the pelvic organs. This can be an effective way of helping your symptoms. […] Identifying the correct pessary may take more than one attempt as there are many different sizes and shapes. […] Pessaries do not usually cause any problems but can sometimes cause infection, discharge, bleeding or ulceration. […] You may want to consider surgery if other options have not helped. […] Your gynaecologist can advise which surgery is best for you. This will depend on your type of prolapse and symptoms, as well as your age, general health, your wish to have sexual intercourse and whether or not you have completed your family.

• #58 Pelvic organ prolapse | RCOG

  https://www.rcog.org.uk/for-the-public/browse-our-patient-information/pelvic-organ-prolapse/

  Vaginal hormone treatment (estrogen): if you have gone through the menopause, your doctor may recommend vaginal estrogen treatment in the form of tablets, cream or a ring that is inserted into your vagina. Estrogen treatment can help to reduce the discomfort you may experience from having a prolapse. […] Vaginal support pessary: a pessary is a plastic or silicone device that fits into your vagina to help support the pelvic organs. This can be an effective way of helping your symptoms. […] Identifying the correct pessary may take more than one attempt as there are many different sizes and shapes. […] Pessaries do not usually cause any problems but can sometimes cause infection, discharge, bleeding or ulceration. […] You may want to consider surgery if other options have not helped. […] Your gynaecologist can advise which surgery is best for you. This will depend on your type of prolapse and symptoms, as well as your age, general health, your wish to have sexual intercourse and whether or not you have completed your family.

• #59 Pelvic organ prolapse | RCOG

  https://www.rcog.org.uk/for-the-public/browse-our-patient-information/pelvic-organ-prolapse/

  There are many different types of surgery for prolapse. […] You should avoid heavy lifting after surgery and avoid sexual intercourse for 68 weeks. […] Approximately 2530 in 100 women having surgery for prolapse will develop another prolapse in the future. There is a higher chance of the prolapse returning if you are overweight, constipated, have a long-standing cough or undertake heavy physical activities.

• #60 Pelvic organ prolapse | RCOG

  https://www.rcog.org.uk/for-the-public/browse-our-patient-information/pelvic-organ-prolapse/

  There are many different types of surgery for prolapse. […] You should avoid heavy lifting after surgery and avoid sexual intercourse for 68 weeks. […] Approximately 2530 in 100 women having surgery for prolapse will develop another prolapse in the future. There is a higher chance of the prolapse returning if you are overweight, constipated, have a long-standing cough or undertake heavy physical activities.

• #61 Pelvic organ prolapse | RCOG

  https://www.rcog.org.uk/for-the-public/browse-our-patient-information/pelvic-organ-prolapse/

  There are many different types of surgery for prolapse. […] You should avoid heavy lifting after surgery and avoid sexual intercourse for 68 weeks. […] Approximately 2530 in 100 women having surgery for prolapse will develop another prolapse in the future. There is a higher chance of the prolapse returning if you are overweight, constipated, have a long-standing cough or undertake heavy physical activities.

• #62 Pelvic organ prolapse cure closer – Hudson Institute of Medical Research

  https://www.hudson.org.au/news/pelvic-organ-prolapse-cure-comes-closer/

  New ways to prevent and cure pelvic organ prolapse (POP) are a big step closer, thanks to major funding for pioneering research at Hudson Institute. […] Their project aims to transform the field of female pelvic floor health on two fronts: prevention and cure of POP. […] They propose that 3D printed (3DP) grafts can improve pelvic reconstructive surgery outcomes and nanostructured hydrogels can reverse birth induced injury and prevent POP in the future, using 3D printing, nanotechnology and cellular bioprinting to advance Australian health outcomes, practice and policy. […] A key to their research is the use of 3D printing, nanotechnology and cellular bioprinting in POP surgery, which is where the other award recipient, Dr Kallyanashis Paul, comes in. […] His research proposes a paradigm shift in pelvic reconstructive practice by introducing absorbable 3D bioprinted grafts boosted with a patients own cells, aiming to drastically reduce the post-surgical immune response and prevent adverse reactions. […] Pelvic floor exercises: also known as Kegel exercises, these can help strengthen the pelvic floor muscles and improve symptoms of pelvic organ prolapse.

• #63 Pelvic organ prolapse cure closer – Hudson Institute of Medical Research

  https://www.hudson.org.au/news/pelvic-organ-prolapse-cure-comes-closer/

  New ways to prevent and cure pelvic organ prolapse (POP) are a big step closer, thanks to major funding for pioneering research at Hudson Institute. […] Their project aims to transform the field of female pelvic floor health on two fronts: prevention and cure of POP. […] They propose that 3D printed (3DP) grafts can improve pelvic reconstructive surgery outcomes and nanostructured hydrogels can reverse birth induced injury and prevent POP in the future, using 3D printing, nanotechnology and cellular bioprinting to advance Australian health outcomes, practice and policy. […] A key to their research is the use of 3D printing, nanotechnology and cellular bioprinting in POP surgery, which is where the other award recipient, Dr Kallyanashis Paul, comes in. […] His research proposes a paradigm shift in pelvic reconstructive practice by introducing absorbable 3D bioprinted grafts boosted with a patients own cells, aiming to drastically reduce the post-surgical immune response and prevent adverse reactions. […] Pelvic floor exercises: also known as Kegel exercises, these can help strengthen the pelvic floor muscles and improve symptoms of pelvic organ prolapse.

• #64 Pelvic organ prolapse prevention and cure – Hudson Institute of Medical Research

  https://www.hudson.org.au/news/pelvic-organ-prolapse-prevention-and-cure/

  They say prevention is better than cure, but when it comes to pelvic organ prolapse, the specialists at Hudson Institute of Medical Research are taking them equally seriously. […] At the same time, as well as her own work on new mesh technologies, Research Group Head, Dr Mukherjee, is also using stem cells in a very different way, with the aim of preventing POP before it develops. […] Through studying the before and after of POP, Hudson Institute is working to prevent this condition ever developing, and to make life easier for the many women in whom it does.

• #65 Senolytics Dasatinib and Quercetin for Prevention of Pelvic Organ Prolapse in Mice | Aging

  https://www.aging-us.com/news-room/senolytics-dasatinib-and-quercetin-for-prevention-of-pelvic-organ-prolapse-in-mice

  This study represents one of the first to evaluate the impact of senolytic agents D+Q on the clinical development of pelvic organ prolapse and expression of proteins associated with cellular senescence in a mouse model. […] A new research paper was published in Aging (listed by MEDLINE/PubMed as „Aging (Albany NY)” and „Aging-US” by Web of Science), Volume 16, Issue 19 on September 26, 2024, entitled, Use of the senolytics dasatinib and quercetin for prevention of pelvic organ prolapse in a mouse animal model. […] Senolytic agents like dasatinib and quercetin (D+Q) target age-related cellular senescence and reduce senescent cell activity in various disease processes. […] The researchers suggest that further studies are needed to determine optimal timing, dosage, and delivery of senolytics for prolapse prevention.

• #66 Prevention and management of pelvic organ prolapse

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4166938/

  Pelvic organ prolapse is a highly prevalent condition in the female population, which impairs the health-related quality of life of affected individuals. Despite the lack of robust evidence, selective modification of obstetric events or other risk factors could play a central role in the prevention of prolapse. […] While the value of pelvic floor muscle training as a preventive treatment remains uncertain, it has an essential role in the conservative management of prolapse. […] Without identifying the risk factors, efforts at prevention are fruitless, and therapy can only be empirical. […] Vaginal childbirth is probably the most important factor in the aetiology of pelvic organ prolapse. However, the concept of a planned caesarean section for the prevention of pelvic floor dysfunction is controversial, due to the risks associated with caesarean section and the obvious resource implications for health care systems.

• #67 7 Ways to Prevent Prolapse

  https://eu.perifit.co/pages/content-7-ways-to-prevent-prolapse

  7 ways to prevent prolapse […] Although there is no definite way to prevent uterine prolapse, there are certainly ways to lower the risk. […] Among those who give birth vaginally, about 50% will develop some form of pelvic organ prolapse in their lifetime. […] These exercises are especially important after delivering a baby. […] But, as always, the best time to start is now as there are many more benefits to a stronger pelvic floor than just a quicker postpartum recovery and prolapse prevention. […] Just as extra weight affects your joints, it is also a strain for your muscles and the structural integrity of your pelvic floor. […] Not lifting things that are too heavy for you, and learning to use your legs rather than waist or back is important for preventing both prolapse and back injuries.

• #68 Prolapsed uterus | Better Health Channel

  https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/prolapsed-uterus

  Some women are at increased risk of uterine prolapse. Simple preventive measures include: […] pregnancy pelvic floor exercises throughout pregnancy […] vaginal childbirth post-partum pelvic floor exercises […] post-menopause oestrogen cream to boost flagging hormone levels, and pelvic floor exercises […] obesity loss of excess abdominal fat with dietary modifications and regular exercise […] chronic constipation its ideal if you have big, soft, formed stools. Usually, eating lots of fruit, vegetables and fibre, and drinking plenty of water will help. Avoid straining when using your bowels. Manage chronic constipation in consultation with your doctor […] other conditions treat underlying disorders (such as asthma and chronic bronchitis) in consultation with your doctor.

• #69

  https://www.prevention.com/health/a20499114/pelvic-organ-prolapse/

  Pelvic organ prolapse means that one of the organs near the vagina and uterus herniate into the vaginal space, according to the American College of Obstetricians and Gynecologists (ACOG). […] Hendrix says prolapse is so common because in order for women to have children, they have a large hole in their pelvic floor. […] Lubell adds that in other countries, such as France, pelvic floor health is incorporated into the postpartum care regimen, significantly decreasing the number of people suffering from incontinence or prolapse. […] A variety of treatments are available, but step one is to see your doctorand many women are too embarrassed to do so. […] Once you do talk to your gynecologist (or, even better, a urogynecologist), you can discuss possible remedies, which range from conservative exercises to major surgery.

• #70 Pelvic organ prolapse – a review

  https://www.racgp.org.au/afp/2015/july/pelvic-organ-prolapse-a-review

  Some aetiological factors for FPOP, such as obesity or genetic factors, are difficult or impossible to modify. […] Levator trauma, however, allows for two approaches, either avoiding vaginal childbirth through caesarean section or modifying it to reduce trauma. […] The use of forceps, the primary risk factor for levator avulsion, is entirely avoided in some countries and institutions, demonstrating that this risk factor is eminently modifiable. […] Odds ratios for levator avulsion in forceps relative to vacuum are 3.4 to 11.4, suggesting a large potential for prevention of pelvic floor trauma and FPOP, with the added benefit of less anal sphincter tears and anal incontinence. […] Primary prevention is feasible through modification of obstetric management. […] The main modifiable risk factor for pelvic floor trauma and later pelvic organ prolapse is forceps, whereas vacuum is not associated with increased risk. […] Box 2 lists potential preventive measures. […] Avoidance of forceps (risk reduction by about 20-40%) […] Avoidance of vaginal delivery (risk reduction by 60-80%).

• #71 Pelvic organ prolapse – a review

  https://www.racgp.org.au/afp/2015/july/pelvic-organ-prolapse-a-review

  Some aetiological factors for FPOP, such as obesity or genetic factors, are difficult or impossible to modify. […] Levator trauma, however, allows for two approaches, either avoiding vaginal childbirth through caesarean section or modifying it to reduce trauma. […] The use of forceps, the primary risk factor for levator avulsion, is entirely avoided in some countries and institutions, demonstrating that this risk factor is eminently modifiable. […] Odds ratios for levator avulsion in forceps relative to vacuum are 3.4 to 11.4, suggesting a large potential for prevention of pelvic floor trauma and FPOP, with the added benefit of less anal sphincter tears and anal incontinence. […] Primary prevention is feasible through modification of obstetric management. […] The main modifiable risk factor for pelvic floor trauma and later pelvic organ prolapse is forceps, whereas vacuum is not associated with increased risk. […] Box 2 lists potential preventive measures. […] Avoidance of forceps (risk reduction by about 20-40%) […] Avoidance of vaginal delivery (risk reduction by 60-80%).

• #72 7 Ways to Prevent Prolapse

  https://eu.perifit.co/pages/content-7-ways-to-prevent-prolapse

  To prevent constipation, make sure to drink plenty of fluids and eat foods that are rich in fiber. […] Repetitive coughing causes over-straining. […] According to one study, the chances of developing uterine prolapse after birth greatly increase with the use of forceps or vacuum-assisted delivery. […] The risk of uterine prolapse increases during menopause. […] It’s possible that for people over 60, oral raloxifene could reduce the need for pelvic organ prolapse surgery, but prescribing it for prevention isn’t regular practice. […] Considering the number of people that develop prolapse, it’s well worth trying to prevent it before it happens! […] In addition to the preventative methods listed above, remember that a healthy diet and regular exercise are vital in keeping all your organs intact and running smoothly. […] Considering the number of people that develop prolapse, it’s well worth trying to prevent it before it happens!

• #73 Prevention and management of pelvic organ prolapse

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4166938/

  Pelvic organ prolapse is a highly prevalent condition in the female population, which impairs the health-related quality of life of affected individuals. Despite the lack of robust evidence, selective modification of obstetric events or other risk factors could play a central role in the prevention of prolapse. […] While the value of pelvic floor muscle training as a preventive treatment remains uncertain, it has an essential role in the conservative management of prolapse. […] Without identifying the risk factors, efforts at prevention are fruitless, and therapy can only be empirical. […] Vaginal childbirth is probably the most important factor in the aetiology of pelvic organ prolapse. However, the concept of a planned caesarean section for the prevention of pelvic floor dysfunction is controversial, due to the risks associated with caesarean section and the obvious resource implications for health care systems.

• #74 Azthena logo with the word Azthena

  https://www.news-medical.net/health/Preventing-Pelvic-Organ-Prolapse.aspx

  Pelvic organ prolapse is a distressing health condition in women related to the descent of the uterus or neighboring organs from their original location in the pelvis through the pelvic floor. This is due to a loss of pelvic support, and can decrease the quality of life by producing symptoms related to the urethra, bladder, and vagina. It can also produce psychological and emotional distress. […] Many studies have focused on identifying the risk factors and mechanism of pelvic organ prolapse. Without finding these factors, prevention is difficult. […] Giving birth vaginally is the most important predisposing factor in pelvic organ prolapse, but can obviously not be avoided in all women. However, women with a high risk of prolapse may be offered an elective Caesarean section. […] There are several methods that can help to reduce pressure on the pelvic floor and thus decrease the risk of pelvic organ prolapse.

• #75 Prevention and management of pelvic organ prolapse

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4166938/

  A scoring system (UR-CHOICE) has been proposed to predict the risk of future pelvic floor dysfunction. […] Pelvic floor muscle training (PFMT) has been proposed as a measure to prevent pelvic organ prolapse. However, a recently published study, comparing a nurse-led intervention (pelvic floor muscle training and bladder training) at 5, 7, and 9 months after delivery to standard care, showed that the prevalence of prolapse symptoms or objectively measured pelvic organ prolapse did not differ between the groups at the 12-year follow-up. […] As pelvic organ prolapse has been associated with urogenital atrophy, it is possible that oestrogens, alone or in conjunction with other measures, may prevent its development by improving the strength of weakened supporting ligaments, muscles and vaginal mucosa. […] Modification of other risk factors could also reduce the risk of pelvic organ prolapse. Reduction of straining and intra-abdominal pressure could help prevent the development of prolapse. […] Weight loss with diet or bariatric surgery has also been suggested as a preventive measure.

• #76 Midwifery Today Pelvic Organ Prolapse: A Proactive Approach to Prevention The heart and science of birth

  https://www.midwiferytoday.com/mt-articles/pelvic-organ-prolapse-proactive-approach-prevention/

  When women give birth, they expect a baby and then the placenta to come out, but not many moms are expecting their bladder or uterus to come out! […] Women are unfortunately uninformed about many aspects of how pregnancy and birth can affect their bodies. Midwives play a key role in empowering women with knowledge and awareness so their clients have an opportunity to make choices in their pregnancy and birth that can help prevent pelvic organ prolapse.

• #77 Midwifery Today Pelvic Organ Prolapse: A Proactive Approach to Prevention The heart and science of birth

  https://www.midwiferytoday.com/mt-articles/pelvic-organ-prolapse-proactive-approach-prevention/

  When women give birth, they expect a baby and then the placenta to come out, but not many moms are expecting their bladder or uterus to come out! […] Women are unfortunately uninformed about many aspects of how pregnancy and birth can affect their bodies. Midwives play a key role in empowering women with knowledge and awareness so their clients have an opportunity to make choices in their pregnancy and birth that can help prevent pelvic organ prolapse.

• #78 Prevention of Pelvic Organ Prolapse – Women’s Pelvic Health, Incontinence Treatment

  https://www.pelvichealth.com/prevention-of-pelvic-organ-prolapse

  Seek medical attention to evaluate and treat a chronic cough which increases abdominal and pelvic pressure. […] Avoid heavy lifting and learn how to lift safely by using leg and arm muscles as much as possible. […] Don’t smoke or kick the habit! […] Avoid repetitive strenuous activities. […] Learn and perform pelvic floor muscle exercises (Kegel) regularly to improve the strength of the pelvic floor, and limit the likelihood of developing prolapse. Once prolapse has developed pelvic floor exercises will not correct the prolapse, but they may limit the development of worsening prolapse and may diminish some of the symptoms. […] Be sure to have regular pelvic exams to check for early signs of prolapse. Ask your doctor if they are measuring your prolapse in a systematic way this will enable them to notice subtle changes over time. The most commonly used system of measure for prolapse is called the pelvic organ prolapse quantification or POP-Q system.

• #79 Let’s talk about it: pelvic organ prolapse – UAB News

  https://www.uab.edu/news/health-medicine/let-s-talk-about-it-pelvic-organ-prolapse

  Roughly one-quarter of women in the United States over 18 report having a pelvic floor disorder, which includes pelvic organ prolapse. […] It is incredible what womens bodies can do and withstand, but this does not mean they are not susceptible to wear and tear such as with pelvic organ prolapse, Dunivan said. […] Its time for these women to understand they are not alone and they do not have to suffer in silence. […] Dunivan reiterates the preferred type of treatment is prevention and early intervention. […] As athletes exercise to condition their bodies for success, women should incorporate pelvic floor exercises, such as kegels, to lower their risk of prolapse. […] Maintaining healthy weight, choosing foods with fiber and not smoking can also reduce ones risk of prolapse, according to the Office on Womens Health. […] Pelvic organ prolapse is not dangerous but can be bothersome and dramatically affect ones quality of life, Dunivan said. […] However, treatment and prevention are limited as long as the conversations around pelvic organ prolapse are considered taboo.

• #80 Pelvic Prolapse: Causes, Symptoms, Treatment and Prevention | Dr Jay Mehta

  https://www.shreeivfclinic.com/blogs/pelvic-prolapse-causes-symptoms-treatment-prevention/

  1. While pelvic prolapse may not always be preventable, specific preventive measures and self-care practices can help reduce the risk and manage symptoms. Here are some recommendations: […] 2. Maintain a healthy weight: Excess weight can strain the pelvic floor muscles, so maintaining a healthy weight through a balanced diet and regular exercise can help prevent pelvic prolapse. […] 3. Practice pelvic floor exercises: Regular pelvic floor exercises such as Kegels can help strengthen the muscles supporting the pelvic organs. […] 4. Avoid heavy lifting: Minimize heavy lifting activities, as they can put excessive pressure on the pelvic floor. […] 5. Manage chronic conditions: If you have chronic conditions like constipation or chronic coughing, work with your Gynecologists to manage them effectively, as they can contribute to pelvic prolapse.

• #81 Pelvic Prolapse: Causes, Symptoms, Treatment and Prevention | Dr Jay Mehta

  https://www.shreeivfclinic.com/blogs/pelvic-prolapse-causes-symptoms-treatment-prevention/

  6. Quit smoking: Smoking can weaken the connective tissues in the body, including those in the pelvic floor. Quitting smoking can have positive effects on overall pelvic health. […] 7. By incorporating these preventive measures into your lifestyle, you can take proactive steps to maintain optimal pelvic health.

• #82 Can Pelvic Organ Prolapse Be Prevented?: Capital Women’s Care: OBGYNs

  https://www.capitalwomenscarefrederickobgyn.com/blog/can-pelvic-organ-prolapse-be-prevented

  In an ideal world, the organs in your pelvis, which include reproductive, digestive, and urinary systems, stay in their positions where they can function best. […] While we can certainly treat existing POP, our goal is to help our patients avoid this common issue in the first place through preventive practices that we outline here. […] The primary cause of pelvic organ prolapse is a weakening in the pelvic floor, which is often fueled by pregnancy, delivery, and aging. […] Since POP stems from a weak pelvic floor, the number one preventive practice is to strengthen this group of tissues through targeted exercises. […] All women can benefit from adding Kegels to their daily routine, especially as they get older and pass through perimenopause and into menopause. […] There are other risk factors for POP, such as being overweight or having obesity, which places more pressure on your pelvic floor. […] Reducing the risk factors over which you have some control is a great way to keep your pelvic floor strong so its able to properly support your pelvic organs.

• #83 Conservative management of pelvic organ prolapse in women | Cochrane

  https://www.cochrane.org/CD003882/INCONT_conservative-management-of-pelvic-organ-prolapse-in-women

  A large trial of PFMT supplementing surgery is needed to give clear evidence about the usefulness of combining these treatments. […] Other comparisons which have not been addressed in trials to date and warrant consideration include those involving lifestyle change interventions, and trials aimed at prolapse prevention.

• #84 Conservative prevention and management of pelvic organ prolapse in women – Hagen, S – 2011 | Cochrane Library

  https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD003882.pub4/full

  Conservative management approaches, such as giving lifestyle advice and delivering pelvic floor muscle training (PFMT), are often used in cases of mild to moderate prolapse. […] The review looked for randomised trials of conservative methods, either to prevent or treat prolapse, from which to judge their effects. […] The evidence from the trials suggests there is some benefit from conservative treatment of prolapse, specifically for PFMT as compared to no intervention. […] More randomised controlled trials are still needed to look at different regimens of PFMT, the cost in relation to benefit, and the long-term effects. […] There is a dearth of trials addressing lifestyle changes as a treatment for prolapse, and trials aimed at prevention of prolapse.

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