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Pelvic Health Nurse: The One Thing I Wish Every Woman Did In The First Month After A Mild Prolapse Diagnosis

By Susan M.

Last Updated August 20.2026

After 22 years working in pelvic health, Claire has seen thousands of women walk through her clinic after a prolapse diagnosis.

And she says almost every single one of them makes the same mistake.

"They go home and do their Kegels.

That's what their doctor told them to do. And Kegels aren't bad — but they're not enough.

And by the time women realise that, they've lost months."

We asked her: if you could tell every woman one thing in the first month after a mild prolapse diagnosis, what would it be?

Her answer was immediate.

"Train the supporting muscles. Not just the pelvic floor."

"This is what I wish I could tell every single woman who sits in my clinic. Your pelvic floor is not the only muscle holding your organs in place."

"Your inner thigh muscles are directly connected to your pelvic floor. They support your prolapse together. They're part of the same system."

"But the standard advice — do your Kegels — only trains the pelvic floor. One muscle. On its own."

"That's like strengthening one leg and wondering why you still can't balance."

Why The First Month Matters

"The first month after diagnosis is when women are most motivated. They're scared. They're committed. They'll do whatever you tell them."

"And what we tell them is: squeeze. Just squeeze. Into nothing. With no resistance. Hoping something is happening."

"Most women do this for three months. Then six months. Then a year.

The heaviness doesn't change.

The dragging doesn't change.

And they stop believing anything will help."

"By that point, the motivation is gone. The hope is gone. And they start accepting that this is just their life now."

"That's what breaks my heart.

Because if they had trained the supporting muscles from the start — in that first month when they were ready to do anything — the outcome could have been completely different."

What She Recommends Instead

"I tell my patients to start training their inner thighs and pelvic floor together from day one. At the same time. As one system."

"The device I recommend is the Loriva Prolapse Supppot Guide. It's external — nothing goes inside the body. You place it between your thighs and squeeze. When you do, both your inner thighs and pelvic floor activate together. Against resistance."

"That's two things Kegels can't do. Train both muscles. And provide resistance."

"Muscles don't get stronger squeezing into air.

They need something to push against.

That's basic physiology.

We know this about every other muscle in the body. But somehow with the pelvic floor we tell women to just squeeze and hope."

Why She Prefers It Over Other Options

"I've worked with pessaries.

I've referred patients for physio.

I've seen women try internal trainers. They all have a place."

"But none of them train the supporting muscles.

None of them activate the inner thighs and pelvic floor together.

And none of them provide resistance in a way women can do at home in five minutes."

"Loriva does all three. That's why I recommend it."

She listed what makes it practical for her patients:

It's external. "For a lot of women, especially right after diagnosis, the idea of inserting something is overwhelming. This removes that barrier completely."

It's simple. "Five minutes. Three sets of ten squeezes. On the couch. No complicated programme. No special clothes. No getting on the floor."

It tracks reps. "The digital counter is important. Women need to see the number go up. It removes the 'am I even doing anything?' doubt that kills Kegel compliance."

It comes with a guide. "The Progressive Recovery Guide tells them what to do each day. Week by week. I don't have to design a programme — it's already there."

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What She Sees When Women Start Early

"The women who start in the first month — the ones who train both muscles from the beginning — they're the ones I see the best outcomes with."

"By week two or three, most of them tell me the heaviness is arriving later in the day. By week four or five, some days they forget about it entirely."

"Forget about it. After weeks of thinking about it every single hour."

"That's the moment I live for in this job. When a woman comes in and says 'I went for a walk and didn't think about my prolapse once.'

That's when you know the foundation is holding."

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The Bottom Line

"The women who start in the first month — the ones who train both muscles from the beginning — they're the ones I see the best outcomes with."

"By week two or three, most of them tell me the heaviness is arriving later in the day. By week four or five, some days they forget about it entirely."

"Forget about it. After weeks of thinking about it every single hour."

"That's the moment I live for in this job. When a woman comes in and says 'I went for a walk and didn't think about my prolapse once.'

That's when you know the foundation is holding."

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