A 220-person randomized trial in BJOG followed first-time mothers with symptomatic POP-Q stage II–III prolapse after vaginal birth. Participants received supervised pelvic-floor muscle training for 12 weeks; one group added electrical stimulation and biofeedback. At 24 months, prolapse-stage improvement was similar between groups. The add-on improved pelvic-floor muscle strength, while PFIQ-7 and EMG outcomes were similar; the add-on cost more and produced similar quality-adjusted life years. No adverse events were reported. 1
For your body, heaviness or pressure, a vaginal bulge, trouble emptying the bladder or bowel, or leakage with coughing, sneezing, or exercise are reasons to ask for an assessment. 2
Bring one symptom pattern to a pelvic-health clinician and ask what the exam is measuring, whether pelvic-floor PT fits, and what other options match your goals.
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