Pelvic Organ Prolapse Treatment During Perimenopause and Menopause
Pelvic organ prolapse (POP) can be an unsettling condition, especially during perimenopause and menopause when hormonal changes affect tissue strength and pelvic floor support. At Calyx in Singapore, we provide expert, compassionate care tailored to women in this life stage. If you have given birth and want to know more about postpartum POP: read this. (link here)
What Is Pelvic Organ Prolapse Treatment?
Pelvic organ prolapse occurs when one or more pelvic organs (such as the bladder, uterus, or rectum) descend into the vaginal canal due to weakened pelvic floor muscles or connective tissue. Treatment at Calyx focuses on physiotherapy-based, non-invasive approaches to restore support, function and comfort.
Is This Safe for Me?
Yes. Our pelvic floor physiotherapists are trained to assess and treat prolapse conservatively and safely. We personalise each treatment to your stage of prolapse and symptom severity.
Who Should Consider Pelvic Organ Prolapse Treatment?
Women in perimenopause or menopause often experience changes in pelvic support due to lower oestrogen levels, childbirth history, or chronic pressure such as coughing or constipation. If you feel a heaviness, bulge, or pressure in your pelvis, our treatment may be suitable for you.
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Do I Need a Referral?
No referral is needed. You can book directly with us. If needed, we’re happy to coordinate care with your OBGYN or GP.
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Can pelvic organ prolapse improve without surgery?
Yes, pelvic organ prolapse can often improve without surgery. Physiotherapy, lifestyle changes, and options like pessaries or vaginal oestrogen can help reduce symptoms and support daily function. With the right approach, many women find relief and avoid or delay surgery.
Symptoms and Signs You May Benefit from Pelvic Organ Prolapse Treatment
Common signs include:
- Sensation of heaviness or pressure in the pelvis
- Visible or palpable vaginal bulge
- Urinary leakage or incomplete emptying
- Difficulty passing stools
- Pain or discomfort during intercourse
These signs suggest that your pelvic organs or support structures may not be functioning optimally. This is often due to hormonal changes, tissue thinning and a natural decline in muscle strength that can occur during perimenopause and menopause.
What Happens During Your Session
Your session will include a full assessment, targeted treatment, movement guidance and a clear plan to support ongoing recovery.
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Will There Be an Internal Assessment?
Only with your full consent. A gentle internal pelvic floor exam allows your physiotherapist to assess muscle strength and the degree of prolapse more accurately. Your comfort is our priority and nothing is done without your clear, informed consent.
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Do I Need to Prepare or Bring Anything?
Wear comfortable clothing. If you have relevant scans or prior assessments, bring them along.
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What Happens After the Session?
You’ll leave with a clear plan, simple exercises and a renewed sense of what’s possible. Many women feel relief after understanding what’s going on.
Techniques and Tools We May Use
- Pelvic floor muscle training
- Perineal support garments
- Manual Therapy
- Real-time ultrasound for Biofeedback
- Education on Toileting Techniques and Bowel/Bladder Habits
- Core Strengthening
- Lifestyle and Load Modification
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Is It Painful or Uncomfortable?
Not at all. Techniques like biofeedback, guided breathing, manual therapy and gentle muscle retraining are non-invasive and safe.
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How We Ensure Safety in Each Method
All our tools are clinically approved and used under strict hygiene and safety protocols.
Your Progress and Results Over Time
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How Soon Will I See Improvement?
Improvement depends on the severity, chronicity, and underlying causes of your symptoms. In some cases, support from a gynaecologist may be needed. Your physiotherapist will work closely with you to set realistic expectations and guide you through each step of your recovery.
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How Often Will I Need Sessions?
The frequency of sessions depends on several factors, including your symptoms, goals, medical history, lifestyle demands, and how your body responds to treatment.
Your physiotherapist will first complete a thorough assessment to understand your condition fully before recommending a personalised treatment plan.
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Will I Need Maintenance Visits?
As your body navigates the hormonal shifts of perimenopause and menopause, ongoing support can help you maintain strength, manage symptoms, and adapt to changes with confidence. You may benefit from one-to-one check-ins or join Resilient in Transition, our signature programme designed to support movement, pelvic health and long-term wellbeing during this stage of life.
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What Do I Need to Do at Home?
You’ll receive personalized home practices. Consistency with home strategies can greatly support your recovery and help you feel more in control between sessions.
Why Women Trust Calyx for Pelvic Organ Prolapse Treatment
Our clinic specialises in pelvic and hormonal health for women, providing discreet, expert-led support through every life stage. You’ll always feel listened to, cared for, and guided with evidence-based treatment.
Are Sessions Covered by Insurance?
Physiotherapy coverage depends on your insurer and plan. We recommend checking directly with your provider. If needed, we’re happy to provide detailed invoices to support your claim.
What Makes Calyx Different?
Our therapists are certified in women’s health physiotherapy. We take a whole-body, whole-person approach. Collaborative care with gynaecologists.
How Much Does It Cost?
We offer transparent session-based pricing. See price list.
Take the First Step Toward Relief
You do not need to live with leaks, worry, or discomfort. Whether you are pregnant, postpartum, or somewhere in between, our team is here to support you. Reach out today to book your first appointment or chat with a physiotherapist.
