If you have noticed a sudden change down below, such as a feeling of heaviness, discomfort, or unusual pressure, your first step should always be to contact your doctor. Pelvic floor prolapse can manifest in different forms, each requiring specific identification and treatment. It’s important to get a professional diagnosis to understand whether it is cystocele, rectocele, uterine prolapse, or another type, so that the correct support and guidance can be provided. Early assessment is key in managing symptoms effectively and improving your confidence and strength moving forward.

When you speak to your doctor about changes you've noticed, it's important to describe exactly what you physically feel, this will usually lead to an internal examination—the primary method for identifying prolapse. Don’t hesitate to ask as many questions as you need; understanding your condition fully is crucial. Unfortunately, many women report feeling dismissed or as if they are overreacting, but there are exceptions, some excellent doctors too. If you are unhappy with your doctor's advice or diagnosis, it’s perfectly appropriate to calmly express your concerns and seek further clarification or a second opinion. Although prolapse is often described as not life-threatening, the mental and emotional impact can be significant and should not be underestimated.

It is completely normal to feel scared, alone, confused, and lost when faced with a diagnosis like pelvic floor prolapse. These feelings are natural reactions to a significant change in your body and life. You may not feel comfortable discussing your diagnosis with everyone, and that’s perfectly okay. However, sharing your experience with someone you trust—a close friend or family member—can provide much-needed support and understanding. Opening up, even a little, creates a space where you can feel heard and supported, helping to ease the isolation and uncertainty during this challenging time.

Hopefully you receive great medical support, but what happens next? Often, you should be referred to a pelvic physiotherapist, a specialist who can provide targeted treatment and guidance. Be prepared for potentially long waiting lists, which can be frustrating but should not deter you from seeking help. During your appointment, you should expect a thorough internal examination to assess the condition of your pelvic floor muscles and identify specific areas needing attention. This detailed evaluation is crucial for designing an effective personalised rehabilitation plan to help you regain strength, confidence, and control.

This is your opportunity to ask what type of prolapse you have—hypertonic, hypotonic, or a combination of both. Understanding your specific condition is essential because many women are routinely encouraged to begin Kegel exercises, which may not always be appropriate depending on the type of pelvic floor prolapse. For instance, hypertonic pelvic floors, which are overly tight, might require relaxation techniques rather than strengthening, whereas hypotonic ones, characterised by weakness, often benefit from targeted strengthening like Kegels. Always seek professional advice before starting any exercises, this knowledge is fundamentally crucial to your recovery and overall pelvic health.

Remember you are not alone.