I see women who choose the first option of treatment. They have noticed their symptoms, they have either come to see me for a review or they have visited their gynaecologist or General Practitioner first. They attend physiotherapy for education, manual therapy, pelvic floor strengthening and lifestyle management advice.
Often the conversation about lifestyle management is difficult. We all require different levels of pelvic floor strength and pelvic organ support for our individual lifestyles. One person might tell me that they would like to be able to stand all day at work without feeling their symptoms towards the end of the day, someone else will tell me that they would like to be able to complete their pilates class or to go for a long walk three times a week. Another client will want to get back to marathon training or will have noticed their symptoms when they returned to CrossFit or the gym after the birth of a child.
I designed these programs to be used as an adjunct to whichever of the above options you have chosen. Prolapse management varies from person to person and its success depends on women’s goals as well as the type of prolapse, its level of descent in the pelvis, and the balance between pelvic floor strength and ligamentous support in the pelvic organs. Unfortunately there are no guarantees with any conservative approach to managing and treating prolapse but it is the only way to avoid surgery and there is no harm in giving it the best possible shot!
In my clinic I have spent a lot of time designing home exercise programs for my patients but I have always felt that I could do better in terms of a progressive, independent program that would allow my patients more autonomy in their management of prolapse. I visualised every patient scenario that I have encountered while making these videos as well as considering the scientific and expert-based evidence that we have. I have noticed how people want to enjoy exercise regardless of their prolapse so this is a big part of my programme. I have been instructing Pilates for years so all my videos take the form of a Pilates class and the classes vary from ten minutes to forty five minutes.