Pelvic Organ Prolapse After Hysterectomy: A Holistic View

Pelvic Organ Prolapse (POP) happens when the pelvic support system weakens and organs like the bladder, rectum, or intestines begin to shift downward. This may lead to a feeling of pressure, heaviness, or even tissue bulging near the vaginal opening.

For women who’ve had a hysterectomy, the absence of the uterus can make this support system more vulnerable. But that does not mean you are broken. Far from it. Your body is communicating. And we are here to help you listen, restore, and rise.

The uterus is one part of the pelvic support structure. When it's removed, other organs may need to work harder to stay in place. If there’s already tension, scar tissue, or imbalances in your fascia or breath mechanics, these symptoms may arise post-surgery.

Instead of seeing this as a collapse, we invite you to see it as a call: your body asking you to reconnect, release, and re-align.

• A dragging or heavy feeling in the pelvis, especially at the end of the day
• Leaking or urgency when sneezing, coughing, or laughing
• Needing to press inside the vagina to poop (splinting)
• Discomfort during intimacy
• A visible or felt bulge near the vaginal opening

These are all signals, not life sentences. The body doesn’t betray us—it speaks to us.

Forget the idea that weak muscles are the only problem. Most women we see don’t just need "strength." They need to release tension, unwind scar tissue, relearn breath, and restore nervous system safety.

Here’s what we now know contributes:

• Scar Tissue: Especially from surgery, trauma, or birth. It restricts flow and function.
• Breath and Pressure Imbalances: Shallow or pressure-heavy breathing patterns can push down on organs over time.
• Postural Collapse: Your alignment determines the direction of your core pressure. If you’re tilted, slouched, or tight in your psoas—it impacts your pelvic floor.
• Emotional Stress: Chronic stress and trauma often show up as hypertonicity—where things feel weak but are actually too tight and frozen.

Skip the Kegels

Kegels are often prescribed blindly, but if your pelvic floor is already in a state of tension or trauma, Kegels can worsen things. Think of it like pulling harder on a stuck muscle. What it often needs first is space, softness, and safety.

Read more here: Why Kegels Don’t Always Work for Pelvic Floor Dysfunction (2025)

Reclaim Your Foundation: Hypopressives

Hypopressives work with your breath, pressure, and fascia to reduce downward load, restore core lift, and reawaken your pelvic system. Just 10 minutes a day can change how your body feels, looks, and functions.

Here is more: Hypopressives for Pelvic Floor Dysfunction: A Complete Guide

Melt Scar Tissue

Using internal and external scar tissue release (like castor oil massage or working with a STREAM practitioner), you can restore flow and mobility to the tissues holding tension from past trauma, episiotomies, or surgical scars.

Support Your Body Through Food, Sleep & Touch

• Eat to nourish fascia and rebuild tissues: Clean fats, collagen-rich broths (or vegan alternatives), anti-inflammatory herbs, and deeply nourishing meals.
• Sleep with your hips elevated: A simple pillow can help your organs rest in place.
• Explore somatic tools: TRE (tremor release), Feldenkrais, or gentle yoga can support release at the nervous system level.

Here is more: Feminine Well-Being

Visualise Healing

See your organs lifting, your tissues vibrant, your pelvis alive. Many women have shifted their healing journey simply by changing the mental picture of their body—from broken to brilliant.

Here is a complete playlist with exercises to get started:

If you're overwhelmed or unsure where to start, know this: you're not alone. Thousands of women have walked this path with us and found freedom again—without surgery, without fear.

Join us inside the MoonRise Program or take our Free Pelvic Health Assessment to receive personalized, empowering support.

Post-hysterectomy prolapse doesn’t mean you’re doomed or damaged. It means your body is whispering (or maybe shouting), “I need your attention.” With the right tools—alignment, breath, scar release, rest, and a loving relationship with your body—you can reclaim strength, softness, and sensuality.

Let’s not fix the body. Let’s listen to it. And let it lead us home.