Can you prevent prolapse from getting worse?
It is often possible to prevent pelvic organ prolapse from worsening through targeted pelvic floor exercises, lifestyle changes, and regular follow-up with a healthcare provider. Early intervention and ongoing management can stabilise symptoms and improve quality of life.
Detailed Medical Explanation
Progression of pelvic organ prolapse is not inevitable. Regular pelvic floor muscle training (supervised by a physiotherapist), maintaining a healthy weight, treating constipation, avoiding heavy lifting, and stopping smoking are proven ways to prevent worsening. A pessary may also help support the organs. Regular review allows for timely adjustments to your management plan. More advice can be found at the NHS.
Clinical Context
Women with early-stage prolapse can often maintain or improve their condition with proactive steps. Specialist physiotherapy and ongoing support are key. Progress should be monitored, as some cases do require surgical evaluation in the future.
Evidence-Based Approaches
NICE and RCOG guidelines recommend conservative measures as first-line management for most women. Pelvic floor muscle training and risk factor modification have strong evidence for slowing or halting progression. (NICE NG123)