How can prolapse be avoided?

Prevention of disability and poor function makes great sense. If the pelvic floor muscles are working correctly there is little or no risk of prolapse of the upper vagina. To ensure optimal function of the muscle they need to be strong and pressure on the pelvic floor minimized. Optimal strength of any muscle is attained by exercise. Physiotherapist are trained in the function of muscle and many are devoted to education of pelvic floor function and are an excellent resource.

To minimize strain or trauma to the pelvic floor education to reduce abdominal straining is important and includes

• Avoiding obesity
• Avoid excessive lifting
• Controlling chest conditions to minimize coughing
• Avoiding constipation

Education on correct defecation and urination is important. Both should involve relaxation of the pelvic floor rather than abdominal straining as the primary mechanism of evacuation.

Although childbirth and to a lesser extent pregnancy are possible risk factors for pelvic floor dysfunction women who have not had children still have pelvic floor dysfunction. Questions regarding effect of childbirth on the pelvic floor and mode of delivery are best individualised and fielded by your Obstetrician.

We are unable to pick our parents which ultimately determines the inherant strength of our collagen, fascia, elastin and connective tissue. In the future we may be able to test for people with inherently weak fascia and drugs may be available to strengthen these tissues or increased education may minimize risk factors.