Exercising with a Pelvic Organ Prolapse

If you already have a pelvic organ prolapse, or you are at an increased risk of developing a pelvic organ prolapse, then you may not be clear on which exercises you can undertake. This guide gives the advice to help keep you active and improve the strength of your pelvic floor muscles.

Which Exercises Can I Do?

As long as you keep your activity to a low/moderate intensity and don’t over-exert yourself, you can stay in shape and tighten up your pelvic floor. You can also use specialty support clothing, to reduce the pressure put on your pelvic floor muscles as you exercise.

To Strengthen Your Core

Kegel / pelvic floor strengthening tummy toning exercises (as demonstrated in the video below) are perfect for building a strong core whilst also looking after the pelvic floor. They’re less intense than some of the more traditional core exercises such as sit-ups and crunches, putting less pressure on the muscles of the pelvis.

These exercises include gentle forms of push-ups and leg raises that all help to tone the abdominal muscles. They all can easily be done in the comfort of your own home, at your own pace.

To Lose Weight

Losing weight is recommended in most prolapse management programs, but most weight loss? exercise is too high impact for a woman with a prolapse. Great low impact exercises that still allow you to break a sweat include:

• cycling
• swimming and aqua aerobics
• fast walking
• yoga and Pilates – most poses can be modified to move weight from your feet onto your knees more evenly, where needed

These exercises all raise the heart rate enough to constitute aerobic exercise which is ideal for burning fat, especially abdominal fat. Aerobic exercise is better at shifting pounds and therefore at helping you to lose weight than resistance (weight) training alone. Try using the cardio machines at the gym to control exactly how intense your workout gets. Look to the exercise bike and elliptical machine as great options.

We advise that you mix up your workouts to give each set of muscles, including your pelvic floor, time to recover between workouts. We also recommend exercising before breakfast so that you burn body fat rather than just the fuel you’ve eaten for breakfast. It’s also the best time of day for your pelvic floor muscles too when they’re refreshed from eight hours of you laying down!

To Gain Muscle

Generally, weight lifting is a no-no. However, get advice from your doctor and personal trainer to learn what modifications you can do to limit the pressure you put on your pelvic floor. Try wall squats or lunges that balance the weight more evenly. And if anything is uncomfortable, stop!

To Improve Your Prolapse

Kegels (pelvic floor exercises) have been developed to help strengthen the pelvic floor muscles as they cannot be strengthened or exercised by swimming, walking or cycling. The more they’re trained, the stronger they become and the more they can do their job – holding all of the pelvic organs in place.

They should be completed daily, gradually building them up so that you can hold them for longer, and more frequently. They can be made more beneficial by combing them with an electronic pelvic toner. Electronic pelvic toners contain programs specifically designed to improve each prolapse you suffer from.

Which Exercises Should I Avoid?

You should avoid any exercise that puts too much high impact or downward tendon?. সহজ বাংলা: মাংসপেশি/টেনডনে টান।" data-rx-term="strain" data-rx-definition="A strain is injury to a muscle or tendon. সহজ বাংলা: মাংসপেশি/টেনডনে টান।">strain? on your pelvic floor area. That means avoiding ‘Body Pump’ and ‘Cross Fit’ until you are back to optimum health. These exercises shoot damaging jolts up your body as your feet land on the floor heavily and quickly. Causing damage to all your joints and muscles, including the all-important pelvic floor muscles. Avoid:

• high impact exercise such as running or plyometrics (‘jump training’)
• High-Intensity Interval Training (HIIT) or short, sharp bursts of exercises such as burpees, wide-leg squats, and star jumps
• weighted squats, or using any kind of weights above the head and bringing them down to waist levels such as lat pulldowns and overhead presses
• leg presses or generally being on your feet for too long at a time – try to mix up the exercise you do with standing, seated, and laying down types
• the rowing machine or leg press which add lots of tendon?. সহজ বাংলা: মাংসপেশি/টেনডনে টান।" data-rx-term="strain" data-rx-definition="A strain is injury to a muscle or tendon. সহজ বাংলা: মাংসপেশি/টেনডনে টান।">strain? to your abdominal muscles
• anything wide-legged, such as wide-legged squats, sumo squats or lateral (sideways) lunges
• incorrectly performed abdominal exercises such as crunches, planking or sit-ups, which if done incorrectly, can cause a prolapse to worsen. Especially one where the prolapse pelvic organ visibly protrudes outside of the vagina

If you only take away three bits of advice…

• Each one of us is different. If your doctor has told you that you can exercise as normal because your prolapse is under control then listen to them. If they’ve told you to avoid all exercise for now, then listen to that advice too.
• If you feel any pain? or discomfort in your pelvis whilst exercising, stop. Make an appointment to discuss your options with your doctor again.
• Breathe correctly when doing exercise. It’s often tempting to hold your breath whilst exercising, sometimes even without realizing it. But it’s crucial to breathe in and out rhythmically to avoid increasing the pressure on your pelvic floor. Try getting into the habit of breathing in and out as you count your reps or with each swimming stroke?.

References