Most of us deal with constipation once in a while—it’s annoying, but usually nothing to worry about. But if it keeps happening, it could be a sign of something else going on. For a lot of women, that “something” is pelvic organ prolapse (POP).

So, what exactly is POP?

Pelvic organ prolapse happens when the muscles and tissues that normally hold up your pelvic organs (like your bladder, uterus, or rectum) get weak. When that support gives way, the organs can shift out of place. Sometimes they press into the vagina, and in more severe cases, they can even bulge outside of it.

Things that often lead to POP include:

• Pregnancy and childbirth

• Carrying extra weight

• The natural weakening that comes with age

How POP messes with your bowels

Your pelvic floor is like a hammock that keeps everything supported and working smoothly—peeing, pooping, even sexual function. When prolapse happens, that system can get thrown off, which is where constipation comes in.

Here’s how:

• Organs pressing on the rectum can block things from moving out easily

• Weak muscles can make it harder to push stool through

• Nerve signals can get mixed up, slowing everything down

• Hormonal shifts, especially around menopause, can make stool harder and drier

The frustrating cycle

POP and constipation can feed into each other. If you’re constipated, you’re more likely to strain—which can make prolapse worse. And when prolapse gets worse, constipation often does too.

What can help

The good news is there are lots of ways to break the cycle:

• Load up on fiber & water – fruits, veggies, beans, and whole grains make stool softer and easier to pass.

• Stay active – walking, yoga, and light exercise keep things moving.

• Strengthen your pelvic floor –pelvic floor physiotherapy can make a big difference.

• Learn how best to position yourself on the toilet.

• Ask for help – if simple changes don’t cut it, your pelvic health physiotherapist can fit a pessary in the vagina which will hold things in place. These can be permanent or removable. Always best to try this before surgery.

Bottom line

Constipation is common, but if it’s happening all the time, it’s worth getting checked out. If pelvic organ prolapse is behind it, there are plenty of ways to take back control—through lifestyle changes, pelvic floor exercises, and physiotherapy support if you need it.

Proactive Physiotherapy has four pelvic health physiotherapists ready to help you. For an appointment please phone 0740536222 or book online.