Now, let’s talk about something that might be quietly sitting in the back of your mind.
Prolapse.
This is often the big thing that scares women away from running or lifting after birth.
I have a grade 2 cystocele, which means my bladder sits a bit lower than standard. It was diagnosed after my first vaginal birth. I have since had four vaginal births, and it has not worsened. I also do not have meaningful symptoms from it. Honestly, if no one had told me, I would not know I had prolapse.
Over the past 10 years I have lifted heavy, trained for races, run marathons, and birthed four babies.
Here is what has helped me.
1) Reframe What Prolapse Means
Having prolapse does not mean you can never exercise again. It does not mean you cannot have another vaginal birth. It does not automatically mean something is broken.
I think of prolapse as one way my body changed after birth. My abdominal skin is looser after four pregnancies. That does not mean it is damaged. It is simply different. My pelvic organs sit slightly lower than average, but without symptoms, that difference does not equal dysfunction.
Removing fear is step one.
2) Release Tighter or Restricted Areas
Pelvic floor tension can absolutely contribute to symptoms. That heavy or dragging feeling is often related to fatigue and compression, not just weakness.
If I notice more symptoms, it is usually after a long day on my feet where I have been standing in one position too long and I am simply tired.
Back expansion breathing in standing or all fours helps open up the backside of the pelvic floor, which is commonly restricted.
I also use lateral hip shifts to stretch my inner thigh and groin. I tend to have a more overactive right anterior pelvic floor and tension in my posterior pelvic floor, so I spend time shifting into those posterior hip pockets to create space.
3) Strength Training to Find Balance
When you feel discomfort, your first instinct is often to stretch. But muscles only pull. They do not push. If we want to influence joint position and support our pelvis well, we need strength too.
For me, that means emphasizing right glute and quad strength with external rotation and abduction. On my left side, I emphasize adductor and hamstring strength with internal rotation and adduction.
This balance work has been huge not just for prolapse symptoms, but also for pelvic pain.
4) Breathing Strategies
Learning how to manage pressure is essential, especially with heavy lifting.
In general, we want to avoid bearing down with exertion. As I lift something heavy, I think about exhaling to lift up through the pelvic floor to counter the increase in intra abdominal pressure.
There are different strategies depending on tissue density, irritability, and where you are in your motherhood era. Early postpartum looks different than years out from birth.
But prolapse does not automatically disqualify you from strength, running, or an active life. It can simply be part of your story, not the end of it.
We are here to help you feel strong throughout your pregnancy and in motherhood.
Talk soon,
Gina