Allison and Sarah discuss pelvic organ prolapse, a common condition where pelvic organs descend due to weakened vaginal tissue walls. In this episode we cover the following:
Types of prolapse:- Cystocele (anterior wall, bladder)
- Rectocele (posterior wall, rectum)
- Uterine prolapse (top support system, uterus)
Common causes of prolapse:Childbirth, particularly vaginal births
Hypermobility conditions like Ehlers-Danlos syndrome
Aging and hormonal changes during menopause
Symptoms of prolapse:- Heaviness in the pelvis
- Difficulty emptying bowels or a feeling of incomplete evacuation
- Symptoms worsening after physical activity or by the end of the day
Explanation of the grades of prolapse:- Grade 1: Mild, slight mobility at the top of the vaginal canal
- Grade 2: More noticeable bulging into the vaginal canal
- Grade 3: Visible at the vaginal opening
- Grade 4: Tissue protruding outside the vaginal opening
Treatment options:- Non-surgical: vaginal estrogen, pelvic floor physical therapy, pressure management techniques
- Pessaries: internal support devices fitted by a gynecologist
- External support garments and compression wear
- Surgical options for severe cases, with considerations for recovery time and second opinions
Importance of exercise in managing prolapse:- Moderate exercise reduces prolapse risk compared to sedentary lifestyles and extreme heavy lifting
- Emphasis on proper pressure management and pelvic floor recruitment during activities

Episode Resources
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