Pelvic organ prolapse (POP) is an often overlooked but widespread condition affecting millions of women, particularly in India. Experts now emphasize that early medical intervention can dramatically improve a woman’s quality of life—especially when managed through non-invasive strategies such as pelvic floor muscle training (PFMT) and lifestyle modifications.
According to recent studies, up to 21% of Indian women may experience clinically relevant POP, with incidence rates significantly increasing among those who have given birth. In fact, medical professionals estimate that 70–80% of women may be affected by POP at some point in their lives, despite only 50% being officially reported. Cultural stigma and lack of awareness often prevent women from seeking timely help.
What Is Pelvic Organ Prolapse?
The World Health Organization (WHO) defines pelvic organ prolapse as a condition where one or more pelvic organs—such as the uterus, bladder, or rectum—drop from their usual position and bulge into or out of the vaginal canal. This typically results from weakened pelvic floor muscles and connective tissue, often due to childbirth, menopause, or aging.
Symptoms of POP May Include:
- A sensation of vaginal pressure or fullness
- Urinary incontinence or difficulty urinating
- Bowel movement complications
- Pain or discomfort during intercourse
- Visible bulging from the vaginal opening in severe cases
Non-Surgical Treatments That Work
Medical specialists recommend early-stage treatments to alleviate symptoms and possibly prevent progression:
- Pelvic floor exercises (Kegels): Strengthen the pelvic muscles and improve support for internal organs.
- Weight management: Excess weight increases pressure on the pelvic floor.
- Avoiding heavy lifting: Reduces strain on pelvic muscles.
- Bladder training and dietary adjustments: Help in managing urinary and bowel symptoms.
In cases where these interventions aren’t enough, minimally invasive procedures or surgical repair may be considered. However, the earlier the condition is addressed, the better the prognosis.
A Wake-Up Call for Women’s Health
Gynecologists stress the importance of awareness and early screening, especially for postmenopausal women or those with multiple childbirths. Many women suffer in silence due to embarrassment or a lack of understanding about POP. Addressing this gap in knowledge could lead to earlier treatment, better outcomes, and improved overall well-being.
Leslie Rajan 
Nithin Rosh