Pelvic organ prolapse occurs to some degree in 50% of parous women; parity is not the only factor associated with POP.
Symptoms of pelvic organ prolapse (POP) in women.
The 2013 International Consultation on Incontinence recommend (grade A) PFMT to reduce the severity and improve prolapse symptoms.
POP symptoms include pelvic heaviness; dragging sensation in the vagina; bulge, lump or protrusion coming down from the vagina; backache; bladder and bowel symptoms; and sexual dysfunction.
Women most suited to conservative management are those with a mild-moderate degree of prolapse, those who wish to have more children, and the frail or those unwilling to undergo surgery.
PFMT is also used in the treatment of urinary incontinence not related to POP.
Regular and frequent (weekly) appointments are most effective for both indications.