Pelvic Organ Prolapse and Pessary Management

Get the Support and Function You Deserve.
Pelvic organ prolapse occurs when the muscles and connective tissues that support the bladder, uterus, rectum, or vaginal walls become stretched or weakened, allowing one or more of these organs to descend into the vaginal canal.
Common symptoms include a feeling of heaviness or pressure, a vaginal bulge, difficulty emptying the bladder or bowels, low back or pelvic discomfort, and symptoms that worsen with lifting, exercise, or prolonged standing.
We specialize in evaluating how prolapse affects your daily life, movement, exercise, work, and overall function. Treatment may include pelvic floor muscle training, breathing and pressure management strategies, exercise modifications, bowel and bladder education, and guidance for returning to the activities you love with confidence.
A pessary is a removable medical device that is placed in the vagina to provide support for prolapsed pelvic organs. Pessaries can reduce symptoms, improve comfort during daily activities and exercise, and may help some individuals delay or avoid surgery.
At Cultivate Pelvic Health, we have advanced training in both pessary assessment, fitting, and management, allowing you to access this conservative treatment option without the long wait times often associated with specialist appointments. Because we are also physical therapists, we can evaluate how a pessary functions during real-life movements such as lifting, running, squatting, childcare activities, exercise, and work tasks. This comprehensive approach helps ensure that your pessary not only fits comfortably, but also supports you in returning to the activities that matter most—often with fewer symptoms and greater confidence.
Common Diagnoses associated with Prolapse:
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Cystocele (Bladder)
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Rectocele (Rectum)
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Uterine Prolapse
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Vaginal Vault Prolapse
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Urinary Incontinence
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Incomplete Bladder Emptying
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