Bladder, Bowel & Pelvic Floor — LIFT
When the pelvic floor weakens, the bladder, uterus, or rectum can drop and press into the vaginal wall — a feeling of heaviness, a bulge, or pressure that builds through the day. Prolapse is very common after childbirth and around menopause, it is rarely dangerous, and it responds well to treatment. As a Certified Continence Advisor, Shannon assesses the type and degree of prolapse and builds a plan around rebuilding pelvic-floor support — without pushing you toward surgery you may not need.
The Program
LIFT is our supportive program for pelvic-floor function, comfort and the heaviness or pressure that comes with prolapse. It is one pathway, scoped to you at assessment — there is no advanced or upgraded version.
What this care does not do: it does not structurally repair or reverse prolapse. Neither PRP nor EMSELLA® lifts or repairs prolapsed tissue, and we will not imply otherwise. What pelvic-floor strengthening can do is improve support, comfort and symptoms — which for many women is meaningful on its own.
Where prolapse is more structural, the honest answer may be pelvic-floor physiotherapy, a pessary, or assessment by a gynaecologist or urogynaecologist. Severe prolapse may need surgical repair. We would rather refer you than keep you in a plan that will not get you where you want to go.
What It Is
Prolapse happens when the muscles and connective tissue that hold your pelvic organs in place stretch or weaken, letting one or more organs sag into the vaginal canal. Depending on which wall is affected, it may involve the bladder (cystocele), the rectum (rectocele), the uterus, or the top of the vagina after hysterectomy (vault prolapse).
The most common contributors are pregnancy and vaginal delivery, the drop in estrogen around menopause, chronic straining or constipation, heavy lifting, chronic cough, and simply the changes that come with age. It is graded by how far the organ has descended — and mild-to-moderate prolapse, which is by far the most common, is exactly where conservative treatment works best.
Prolapse is not something you caused and not something you have to accept as ‘just part of getting older.’ Many women live with it silently for years. It is a mechanical, treatable problem — and the earlier it is addressed, the more the pelvic floor has to work with.
The Approach
Our first goal is always to strengthen and retrain the pelvic floor before anything invasive is considered. That combines in-clinic treatment, hands-on teaching, and a plan you can actually keep up.
EMSELLA® — Pelvic Floor Strengthening
You sit fully clothed on the EMSELLA® chair while focused electromagnetic energy triggers thousands of deep pelvic-floor contractions per session — far more than you could perform on your own. It rebuilds the strength and coordination of the muscles that support the bladder, uterus, and bowel. It is comfortable, needs no recovery time, and is a cornerstone of prolapse and continence care here.
Pelvic-Floor Physiotherapy & Health Teaching
Certified continence guidance on how you breathe, lift, empty, and load your pelvic floor day to day — the habits that either protect or overload the support you are rebuilding. For many women this, paired with EMSELLA®, is enough to meaningfully reduce symptoms.
O-Shot® — PRP for Tissue Quality
Where the vaginal tissue itself is thin or fragile — often with menopause — platelet-rich plasma from your own blood can be used to support healthier, better-vascularized tissue, which improves comfort and works alongside the strengthening plan.
What to Expect
First step
Free consult with Shannon
EMSELLA® session
Included with your assessment unless contraindicated
Typical EMSELLA® course
A planned series, then maintenance
Downtime
None — return to your day
Best results
Mild-to-moderate prolapse, started early
If it's severe
Honest guidance + surgical referral
When Something Else Fits Better
Conservative pelvic-floor work helps many women, but it is not the right answer for everyone, and we will tell you plainly when something else fits your situation better.
A pessary — a supportive device fitted internally — is a well-established option for prolapse and can work well alongside or instead of pelvic-floor strengthening. Fitting is done by a gynaecologist, urogynaecologist or appropriately trained provider, and we will refer you for it where it makes sense.
Where prolapse is more advanced, or where symptoms are not responding, the right next step is assessment by a gynaecologist or urogynaecologist. Severe prolapse may need surgical repair, and that decision belongs with a specialist. Referring you onward is not us giving up on your case — it is the honest answer, and we would rather give you that than keep you in a plan that will not get you there.
Candidacy
Take the validated PFDI-20 pelvic-floor assessment — it measures prolapse, bladder, and bowel symptoms together. Private, instant, emailed only if you ask.
Where Hormones Fit
Hormones are one of several things that can contribute here, alongside circulation, pelvic-floor function, tissue health, medications, metabolic health, sleep and stress. For some people hormones turn out to matter a great deal. For many people they are not the main issue at all.
That is why a Hormone & Metabolic Assessment is not a required step in this pathway. We recommend it when your history, symptoms or findings actually point that way — not as a default add-on, and not as a gate you have to pass through to receive care here. If it is not indicated for you, we will say so.
If hormones are worth looking at, that is a separate pathway you choose, with its own assessment and its own decision about ongoing care.
A Pelvic Floor Consultation with Shannon is private and unhurried. She will review your symptoms, relevant medical history and contributing factors, explain how pelvic floor strengthening and health teaching may help, and tell you honestly what conservative treatment can do for your situation. An EMSELLA® experience may be included when clinically appropriate.
Book Your Pelvic Floor Consultation Read Patient ReviewsWe really do work with our patients. Spread the cost into manageable monthly payments through Beautifi — a soft check that won't affect your credit.
Real, verified reviews from our Google Business Profile.