When I had my bladder prolapse, I saw the NHS physios twice, first in a group meeting then 1 to 1, where all the options of exercises, pessaries and surgery were discussed. That was it, what happened going forward was up to me to ask for.
I started the pelvic floor exercises then decided to go private and see a women’s health physio. She has been a godsend, I rarely feel any prolapse now.. I also have had a rectal prolapse which manifests itself very occasionally depending on what I’ve been eating.
Here’s the thing though, it’s taken 3 years to gradually get to this point, doing the exercises three times a day and gradually building up the number of repetitions. I still do them, you can’t give up, I view them as no different from cleaning your teeth everyday, a regular habit to pursue.
My GP told me most women give up after a few weeks, I’m not surprised when there’s no ongoing support and encouragement.
The thought of pessaries and surgery, not necessarily successful in the longer term, has helped keep me going also.
My prolapse was caused by hauling heavy sacks of compost etc round the garden when unknown to me, I had weak pelvic floor muscles, the only part of my body I didn’t exercise!
I think every woman approaching menopause and beyond it should do them as an insurance policy, a prolapse is no fun at all.