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Association for Pelvic Organ Prolapse Support - APOPS

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Association for Pelvic Organ Prolapse Support - APOPS

APOPS provides guidance and support to women navigating pelvic organ prolapse. https://www.pelvicorganprolapsesupport.org/apops-forum.

Women preferring a private forum to talk about POP with other women can request entry into APOPS
closed forum. ABOUT APOPS
Association for Pelvic Organ Prolapse Support(APOPS) is a USA based 501(c)(3) nonprofit with global arms, founded in September 2010 to generate awareness of pelvic organ prolapse (POP), to provide support and guidance to women navigating the physical, emotional, social, sexua

l, fitness, and employment impact of POP, and to bridge patients, healthcare, industry, research, academia, and policy makers for the betterment of POP understanding and treatment evolution. MISSION STATEMENT
APOPS mission is to advance global pelvic organ prolapse awareness, guidance, and support, and to innovate universal POP healthcare, education, and research. VISION STATEMENT
APOPS vision is international evolution of pelvic organ prolapse awareness and understanding to optimize women's pelvic health empowerment. APOPS GOALS

IMMEDIATE GOALS
Establish pelvic organ prolapse awareness. Provide global guidance and support for women with POP. Bridge build with key stakeholders and organizations to evolve understanding of women's pelvic floor needs. LONG TERM GOALS
Routine POP screening. Accurate statistical data capture. Address diagnostic clinician educational curriculum. APOPS VALUES
APOPS operates within these core values:

ACCESSIBILITY
Commitment to open access, a spirit of generosity, and the active invitation to engage and contribute that continuously expands reach and sustains growth. AGILITY
Ability to rapidly reconfigure and realign resources to lead in new directions and respond as needed within the industry. INNOVATION
Vigilance in continuously searching for new ways to disseminate ideas. INCLUSIVITY
Purposeful consideration of expansive ideas and the engagement of all voices to ensure the broadest perspective and awareness. COLLABORATION
Recognition that overall success is driven by a willingness to partner with others in the sharing of ideas, information, and action that ensures better outcomes for all involved.

09/01/2026

Shout it out to the world Sarah Berry! Childbirth and menopause, two of the most significant life events women experience, are the leading causes of pelvic organ prolapse. Heavy lifting, hard foot strike fitness activities, weak tissue integrity conditions such as Ehlers Danlos Syndrome, chronic constipation, genetics, neuromuscular disease, the list goes on and on. When we consider all of research validated lifestyle and behavioral causes that ripple through every woman's world, it's a wonder POP prevalence is not at 100% of us.

https://www.abc.net.au/news/health/2026-09-01/pelvic-organ-prolapse-in-australia/107074650

08/31/2026

What say you urogynes?

Gold standard sacral colpopexy vs the new kid on the block lateral suspension to address va**nal vault prolapse (the top of the va**na caving in).

Sacral colpopexy is a surgical procedure used to treat pelvic organ prolapse by lifting the top of the va**na back into its normal position and attaching it to the sacrum (tailbone) with a supportive mesh.

Lateral suspension is a keyhole surgery used to lift a caved in va**na back into its normal position by attaching it to the side muscles of the lower belly using a special mesh.

*Both methods support the va**nal canal but from different directions.
*Both methods utilize mesh.
*Success results at the top of va**na and front va**nal wall close to equal.
*Sacro takes longer to perform.
*Presacral dissection is needed for sacro method, nerve damage risk is avoided with lateral.
*Mesh complications low with both procedures; a tad lower with lateral.
*Long-term efficacy with lateral is not yet well established.
*Less value for rectocele repairs.

So...sacral colpopexy is the better-established, long-term benchmark vs
a promising less-invasive alternative. Is lateral the wave of the future, or will more studies prove it to have less long-term efficacy?

It's so important women ask their surgeons how many laterals they've performed, what has their success rate been to date, and would they provide this surgery on their mothers over sacral colpopexy?

If only we had that crystal ball!

08/28/2026

Women with pelvic organ prolapse who have an exercise regimen they are used to and love are often disillusioned having to change their normal fitness routine. Hard foot strike fitness activities can jerk organs downward if the pelvic floor structure is weak due to childbirth damage or loss of estrogen with aging or menopause. It's a bit of double-whammy as well for those that also have osteoporosis bone loss issues. And as ever, I worry about our following that have Ehlers Danlos Syndrome weak tissue integrity.

What to do?

It's important to recognize every body is unique. Age, lifestyle, behaviors, fitness level, health conditions impacting general health all must be considered. Always seek counsel with your healthcare provider. But here is a relatively generic and safe list to consider. For those with access to a pool, swimming should be included in this list but I couldn't fit it on the screen. Organs float easing pressure on the pelvic floor, and all long muscles get exercised!

08/27/2026

Yes women have testosterone. And oh-by-the-way, men have estrogen.

When I was a teenager, I tested out at an above normal level for testosterone. Really notable acne pizza face. No periods. I wasn't crazy about testosterone back then. But now I love it. I love how it makes my muscles look ripped from working out. I love that it enhances my strength a tad. And libido enhancement is a perk for sure. I'm taking my testo cream along for my final ride someday since no one really knows how to pack for that trip and maybe I can find a fitness center on the other side of the great divide. :)

Testosterone for women can have benefits far beyond sexual desire. New research is theory until validated, and long-term safety is important to establish. However it is very exciting to see tire-kicking explorations expand in testosterone use in women to potentially enhance:

*genitourinary health,

*va**nal lubrication,

*tissue integrity,

*and to a smaller degree, cardiovascular health.

Exploration is moving forward from does testosterone increase libido specific toward what does testosterone cellular signaling actually do within the female body. We need to understand so much more about the menopause androgen - connective tissue strength and integrity depletion backdrop.

Exciting steps forward in women's health!

https://read.qxmd.com/read/42508868/testosterone-in-women-clinical-evidence-and-practice-guidelines

08/26/2026

Co**al incontinence (urinary incontinence during sexual activity) is not a niche or uncommon type of incontinence. CI occurs in an estimated 35% of women experiencing urinary incontinence yet it remains underreported and inconsistently screened for.

Co**al incontinence can occur at different points:

1. At pe*******on.

2. At or**sm.

3. At both pe*******on and or**sm.

The question I have is how many women experience co**al incontinence and don't even realize they are experiencing urinary leakage? Maybe think they are just really wet due to stimulation lubricating the va**na?

https://www.mdpi.com/2673-4397/6/3/21

**alincontinence

08/24/2026

Despite the silence encasing pelvic organ prolapse, women have experienced and reported POP concerns to medical providers thousands of years prior to modern urogynecology.

The recommended treatment for uterine prolapse involved a mixture of oil of earth (naturally occurring unprocessed crude oil), animal dung/manure, and honey that was rubbed onto a woman's body.

Certainly not an effective treatment for pelvic organ prolapse, but I'm guessing it likely created a roadblock to experiencing pain with intimacy. 😮

08/21/2026

I love when research includes patient voice in their studies. This is a full-bodied study out of the UK that provided a deep dive including voices of 5717 women. Found of applause!

08/20/2026

What are peptides?

Peptides are strings of molecules called amino acids, which are the "building blocks" of proteins. Basically short proteins that are about 2-100 amino acids long. Peptides may have anti-aging, muscle growth, and fat loss benefits.

While media currently is mostly waxing on about the fat loss side of the equation, our interest in the pelvic organ prolapse space is the strengthening and restructuring for repair of soft tissues.

Rather than viewing this from the put something there to mechanically hold things up.

Should we be asking:

Can we create an environment in which the patient's own cells rebuild better tissue?

Hope springs eternal. Cellular lens sparks my hope big time.

08/19/2026

There is so much fear in the pelvic organ prolapse space. When women experience the pretty radical symptoms of POP, symptoms they've never heard of before, they assume it is only them. Organs are attached on the inside, they will not fall out and land on the ground. They push out the va**nal opening but remain attached on the inside.

We must increase POP awareness by any and all means possible. There are so many more practitioners talking about POP on social media than there were even 3 years ago, much less 16 years ago, but we also need women sharing their experiences out loud.

Pelvic Organ Prolapse is the Biggest Secret in Women's Health. Let's join hands to fix that.

08/14/2026

Pessary fitting is an art, zero doubt. Is a failed pessary fitting a treatment failure or failure to match the appropriate pessary to a patients pr*****ed anatomy?

There are many reasons pessaries are difficult to fit; our bodies are all unique. There can be one issue or a few issues.

Advanced POP, particularly Stage 4. Insufficient va**nal anatomy for a ring pessary to stay in place, (Stage 4 does not mean pessary treatment is always impossible).

Wide va**nal introitus. A pessary may not have enough tissue support to remain in place.

Large ge***al hiatus. A larger opening can make retention more difficult.

Short total va**nal length (hysterectomy can shorten. Insufficient va**nal length for the pessary to stay in position securely.

Posterior-compartment prolapse. Rectocele can make a pessary less effective at relieving symptoms.

Levator ani avulsion. Avulsion is associated with a substantially increased risk of pessary pushing out.

Previous prolapse surgery. Altered va**nal anatomy can make fitting more difficult.

Previous hysterectomy prior to POP repair can result in more difficult fitting success.

Higher BMI. Yes, excess weight matters.

Address

8225 State Road 83
Mukwonago, WI
53149

Opening Hours

Monday	9am - 5pm
Tuesday	9am - 5pm
Wednesday	9am - 5pm
Thursday	9am - 5pm
Friday	9am - 5pm
Saturday	9am - 5pm

Telephone

+12626424338

Website

http://www.pelvicorganprolapsesupport.org/

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