Have you noticed a feeling of heaviness or bulging in the pelvic area? Pelvic organ prolapse happens when the muscles and tissues supporting the pelvic organs become weaker. Patients at Prologue Wellness can undergo an assessment to understand their condition and discuss suitable management options.
Pelvic Organ Prolapse (POP) occurs when one or more pelvic organs, such as the uterus, bladder, rectum, or vaginal vault, descend due to weakened support structures in the pelvic floor. This can lead to a prolapsed womb, bladder (cystocele), rectum (rectocele), small bowel (enterocele), or vaginal vault (often after hysterectomy).
This happens when the bladder moves downward and bulges into the vaginal wall. It may cause symptoms such as a feeling of pressure or difficulty fully emptying the bladder.
A rectocele forms when the wall of the rectum presses into the vagina, while an enterocele involves the small bowel pushing downward. These may cause a sensation of fullness or difficulty with bowel movements.
This occurs when the uterus slips down into the vagina. Some patients may notice a bulge or heaviness in the pelvic area.
Vault prolapse refers to the top of the vaginal canal shifting downward after a hysterectomy. It may lead to feelings of heaviness, pressure, or tissue bulging.
Pelvic organ prolapse develops gradually, often due to life events and changes. Common risk factors include:
Pelvic floor prolapse may cause a range of symptoms, but often includes:
Pelvic organ prolapse is typically graded in stages:
A proper diagnosis ensures the most suitable treatment. Evaluation usually includes:
Understanding pelvic organ prolapse usually begins with a few basic steps. These help to identify what is happening and guide the choice of management.
You may be asked about childbirth, bladder habits and bowel patterns. This helps the doctor better understand your symptoms.
A doctor will check the pelvic area to see which organs are affected and how much they have shifted. This helps identify the stage of prolapse.
Sometimes, tests such as an ultrasound or bladder function study may be suggested. These provide more details about the condition when needed.
Pelvic organ prolapse can be managed through non-surgical or surgical approaches, depending on individual symptoms and needs. Here are treatment decisions that are best made after medical assessment:
Healthy habits such as maintaining an ideal weight, managing constipation, or limiting heavy lifting may help reduce strain on the pelvic floor. Our health coaching services guide patients in making sustainable lifestyle adjustments that support long-term pelvic health.
Specialised exercises guided by a physiotherapist can help strengthen the pelvic floor muscles. Improved muscle tone may provide better support for the pelvic organs and reduce symptoms.
BTL Emsella is a non-invasive treatment that uses electromagnetic energy to stimulate and strengthen pelvic floor muscles. It offers patients a convenient option without downtime and may be recommended as part of a broader treatment plan.
Surgical options are also available in certain cases and these should be discussed with a specialist to determine suitability.
While not all cases can be prevented, these strategies may reduce risk and recurrence:
Regular pelvic floor (Kegel) exercises may support muscle strengthening and support the organs.
Managing constipation and limiting heavy lifting may reduce unnecessary pressure on the pelvic area.
Maintaining a healthy weight helps to lower the strain on pelvic structures.
For some post-menopausal women, local hormone therapy may be discussed with a doctor if appropriate.
If left untreated, prolapse can affect daily life and overall well-being:
Prolapse can sometimes cause difficulty controlling urine or increase the risk of urinary infections.
Some individuals may experience constipation, straining, or incomplete bowel movements.
Prolapse may cause discomfort or pain during sexual activity.
Feelings such as worry, embarrassment, or reduced self-esteem may occur in some patients.
In some instances, prolapse may become more severe if not managed.
Yes, it is common, especially among women who have given birth or are post-menopausal.
Mild prolapse may improve with pelvic floor exercises, but moderate to severe cases often need medical support.
Not always, but multiple or complex births can increase the risk.
If you feel a bulge, pressure, or experience bladder or bowel difficulties, seek medical advice early.
Ferinn Wong
After a few sessions, my DR gap improved and i also noticed less bloating. I can fit into my clothes better too.
Amanda Lim
Jodie has been such a great help in my health journey! She really took the time to help me understand my body and gave super practical tips that actually fit into my daily routine. I learned so much about portion control, and I love how she explained how nutrition and exercise can be adjusted around the menstrual cycle — it made everything click for me. She’s knowledgeable, approachable, and easy to talk to. I feel a lot more confident now about making choices that work for me. Highly recommend her!
Amanda Lim
Prologue Wellness takes a truly holistic approach to weight management and well-being. Instead of quick fixes, they focus on educating clients about proper nutrition, helping us build sustainable habits that improve both health and quality of life.
I also love their Clinical Core & Flow programme, which combines physiotherapy, Pilates, and yoga. It creates a supportive environment for women of all fitness levels.
On top of that, they offer innovative non-invasive treatments like Exion Body, Vanquish Me, and EmBody. These complement their holistic programmes perfectly by supporting body contouring, fat reduction, and muscle strengthening in a safe, effective way.
The team, especially Jodie, Shonia and Serene, are professional, caring, and genuinely invested in their clients’ well-being. Highly recommended if you’re looking for a place that integrates science, movement, and holistic care.
Samantha Lim
The staff’s warmth, support, and use of technology have helped me improve my postpartum core muscles and pelvic floor health
Jean Toh
The struggles of postpartum recovery are real, and I’m so thankful to have found Prologue, a women’s wellness centre that truly understands and supports mothers like me.
Like many postpartum mums, I’ve been dealing with diastasis recti, a bulging tummy that makes me look pregnant, urinary incontinence that limits my activity with my kids, and difficulty losing pregnancy weight due to stress eating and late nights.
Since starting my personalised treatment plan here, I’ve seen real improvements. Weekly sessions with my nutritionist, Jodie, have helped me eat in a balanced and sustainable way. Physiotherapy sessions with Chloe and Jodie have strengthened my core and pelvic floor, while the Emsella chair has improved my incontinence. Embody treatments are helping with my DR, shockwave therapy is reducing bloating and stretch marks, and Exion Body treatments are tightening loose skin.
I’m truly grateful for the professional, encouraging, and caring team at Prologue who have supported me every step of the way. Highly recommended to any postpartum mother looking to recover, rebuild, and regain confidence.
Fleur Bloom
Thank you Prologue, especially Shonia, Serene and Jodie who never cease to bring their bright smiles to every session. Seeing progress so far and looking forward to more!
Eunice Ee
I had a a great experience at Prologue Wellness. The staff was friendly, professional, and efficient from the moment I walked in. The facility was clean and well-organized, and consultant and doctor took the time to explain everything clearly.Highly recommend!
Valerie Boh
Would highly highly recommend this place to postpartum ladies. Other than the many machine services to help with various issues such as DR, weak pelvic floor muscles and loose skin, they also have trained nutritionist and physiotherapist to help provide a holistic recovery experience! Truly glad that Proloque team has helped to resolved my DR and I have seen improvements in my core and pelvic floor muscles! Lastly, the space here is nicely done up and the team of ladies here are very friendly and professional.
