Hi. Thanks for your response. I am using a pillow under my hips, but only one soft one so I will increase my hip height. I will go this next week following your instructions and see what happens. I have tried the step squeeze but honestly, I find it very hard to squeeze at all when standing. Sitting or laying down I have much better results. I fear my prolapse is pretty bad. So I know this will take time. But I am committed. I am 60 years old, had four 8-9 pound babies in six years in my twenties, went through menopause at 42 years old, and worked for decades standing on my feet with a lot of lifting. I’m annoyed that no doctor I ever saw mentioned prolapse to me. I honestly, embarrassingly had no idea it was a thing until I specifically noticed and asked about that thing coming out of my vagina This past year. Even then, as I spent the last six months with horrible lower back pain and spasms, not one doctor mentioned the connection between the two. So aggravating. It makes me want to tell the female world to spare them what I’m going through now at this late stage. My four daughters will be told. I will try not to bother you too often. I am so appreciative of this forum. Finally, somewhere to talk about it and hopefully resolve it.

A worsening prolapse during kegel work can be caused by a couple of things. The first is that your muscles have been fatigued to the point that they are unable to remain tight and hold the organ up. This would be caused by too much work and not enough rest. Even though you seem to be following the sort of routine that we recommend for most clients, everyone is different. If your body is starting out from a point of extreme laxity then it is important that we adjust your routine to compensate.

The other reason is that your prolapse is resting below your pelvic floor. In this case, the tightening pelvic floor can push the prolapsed organ lower as it tightens above this. There is no good way to know which reason you are dealing with, but the treatment will be the same for both!

First, drop your workouts down to daily instead of twice daily. Let's give your body more time to rest between workouts. As with all exercise, our workouts break the muscle down and our rest builds it back up, so rest is actually the MOST important part of the routine. Next, you need to prop your hips up during exercise. This will help your organs fall back into the abdominal cavity and past the pelvic floor so that as it tightens it will not be pressing on the prolapse from above. It is important that you raise your hips as high as possible without causing a sharp bend at the abdomen. You can add a pillow behind the low back to gradually decrease the incline to prevent this. Remain at an incline for a minute before inserting your probe. Check to see if the prolapse has dropped back in. Try a more extreme angle to see if that helps. Or insert your probe and see if that presses the organ back. Now, perform your exercise as described. Try a continuous program for the first couple of days, like P01. This program will activate the slow twitch muscles fibers and give you a longer squeeze. This program works differently than a work/rest program and will help any exhausted fast twitch fibers to rest and rebuild. After a few days, you can begin using a work/rest program again if the prolapse is maintaining and not progressing. Try P08 for your work/rest program. Alternate back and forth using P01 one day and P08 the next. Do this for another week or so and then move on to do them both on the same day. P08 in the morning and P01 at night. The mA you use should be based on your comfort level. If you are comfortable going higher than 30 then you can do so at this point.

It is also very important that you become aware of your "internal posture" during the day. You need to notice if during the day you are "letting it all hang out" with your vagina completely relaxed or holding your perineum in a state of mild tension. It is important, just like taking note of your regular posture and holding your shoulders back, that you begin to hold tension in the perineum. Holding this area in tension should feel a bit like holding your wind. Picture drawing up the vagina and tightening the muscles surrounding the opening. You can also practice this mindfulness using the step-clench method. For each left step you take when walking, give your perineum, and thus your pelvic floor, a little squeeze. Even if you try to hold the squeeze, by the time you take the right step it will have naturally relaxed. You then give a little squeeze again on the left step and so on. If you can make this part of your daily routine then you will see your improvements compile exponentially.

Please, always feel free to reach out to customer care with any specific questions you have. We have lots of experience with the K-fit Kegel Toner and many of the issues that compelled you to seek it out.