5 Signs Your Prolapse Might Be Getting Worse

Pelvic organ prolapse is incredibly common, particularly after pregnancy, childbirth and during perimenopause and menopause. However, many women aren't sure whether their symptoms are normal, whether their prolapse is worsening, or when they should seek help.

The good news is that prolapse does not always get worse, and there are many treatment options available to help manage symptoms and support an active lifestyle.

Here are five signs it may be time to seek advice from a pelvic health physiotherapist.

1. You're Feeling More Vaginal Heaviness or Pressure

One of the most common symptoms of prolapse is a sensation of heaviness, dragging or pressure in the vagina.

You may notice:

• Symptoms worsen as the day progresses

• Increased discomfort after exercise

• A sensation of something "falling down"

• Relief when lying down

If these sensations are becoming more frequent or more noticeable, it may indicate that your prolapse is becoming more symptomatic.

2. You Can See or Feel a Bulge

Some women notice a bulge at the vaginal opening when showering, inserting a tampon, or wiping after using the toilet. A visible or palpable bulge does not necessarily mean your prolapse is severe, but if it is becoming more noticeable or protruding further, it is worth having it assessed.

Many women delay seeking help because they assume surgery is their only option. In reality, pelvic floor physiotherapy and pessaries can be very effective.

3. Exercise Is Becoming More Difficult

Perhaps you used to enjoy running, lifting weights, CrossFit, netball or group fitness classes but now find symptoms are limiting your participation.

You may notice:

• Increased pressure during exercise

• Symptoms that persist afterwards

• Difficulty returning to previous activity levels

• A lack of confidence during high impact activities

A pelvic health physiotherapist can help assess your prolapse and guide you through a safe return to exercise.

4. You're Having More Bladder Symptoms

Prolapse can sometimes affect bladder function.

You may experience:

• Urinary urgency

• Difficulty emptying your bladder completely

• Increased frequency

• Leakage during exercise

Changes in bladder symptoms may indicate that the prolapse is affecting how the bladder or urethra functions and should be assessed.

5. You're Changing Your Lifestyle Because of Symptoms

This is often the biggest sign that support is needed.

Are you:

• Avoiding exercise?

• Not lifting your children?

• Declining social activities?

• Constantly thinking about your prolapse?

When prolapse begins to impact your confidence or quality of life, it is worth seeking professional advice.

What Can You Do?

The good news is that there are many treatment options available.

Depending on your symptoms, these may include:

• Pelvic floor muscle training

• Exercise modification and progression

• Pessary fitting and management

• Bladder and bowel strategies

• Education about prolapse and recovery

• Referral for specialist review when appropriate

Many women are surprised by how much improvement they can achieve with the right assessment and support.

If you are experiencing symptoms of prolapse, or if you are unsure whether your symptoms are worsening, a pelvic health assessment can provide clarity and a personalised management plan.

At Bump and Beyond Physio, I help women throughout Auckland's North Shore navigate prolapse, return to exercise with confidence, and get back to doing the things they love.

Whether you're looking for a prolapse physio on the North Shore, Auckland region, advice about pelvic organ prolapse, or information about pessary fittings, I'd be happy to help.

Book an Appointment

If you're concerned about prolapse or simply want reassurance that you're managing it well, book a pelvic health assessment with Bump and Beyond Physio in Takapuna.

Early assessment can help you understand your options, reduce symptoms, and confidently return to the activities you enjoy.