Some women maybe at a higher risk of pelvic organ prolapse.  Which is decent of the organs.  We should avoid intense core abdominal Yoga exercises or they modified with a prolapse.  Strong activation of the upper abdominal muscles increases downward pressure on the pelvic floor (and prolapse). If the pelvic floor cannot withstand this downward pressure it is forced downwards. If repeated with intense force or repeated open this can result in weakening of the pelvic floor muscles and connective tissues. This is why prolapse symptoms can feel worse after performing intense core abdominal Yoga poses.  

The following are conditions and proceedures as a reuslt of a prolapse:

• Vulvodynia – pain of the vulva open involving symptoms of burning and irritation. Also referred to as vulva vestibulitis
• Vaginimus – painful spasmodic contraction of the vagina in response to physical contact or pressure, especially sexual intercourse
• Vaginoplasty – tightening the muscles with surgery
• Femili2 – laser, non-surgical, rebuilding of collagen
• Labiaplasty – surgery to labia majora
• Pelvic organ prolapse (POP) – the descent of the abdominal organs
• Cystocele – bladder pushes forward on the wall of the vagina
• Uterocele – the uterus migrates. Normal vaginal depth is 5-6cm
• Rectocele – colon and rectum unsupported by the ligaments or the pelvic floor, sags inwards towards the vagina causing a bulge on the posterior vaginal wall

How do we know its a Prolapse?

• Vaginal bulging: Complaint of a “bulge” or “something coming down” through the vaginal opening. The woman may state that she can either feel the bulge by direct palpitation or see it aided with a mirror.
• Pelvic pressure: Complaint of increased heaviness or dragging in the perineum and/or pelvis.
• Bleeding, discharge, infection: Complaint of vaginal bleeding, discharge or infection related to dependent ulceration of the prolapse.
• The need to apply manual pressure to the vagina or perineum or rectally to assist voiding or defecation.
• Low backache: Complaint of low, sacral (or “period-like”) backache
• Other symptoms: urinary hesitancy, slow urine stream, history of recurrent urinary tract infections (UTIs), faecal incontinence

Poses to modify or avoid

• Boat Poses/Navasana (modify by raising one leg only or hold thighs and keep knees bent);
• Plank (modify by weight bearing through knees rather than through feet)

• Deep squat poses – avoid poses involving deep squats 6-12 months post partum or stop completely
• Forward bends with wide legs – avoid or modify wide leg forward bends which increase downward pressure in a vulnerable wide leg position such as Forward Bend with V-Legs.
• Upper body weight bearing – weight bearing through the upper limbs increases downward pressure on the pelvic floor with poses such as Crane Pose and plank. Down dog may be ok as gravity assists pelvic floor position. Ensure no breath holding occurs.
• Uddiyana bandha (“belly lock”) – this bandha should be avoided by women seeking to avoid increasing pressure on their prolapse. The action of drawing the abdomen in strongly and simulating an in breath increases pressure within the abdomen which is transferred directly down onto the pelvic floor.
• Double Leg Lift