Prolapse and Your Period
Prolapse and your period
Having a pelvic organ prolapse (POP) can be stressful, and the fluctuations of a menstrual cycle can add another layer of difficulty to managing both. In this blog, we explain how periods and prolapse interact, and some tips on how to manage the changes. We also have a blog on prolapse for more information and tips.
Let’s jump right in!
Will having a prolapse affect my cycle?
A prolapse should not change the length of your cycle or the heaviness of your bleeding. If you notice these changes, or any bleeding post-menopause, see your GP.
The below image shows your cycle phases, as well as the rise and fall in hormone levels
https://helloclue.com/articles/cycle-a-z/the-menstrual-cycle-more-than-just-the-period
Will my cycle affect my prolapse?
You might notice that your prolapse symptoms fluctuate with your cycle.
This is because the hormone oestrogen plays a key role in both the menstrual cycle and prolapse (the blue line above). Oestrogen is the main hormone working in the first half of your cycle and is highest just before/around the time of ovulation. This can cause a strengthening of muscles and ligaments and many women report their prolapse symptoms are reduced at this time.
Oestrogen levels drop in the second half of your cycle, and many women notice their prolapse symptoms more leading up to their period. The cervix also sits lower while menstruating, which can cause feelings of heaviness.
Another period-related hormone, progesterone (the green line), peaks just after ovulation and can cause constipation. Constipation and straining can worsen prolapse symptoms. Keep your bowels soft, easy and regular by eating plenty of fibre and keeping up your fluids. See a pelvic floor physiotherapist if you have difficulty with your bowels.
Tampons and Menstrual Cups
https://www.prevention.com/health/a20481931/menstrual-cup-facts/
Can I use tampons if I have a prolapse?
While there is no danger in using tampons with a prolapse, many women find it more difficult to keep a tampon in place if they have a prolapse. Using a tampon that is wider and shorter might help keep it in place and prevent leakages.
What about a menstrual cup?
Like tampons, some women find it more difficult to keep a menstrual cup in place with a prolapse. However, because a menstrual cup creates a gentle seal using suction and has a wider top than a tampon, it may provide a more secure fit. Using a cup that is wider and shorter might prevent leakages. It is important to break the seal of the cup before removing it.
Can I do pelvic floor exercises while I have my period?
Yes, it is safe and beneficial to continue doing pelvic floor exercises while menstruating. Period pain can be worsened by tight pelvic floor muscles, so if you know you have difficulty relaxing your pelvic floor, pay special attention to the relaxation phase during your period.
Can I use a pessary during my period?
This one comes down to personal preference. If you find it comfortable, you can continue to wear your ring pessary while menstruating. We recommend that you remove and wash it daily during your period.