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Is it safe to maintain intimacy after prolapse?
Will it make things worse?
Is it even possible?

It’s totally understandable that you’d feel all sorts of uncertainty about the thought of being intimate after your prolapse diagnosis. It can be a bag of mixed emotions, including longing, fear, and even dread. There is likely worry that things may get worse and concerns about what your partner might think about your prolapse.

The good news is that being intimate will not damage anything, and it’s not going to worsen your prolapse. In fact, there are awesome benefits, as intercourse can:

  • reposition your pelvic organs to their correct place,
  • massage internal tissues, and
  • boost circulation.

Additionally, the rhythmic contractions of the pelvic floor muscles during climax can provide a bit of exercise to the area (not enough to create a strengthening impact unless you have at least six of them).

I can’t produce any scientific research to back me up, but intuitively speaking, I believe that remaining sexually active can contribute towards an optimal pelvic floor condition, which is tremendously helpful in prolapse management.

It’s also an excellent way to maintain a pelvic floor buzzing with vitality.

The bottom line is, you don’t have to give up intimacy, although it may take some tweaking to get comfortable and confident.

Below are some niblets that may help with the physical aspects of maintaining satisfying intimacy after a prolapse.

Perform regular pelvic floor exercises.

They help with improved vaginal elasticity, lubrication, relaxation, better organ positioning, circulation, overall vaginal condition, and confidence.

You ARE just as sexy and beautiful as before your prolapse.

Reassure yourself that changes to your physical structure have not altered this fact.

Will he freak out?

Your partner is highly unlikely to experience less pleasure during intimacy or notice your prolapse (unless it’s severe). If the prolapse is mild to moderate, your satisfaction should remain intact as well.

Keep things juicy.

Use abundant, high-quality lubrication.

Find your best position.

• Start with positions where you are in control of speed and depth of penetration and can stop if things hurt, e.g., reverse missionary or spooning on your sides, facing away from each other.
• Women with bladder prolapse often find relief in downward-facing positions, e.g., hands and knees.
• Women with uterine prolapse and rectocele may find it helpful to elevate the pelvis with pillows in the missionary position.
• The worst position is most likely when you are upright, such as standing, or when you are on top.

Pee & poo before intimacy (if you can).

An empty bladder and rectum can help your prolapse to lift to its best position and provide comfort and confidence during intimacy.

Take advantage of the morning high

Your prolapse symptoms are likely to be the least in the morning, which may better fuel your desires.

Too tight?

If you experience tension, tightness or spasm that makes intimacy impossible consider visiting a pelvic floor specialist physio for help.

Too dry?

If vaginal atrophy/dryness is making things difficult, have a chat with your health care provider to discuss oestrogen support, and check out the book titled Me & My Menopausal Vagina by Jane Lewis.

There is no right or wrong time for physical intimacy to recommence after prolapse. Proceed slowly and softly, and be gentle on yourself. Go for it when you’re ready, without resistance from your emotions, heart, or body.

WORKSHOP OPTIONS

These programs can help you to improve your bladder control, manage urgencies, prevent or lift prolapse and enhance your intimate sensation.

Online

This is your workshop if you prefer self-paced learning with full Help Desk support.

Sydney

In-person workshops with Real-Time Ultrasound (non-invasive/private setting).

30 Day Reform

Online practice group for previous workshop participants.

Free 5-Day Training

Revive the strength potential of your pelvic floor with proper pelvic floor muscle training.