Do I Have Pelvic Organ Prolapse?

And 7 steps to take to recover from it.

Do I Have Pelvic Organ Prolapse?

Motherhood is many things, but perhaps most of all, it is physical. You need your body for your baby to grow, live and thrive. After giving birth, not only are you expected to feed baby with your body, you also have to heal from the transformational experience that birth itself is. Your body hurts in ways you never imagined. And now you’re peeing yourself, and it hurts to poop, sit, stand, walk or lie down. Pregnancy, childbirth and postpartum are vulnerable states of being in large part because of the compromised body you are living in. And the overriding response to this vulnerability is silence.

All of these could be signs that a woman is suffering from pelvic organ prolapse; and still, not enough of our care providers are addressing it. What is pelvic organ prolapse? Why does it happen? And what can you do to treat it?

Pelvic organ prolapse can be terrifying. It’s uncomfortable, visible, painful; and we don’t talk about it enough. So to help new moms who are suffering from the condition, I put together a guide. Here is everything you need to know about pelvic organ prolapse, along with 7 steps you need to take to treat it.

What is pelvic organ prolapse?

Lindsey Vestal, MS, OTR/L and owner of the Functional Pelvis, explains: "In the bowl of the pelvis, females have 3 organs: our bladder, uterus and rectum. Between each organ are layers of connective tissue that keep the organs in their 'lane.' When the connective tissue lanes become weakened, stretched or torn, the organs shift in their orientation. This usually results in the organs sitting lower in the pelvis. These organs often protrude into the vagina, causing an inversion of the vaginal canal.

There are 5 different types of prolapse: 1) Cystocele (bladder prolapse) 2) Enterocele (small bowel prolapse) 3) Rectocele (rectum prolapse) 4) Uterine prolapse (prolapse of the uterus) and 5) Vaginal vault prolapse, with varying degrees of severity. In most cases, the organ does not actually come outside the body. What you may see or feel is the bulging of the vaginal canal from the shift in place of the organs above it."

Why does pelvic organ prolapse happen?

When your body goes through pregnancy and childbirth, your organs shift position, and the muscles and ligaments that would normally hold them all tidily are stretched and compromised. As a result, pelvic organs fall downward. For example, with a uterine prolapse, the uterus can sink down into your vagina; and sometimes; and with a vaginal vault prolapse, the vagina can protrude from your body.

How does it feel to have pelvic organ prolapse?

It depends on the degree and kind of prolapse. Some women get a sense of pressure in the lower pelvic area, while others feel like something is falling out. Intercourse is usually uncomfortable or painful, and even inserting a tampon can be difficult.

The good news is that your body heals. And given the right guidance and conditions, it will heal stronger. Here’s what you need to do:

1. Get properly diagnosed. Your healthcare provider may not automatically check for prolapse. At your 6-week check up, ask to be examined for all possible organ prolapse. This will help you gather information to design the appropriate course of treatment to recover.

2. Ask for a pelvic physical therapy prescription. Many health insurance plans will cover some physical therapy if your OB or midwife prescribes it. That said, not all pelvic specialized physical therapists are in network. Don’t let that deter you. Pursue the PT you want and ask for paperwork to submit to your insurance company for reimbursement. Some PTs will even work on a sliding scale.

3. You need physical training and strength training. The two go hand in hand. When your body is compromised, it figures out alternate ways to perform all the tasks in your life, from nursing to leaning over the crib to chasing after your toddler. Your repetitive daily activities create what are called compensation patterns. Muscles and joints are doing jobs they weren’t designed for in order to compensate for parts of your core that are no longer functioning.

To help with recovery, turn off the muscles that are overworking and turn on the non-working muscles, which is where PT is helpful. Next, you have to strengthen your newly activated butt, ab and thigh muscles. And for that, you’ll need to do strength training. After all, motherhood is an athletic pursuit. Dig in, it will be SO satisfying along the way.

4. Healing takes commitment, persistence and making yourself a priority. At first, moving your body after childbirth feels awkward, mushy and possibly a little painful. Your body seems foreign, and you don’t recognize any part of your life. This is exactly why taking care of your body after birth becomes a daily necessity. It will give you the energy and strength you need in your new mom reality.

5. Potty positioning matters! When your pelvis is injured and your pelvic floor muscles are weak, the last thing you need to do is exert more pressure downward. You want to set yourself up for success when it comes to your bowel movements. That means aligning your colon so that it can easily contract and release -- something that the common american toilet doesn’t allow. By placing a footstool -- any footstool -- under your feet, you will draw your thigh bones up, releasing your sits bones down and allowing your pelvis to relax into an ideal position.

6. Do your research before committing to surgery. The surgical course is usually a mesh implant that holds your organs up. There have been mixed results, ranging from permanent nerve damage, extreme pelvic pain and complete loss of libido. To top it off, the mesh implant doesn’t last forever and will eventually have to be replaced, which means more surgery.

7. Trust your intuition and get back to what you love! What matters the most is that you feel comfortable, confident and happy in your body. If that means getting back to your favorite yoga class, running trails or barre class, then set that as a goal and use what you learn from PT and your recovery exercises to gently return. You might have to start with smaller movements, modifying lots of exercises or walking instead of running, but keep at it. The upward spiral of motivation, accomplishment and feeling good doing what you love will move you forward.

Taking care of your body the way you want to is important. Women are marching together, advocating for the planet, upending politics - the entire social conversation is shifting with a fierce feminine tide. And yet, there is still so much to learn and to share with each other with regard to our bodies. That’s why we need to challenge the assumptions that would have you live in a painful, disabled body. You are rewriting history, Mama. Your body is your gateway to this work. Love it. Tend to it. Heal it, and it will carry you far.

Rachel Welch is the creator of Revolution Motherhood, a doctor-recommended fitness method that integrates yoga, pilates, barre, and pelvic physical therapy. Her signature programs educate and empower women with techniques to fully recover after childbirth. She offers live classes in NYC and On Demand programs around the world.

In This Article

    The HATCH Mama collection is everything your pregnant body needs right now

    Their oil is the only thing that stopped my belly from itching as it grew bigger.

    Conz Preti

    Let me start by saying I'm not a fan of moisturizing. I hate being wet and sticky and after applying product to my body, I have to stand around awkwardly until I'm fully air-dried—a practice that is not compatible with having three kids under the age of 3. However, as someone who has carried three children in her body, I also know how much your belly needs hydration as the baby grows.

    This was especially true with my second pregnancy. My belly popped way sooner (a thing that happens with subsequent pregnancies) and on top of that, I was carrying twins, which meant I became super pregnant super fast. My belly was itching constantly from the skin stretching (I checked with my doctor to make sure I didn't have Cholestasis) and there was no scratching in the world that could ease my discomfort. My doula recommended the HATCH Mama belly oil and changed my life. The oil is nourishing—but more important to me, quick-drying—so I could apply it all over my planet-sized twin belly and get dressed immediately after without having my clothes ruined nor stuck to my body. Because of how much I loved the oil, I tested other products, and let me tell you, they're all equally amazing.

    Curious about the HATCH Mama collection? All of their products are non-toxic and mama-safe, designed to help pregnant people overcome the challenges unique to pregnancy. As their website claims, "from stretch marks to thinning hair, to sleepless nights, we're helping you tackle every prenatal and postnatal beauty issue head-on so you can continue to feel like the best version of you." I'm here for all of this. For the entire Hatch Beauty collection click here.


    Here are my favorite products from HATCH Mama:


    Belly oil

    HATCH COLLECTION  Belly Oil

    Intensely hydrating + fantastic at reducing the appearance of stretch marks and scars, this will be your favorite through pregnancy + beyond.

    $58

    Belly mask

    HATCH COLLECTION  Belly Mask Set

    Not only does it help to minimize the appearance of stretch masks + scars during pregnancy + postpartum, but there is a little non-toxic wink (and that's to you, mama.)

    $42

    Nipple + lip ointment 

    HATCH COLLECTION  Nipple + Lip

    Calming + soothing, this magic sauce is lanolin-free & made of tropical butters and super fruits. I'm not lying when I say you will not want to stop using this, even way after birth.

    $28

    Belly tattoos

    HATCH COLLECTION  Belly Tattoos

    A very rock and roll way to honor your bump. And non-toxic + plant-based at that!

    $18

    This article was originally published in March 2021. It has been updated.

    We independently select and share the products we love—and may receive a commission if you choose to buy. You've got this.

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    Motherly created the flexible online birth class moms need

    The Motherly Birth Class is completely online, which means you can take the class at your own pace.

    Taking a birth class is a pregnancy milestone. Whether you've been excited to take a birth class for a long time or have just recently decided that you wanted to take one, sitting down for that first lesson feels big—spoiler alert, this is really happening! But finding time for a birth class isn't as easy as it would seem.

    We know new parents are busy (hello, understatement of the year). Between diaper changes, pediatrician appointments, healing from birth and the general adjustment to #newparentlife, the days can fill up quickly. But a lot of people are caught off guard by how busy pregnancy can be, too! That first trimester is so often full of symptoms—like nausea and fatigue—that can make previously easy or simple tasks exhausting. The second trimester begins and (usually) we start to feel better. But then our days get filled with planning out baby registries and deciding on questions like, "Where will this tiny new human sleep?" And before you know it, it's the third trimester—and, well, then you're in the home stretch. Plus there are so many appointments!

    All this to say that we get how busy you are—and how hard that might make it to fit in a birth class.

    And that's why we created The Motherly Birth Class. The Motherly Birth Class is completely online, which means you can take the class at your own pace.


    Think you'll want to watch each lesson a few times over? Great!

    Due date's next week and you need the option to take a birth class very quickly? No problem!

    Like everything at Motherly, we designed this class with you in mind.

    Taught by Certified Nurse-Midwife Diana Spalding (who also wrote "The Motherly Guide to Becoming Mama"), this class is broken into 12 lessons—and you get to control how and when you watch them. We'll teach you about what your (amazing) body is up to in labor, how to decide when it's time to head to the hospital or birth center (or when to call your home birth midwife), what your options are for coping with pain and so much more.

    When you sign up for The Motherly Birth Class, you'll get access to a downloadable workbook and meditations. Plus, you'll be invited to join our supportive private online community (where you can chat with the class instructor!)

    Oh, one more thing: Your insurance or flexible spending account might even able to able to cover the cost of this class.

    Pregnancy is wonderful—but it's a lot. You deserve a birth class that works for you and empowers you to have your best birth. Because vaginal or Cesarean, unmedicated or medication, birth is incredible. And you are the star of it all.

    You've got this.

    Sign up for The Motherly Birth Class today!

    The Motherly Birth Class

    pregnant-woman-looking-at-her-belly

    Take our completely digital birth class from the comfort of your living room. We'll help you have your best birth—because you deserve it.

    $79

    We independently select and share the products we love—and may receive a commission if you choose to buy. You've got this.

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    14 toys that will keep your kids entertained inside *and* outside

    They transition seamlessly for indoor play.

    Keeping kids entertained is a battle for all seasons. When it's warm and sunny, the options seem endless. Get them outside and get them moving. When it's cold or rainy, it gets a little tricker.

    So with that in mind, we've rounded up some of the best toys for toddlers and kids that are not only built to last but will easily make the transition from outdoor to indoor play. Even better, many are Montessori-friendly and largely open-ended so your kids can get a ton of use out of them.

    From sunny backyard afternoons to rainy mornings stuck inside, these indoor outdoor toys are sure to keep little ones engaged and entertained.


    Secret Agent play set

    Plan-Toys-Secret-agent-play-set

    This set has everything your little secret agent needs to solve whatever case they might encounter: an ID badge, finger scanner, walkie-talkie handset, L-shaped scale and coloring comic (a printable file is also available for online download) along with a handy belt to carry it all along. Neighborhood watch? Watch out.

    $40

    Mini golf set

    Plan Toys mini golf set

    Fore! This mini golf set is lawn and living room ready. Set up a backyard competition or incorporate into homeschooling brain breaks that shift focus and build concentration.

    $40

    Stepping Stones

    Stepping-stones

    Kiddos can jump, stretch, climb and balance with these non-slip stepping stones. The 20-piece set can be arranged in countless configurations to create obstacle courses, games or whatever they can dream up.

    $99.99

    Wooden doll stroller

    Janod wooden doll stroller

    Take their charges on a stroll around the block with this classic doll stroller. With the same versatility they're used to in their own ride, this heirloom quality carriage allows their doll or stuffy to face them or face the world.

    $120

    Sand play set

    Plan Toys sand set

    Whether you're hitting the beach or the backyard sandbox, this adorable wooden sand set is ready for action. Each scoop has an embossed pattern that's perfect for sand stamping. They're also totally suitable for water play in the wild or the bathtub.

    $30

    Sensory play set

    kidoozie-sand-and-splash-activity-table

    Filled with sand or water, this compact-sized activity set keeps little ones busy, quiet and happy. (A mama's ideal trifecta 😉). It's big enough to satisfy their play needs but not so big it's going to flood your floors if you bring the fun inside on a rainy day.

    $19.95

    Vintage scooter balance bike

    Janod retro scooter balance bike

    Pedals are so 2010. Balance bikes are the way to go for learning to ride a bike while skipping the training wheels stage altogether. This impossibly cool retro scooter-style is built to cruise the neighborhood or open indoor space as they're learning.

    $121

    Foam pogo stick

    Flybar-my-first-foam-pogo-stick

    Designed for ages 3 and up, My First Flybar offers kiddos who are too young for a pogo stick a frustration-free way to get their jump on. The wide foam base and stretchy bungee cord "stick" is sturdy enough to withstand indoor and outdoor use and makes a super fun addition to driveway obstacle courses and backyard races. Full disclosure—it squeaks when they bounce, but don't let that be a deterrent. One clever reviewer noted that with a pair of needle-nose pliers, you can surgically remove that sucker without damaging the base.

    $16.99

    Dumptruck 

    green-toys-dump-truck

    Whether they're digging up sand in the backyard or picking up toys inside, kids can get as creative as they want picking up and moving things around. Even better? It's made from recycled plastic milk cartons.

    $22

    Hopper ball

    Hopper ball

    Burn off all that extra energy hippity hopping across the lawn or the living room! This hopper ball is one of the top rated versions on Amazon as it's thicker and more durable than most. It also comes with a hand pump to make inflation quick and easy.

    $14.99

    Pull-along ducks

    janod-pull-along-wooden-ducks

    There's just something so fun about a classic pull-along toy and we love that they seamlessly transition between indoor and outdoor play. Crafted from solid cherry and beechwood, it's tough enough to endure outdoor spaces your toddler takes it on.

    $16.99

    Rocking chair seesaw

    Slidewhizzer-rocking-chair-seesaw

    This built-to-last rocking seesaw is a fun way to get the wiggles out in the grass or in the playroom. The sturdy design can support up to 77 pounds, so even older kiddos can get in on the action.

    $79.99

    Baby forest fox ride-on

    janod toys baby fox ride on

    Toddlers will love zooming around on this fox ride-on, and it's a great transition toy into traditional balance bikes. If you take it for a driveway adventure, simply use a damp cloth to wipe down the wheels before bringing back inside.

    $79.99

    Meadow ring toss game

    Plan Toys meadow ring toss game

    Besides offering a fantastic opportunity to hone focus, coordination, determination and taking turns, lawn games are just plain fun. Set them up close together for the littles and spread them out when Mom and Dad get in on the action. With their low profile and rope rings, they're great for indoors as well.

    $30

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    15 vegetarian school lunch ideas kids will gobble up

    Need some plant-free lunch ideas to take to school? We got you, mama.

    Tom Werner / Getty

    Have your kids stopped eating meat? Is your family just trying to cut back? One trend I'm intrigued by is eating vegetarian on the weekdays, then going omnivore Saturday through Sunday. For health, happiness and environmental reasons, more and more families are simply opting out of anything that's not grown from the ground—and that includes two of my daughters.

    With school starting back up, you may be needing some more school lunch ideas for kids that don't include meat to keep those cute lunch boxes—and little bellies—full!

    Here are our favorite ways to pack lunch boxes that are hearty, satisfying, full of protein yet vegetarian all the way through.

    Simplified Focaccia Bread

    When we lived in Italy, we learned that focaccia bread was originally made for fishermen who needed a fast lunch that would stick with them until dinner. Olive oil not only packs a flavorful punch but adds enough (good) fats to keep fishermen full. Turns out, it works for kids at school too and this easy recipe is the best way to make it!

    Cheddar Cheese and Apple Muffins

    Think of these savory baked goods as a twist on a biscuit--one that's packed with tart apples and creamy, salty cheddar cheese.

    Whole-Wheat Mini Tomato Galettes

    Start with pie crust (use our easy recipe or take a shortcut with something from the store) then layer on the freshly sliced tomatoes (or potatoes!), sprinkle with cheese and bake. These make-ahead lunches will be the hit of your bento boxes (Tip: measure the size of your container and adjust your galettes before baking!)

    Spicy Black Bean Enchilada Cups

    Of all the ways to eat enchiladas, I bet you've never thought of this one. Fold tortillas into muffin pans and fill with all the gorgeous flavors of enchiladas. If your kids aren't into spicy, simply skip the adobe sauce and use mild enchilada sauce instead. (P.S. If you like the idea of using your muffin pan for another lunch special, try lasagna cups too.)

    Veggie Nuggets

    Served at room temp, this vegetarian spin on every kid's favorite food is a tasty treat. Don't forget to pack dipping sauce! (Bonus: Make a big batch and store in the freezer to simply pull out when you're ready to pack lunches.)

    Fruit & Nut Butter Wraps

    Begin with a tortilla or wrap, then slather on a thick layer of your chosen nut butter and top with freshly sliced fruit: strawberries, peaches, blueberries… Almost any combination works deliciously.

    Puff Pastry Pizza

    Talk about a happy meal. This one combines pizza with the buttery, flaky texture of puff pastry. Add any toppings your kids love, from plain cheese to tomatoes, mushrooms, olives and more.

    Crispy Tofu Nuggets

    If you've got an air fryer and a vegetarian kid, these tofu nuggets are your new best dish. Their perfectly crisp texture will remind you of a popular dish served in packs of six at a restaurant that rhymes with Schmic-donalds.

    Quinoa Stuffed Peppers

    "But how do you get enough protein?" For every parent of a vegetarian has heard this about a zillion times too many, here's your one-word reply: quinoa! This golden grain is packed with the stuff, plus fiber to keep kids full. Fill a colorful pepper with quinoa, plus a handful of other tasty flavors, and you've got a protein-rich lunch to send to school on repeat.

    Tiny Tomato Pies

    My daughter asks me to make these pies for her birthday every year. And when her friends come over for dinner. And when it's her turn to choose a meal. There's something about a flaky crust topped with cheese and fresh tomato slices all grilled together that even elementary school kids can't resist. (Psst: Since it starts with store-bought biscuit dough, these tiny pies come together in a snap.)

    Quiche Cups

    One of the best things about quiche is how versatile it is: add cheese, grilled veggies, roasted broccoli, fresh herbs...or none of the above. Since you use a muffin pan to make a dozen at a time, you can even change up the combinations to suit your kids' tastes.

    Simple Sushi Rolls

    Don't let the name fool you. Making sushi is not only easier than you think, but a fun way for kids to try their hand in the kitchen with you.

    Toasted Bagel Bites with Hummus

    Slice up a store-bought bagel and give it a minute under the broiler and you'll have the crispy bites kids devour at lunch. My kids like a little hummus, marinara sauce or nut butter and jelly for dipping.

    Very Pickle-y Egg Salad

    The secret to this egg salad is simple: tons of dill pickles. The salty, sweet and crunchy texture makes the perfect bite with all those rich and creamy boiled eggs. (Tip: Save time with dill pickle relish.)

    Taco Pop Tarts

    What started as a cheeky way to use up taco filling has turned into one of my kids' most-requested lunches. Just fill pie crust with your favorite taco filling (using beans or a veggie substitute for ground beef) and bake. Again, word to the wise, do measure your lunch box compartment ahead of time so you don't make mammoth pop tarts like someone I know. Me, it's me. Of course it's me.

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