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Prolapse Conditions We Treat
at Inland Pelvic Health

Pressure. Heaviness. A feeling like something is falling out or sitting in the vaginal canal.

 

These are hallmark symptoms of pelvic organ prolapse. It’s incredibly common to have some degree of POP—many people do, and it often goes unassessed or unaddressed by healthcare providers.

 

At Inland Pelvic Health, we provide a comprehensive pelvic floor assessment in multiple positions to accurately evaluate prolapse and understand how it's affecting your daily function. From there, we develop a highly individualized plan focused on restoring your body’s natural support system and improving pressure management for lasting relief.

Types of Prolapse We Treat

Anterior POP (Cystocele)

When the bladder drops into the vaginal wall, it can cause pressure, leaking, urgency, or difficulty emptying the bladder. We identify muscular contributors and create a plan to retrain bladder support while addressing pelvic floor strength and bladder irritability.

Vaginal Vault Prolapse

Most commonly occurs after hysterectomy. The top of the vagina may descend due to lack of structural support. We assess scar integrity, internal tension patterns, and retrain the pelvic and abdominal wall for pressure management and lift.

Posterior POP (Rectocele)

A rectocele causes the rectum to bulge into the vagina, often leading to constipation, bowel trapping, or incomplete emptying. Therapy focuses on improving rectal support, coordination for emptying, and relieving tension or scar tissue limiting optimal bowel mechanics.

Rectal Prolapse (Men & Women)

We work with patients experiencing rectal prolapse related to constipation, excessive straining, or muscle laxity. This condition requires a nuanced rehab plan involving pelvic floor coordination, rectal sensory retraining, and internal techniques to restore bowel control.

Uterine Prolapse

A downward shift of the uterus may result in heaviness, a vaginal bulge, or painful sex. Our therapy includes strengthening the vaginal vault, lifting pressure off the uterus through positional changes, and optimizing movement to support daily function.

Treatment Options for Prolapse

It’s common to have some degree of pelvic organ prolapse—many people do, and it often goes unassessed or unaddressed by providers. At Inland Pelvic Health, we provide a comprehensive pelvic floor assessment in multiple positions to accurately evaluate prolapse and its impact on your daily function. From there, we tailor a treatment plan focused on improving pressure management and restoring your body’s natural support system.

Pelvic Floor Strength & Coordination

We guide you in proper pelvic muscle activation to lift and support organs—training beyond “just doing Kegels.” Sessions focus on how to manage pressure in real-life positions like standing, bending, and lifting.

Post-Surgical Recovery

If you’ve had a sling, hysterectomy, or mesh placement and still feel heaviness, pain, or pressure—we address what surgery can’t. We help improve scar mobility, internal tone, and pelvic movement strategies for long-term function.

Home Exercise & Lifestyle Modification

Your care plan will include custom exercises and recommendations for daily body mechanics, posture, toileting techniques, and activity adaptations to prevent prolapse from worsening and improve healing.

Pre-Surgical Rehab

Preparing for prolapse surgery? We ensure you’re optimized with strong pelvic floor activation, bladder and bowel pattern awareness, and breath mechanics—all of which improve outcomes and reduce recurrence risk.

Manual Therapy & Internal Techniques

We use myofascial release, trigger point therapy, and visceral mobilization (when appropriate) to restore tissue mobility and reduce pain that may contribute to or result from prolapse.

Pessary Fittings for Prolapse

Support when and where you need it—with expert guidance
every step of the way.

What is a Pessary?

A pessary is a soft, flexible medical device placed inside the vagina to help support the pelvic organs. It’s a non-surgical and conservative tool for managing pelvic organ prolapse (POP) and some types of incontinence. Pessaries come in different shapes and sizes and are chosen based on your individual anatomy and prolapse type.

Why Use a Pessary?

Pessaries provide immediate support for prolapsed organs without the need for surgery. They can:

  • Reduce pressure, bulging, and discomfort

  • Be worn only during certain activities (like running or hiking)

  • Support tissue during postpartum recovery

  • Help with stress incontinence during high-impact movement
    They’re ideal for people who want relief while working on long-term muscle and pressure management through pelvic therapy.

The Fitting Process

Our pessary fitting goes far beyond a simple sizing:

  • We begin with a comprehensive pelvic exam to determine the type and severity of your prolapse

  • A trial of several pessary types (ring, ring with support, cube, knobbed ring, dish, and gel horn) is done to find the best anatomical match

  • Dynamic movement testing is performed—walking, squatting, coughing, and more—to ensure comfort and function

  • You’ll learn how to insert, remove, and clean your pessary, giving you full confidence in managing it yourself

 

Dr. Laura is certified in advanced pessary fitting and provides a thorough, patient-centered process to make sure your device fits well, works well, and feels like part of your care—not an afterthought.

Ready to see if a pessary is right for you?

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Schedule a personalized fitting with our pelvic health experts and get the support your body deserves—literally.

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