Yoga guide

Yoga for prolapse: the pelvic floor, poses to change, breathing and pressure, lifting and inversions, what the evidence shows, and a class

A pelvic organ prolapse is when the womb, bladder or bowel bulges down into the vagina. It's common, especially after childbirth and the menopause, and you can usually keep doing yoga with one if you adapt it. The treatment with the evidence is pelvic floor muscle training: NICE (the National Institute for Health and Care Excellence) suggests at least 16 weeks of supervised training for a mild prolapse with symptoms, and in the POPPY trial of 447 women it eased symptoms more than a leaflet did. Yoga hasn't been shown to lift or cure a prolapse; it can be the exercise that goes alongside the training.

Looking for a prolapsed (slipped) disc in your back? That's a different condition, and our yoga for a herniated disc guide covers it.

This guide covers how to build the squeeze and the release into your poses, what is and isn't known about pressure in your tummy during yoga, the poses to change while you have symptoms (and why that list is caution rather than proof of harm), lifting, jumping and going upside down, yoga with a pessary or after surgery, a free pelvic floor yoga class, and the signs that need a GP.

The short version

Common, not dangerous, and not always getting worse

The NHS: "Pelvic organ prolapse is when your womb, bladder or bowel bulge into the vagina. Treatments and lifestyle changes can help manage it." UK pelvic health physiotherapists say it's "not a life threatening condition, and not all prolapses get worse; some may improve." It often follows childbirth and age, and nobody causes their own.

Sources 1, 2

Pelvic floor training is the treatment; yoga goes alongside it

NICE suggests supervised pelvic floor muscle training for at least 16 weeks as a first option for a mild prolapse with symptoms. It also says supervised exercise, "for example, yoga", may help women who are doing that training, and an NHS pelvic health service lists yoga among exercise that is generally safe with a prolapse if you adapt uncomfortable positions.

Sources 3, 4, 5, 6

No trial shows yoga treats a prolapse

The only trial called yoga for prolapse (50 women, a yoga pelvic floor lift called mula bandha) was really pelvic floor training, and its statistics don't add up; reviewers say it "cannot be used as evidence for yoga as such". Our searches found no other yoga trial in prolapse, and the best pelvic floor yoga trial, for leaking, left out women with a prolapse.

Sources 7, 8, 9, 10

Lift as you breathe out, let go, and never bear down

Squeeze your pelvic floor as you breathe out and move, let it go fully afterwards, and tighten it before you lift, cough or sneeze ("the knack"). Straining gave the highest pressure in the tummy for most women in one study, and a squeeze before an exercise cut how far the bladder dropped in another.

Sources 2, 11, 12, 13, 14

The list of poses to change is caution, not proof

No study has measured pressure in the tummy during yoga poses. In 22 Pilates moves, none raised it clearly more than standing up from a chair, and in women with pelvic floor problems, standing up and coughing raised it more than lifting 20 pounds (about 9 kg). Change the poses that strain or jolt while you have symptoms, then bring them back gradually.

Sources 15, 16, 17, 18

Going upside down doesn't fix a prolapse

No study has tested yoga inversions for a prolapse. In one small trial, hip exercises with the hips raised on a wedge, added to pelvic floor training, didn't improve the prolapse's stage. Lying down may feel easier at the end of the day; that's comfort, not a repair.

Sources 19, 8, 15

A prolapsed (slipped) disc is different

A prolapsed disc is a problem with a disc in your back, not with the pelvic organs, and the advice is different. Our herniated disc guide covers yoga for it.

What a prolapse is

The organs drop into the vagina

The front wall of the vagina (with the bladder behind it), the back wall (with the bowel), or the womb, or the top of the vagina after a hysterectomy, can move down. The advice on exercise is the same for each. A rectal prolapse, where the bowel comes out through the back passage (anus), is a different condition: see a GP (our suggestion).

Sources 1, 2

What it feels like

The NHS lists a feeling of heaviness, discomfort or pressure in your lower tummy or vagina; a bulge or lump inside or coming out of your vagina; pain, discomfort or numbness during sex; problems pooing; and problems peeing, such as not emptying fully, going more often or leaking a little when you cough, sneeze or exercise. UK physiotherapists say symptoms are often worse at the end of a day, after long standing, or with heavy lifting, coughing or straining, and that it's common for a prolapse to vary from day to day.

Sources 1, 2

Not dangerous, and it may not need treating

The Royal College of Obstetricians and Gynaecologists (RCOG): "Your symptoms may stay the same, get worse or sometimes even improve over time." The NHS: "If you do not have any symptoms, or the prolapse is not bothering you, you may not need medical treatment."

Sources 2, 20, 1

How common

The NHS says it's common in women over 50 and can affect anyone with a vagina. The RCOG puts it at 1 in 10 women over 50, and UK physiotherapists at about 1 in 3 women who have had children. The figures differ because some count symptoms and others count what an examination finds.

Sources 1, 20, 2

What makes it more likely

Across 15 studies, having children, vaginal births, age and a higher body weight were the risk factors that held up. Heavy lifting has only weak evidence: Danish assistant nurses had more prolapse operations, but nobody measured their lifting; in 662 clinic patients, heavy lifting wasn't linked with prolapse after adjustment; and 3,934 women who lift heavy weights for exercise didn't report more symptoms. In 47,674 UK women followed for 8 years, moderate and vigorous activity weren't linked with a new prolapse, and lifetime activity didn't raise the odds in another study. NICE found "no evidence available on lifestyle modification" for a prolapse.

Sources 21, 22, 23, 24, 25, 26, 3

The pelvic floor and pressure in the tummy

The pelvic floor is a sling of muscle under the bladder, bowel and womb. It tightens when you cough or lift and relaxes to let you pee and poo. Coughing, straining, lifting and jumping raise the pressure inside your tummy, by very different amounts in different women; in 57 women, coughing gave the highest peak. Researchers call the idea that some exercises harm the pelvic floor through this pressure "a widely held, but untested, belief".

Sources 27, 18

What the evidence says

The trials of pelvic floor training are good; the evidence on yoga, inversions and lifting is thin or missing.

Pelvic floor training eases symptoms a littleStrong evidence

The POPPY trial paper (447 women, 25 centres, one-to-one training against a leaflet) reports that the symptom score fell by 3.77 points with training and 2.09 with the leaflet at 12 months, an adjusted difference of 1.52 points on a 0 to 28 scale. That's close to the 1.5 points another trial treated as the smallest change that matters. Eleven years on, fewer of the Scottish POPPY women who were trained had needed further prolapse treatment (44% against 53%).

Sources 4, 2, 28, 29

Training with Pilates-based classes, and in older womenStrong evidence

In PREVPROL (414 women), one-to-one training plus Pilates-based pelvic floor classes gave "a small, but probably important, reduction in prolapse symptoms" at 2 years; the women knew which group they were in. In 287 women aged 55 and over with a mild prolapse, training beat watchful waiting by 9.1 points on a pelvic floor symptom score, below the 15 points the authors had set as clinically relevant.

Sources 30, 28

It can lift a prolapse a little in some womenEmerging evidence

In 109 women, 19% improved by one prolapse stage with training against 8% without. The 2011 Cochrane review found training raised the chance of an improvement in stage by 17%. That's a few millimetres for some women, not a cure.

Sources 31, 32

Reviews: a short-term benefitStrong evidence

Across 13 trials (2,340 women), training lowered the symptom score by about 3 points, and across 16 trials in 2026, by about 2.4 points, with a clear benefit up to 6 months but not beyond, or in women aged 55 and over. NICE says to carry on after the programme if it helps, and UK physiotherapists expect an improvement in 3 to 5 months.

Sources 33, 34, 3, 2

The only yoga trial for prolapse can't be relied onStrong evidence

In 50 women in India with a mild prolapse, 12 weeks of mula bandha (a pelvic floor lift held with the breath) improved a symptom score by 5.7 points more than usual care, a difference that could well be chance (P = 0.1). The statistics are inconsistent (that confidence interval can't go with that P value), the results paragraph names groups from a different trial, and the 15-point threshold it quotes was another trial's design assumption. A review called it pelvic floor training, not yoga.

Sources 7, 28, 8

Other yoga studies don't answer the questionMixed evidence

Mula bandha didn't build pelvic floor strength more than no programme in 50 healthy women. Two papers on the same 128 women doing yoga after a birth measured organ position, not symptoms, describe the study in conflicting ways, and come from a first author whose 2022 paper on yoga and the pelvic floor after birth was retracted. A trial of yoga in pregnancy (200 women) found fewer pelvic floor symptoms afterwards but didn't examine for prolapse. In 240 women with leaking, pelvic yoga wasn't better than stretching and strengthening, and women with a prolapse were left out. Our searches found nothing else.

Sources 35, 36, 37, 38, 39, 10, 40, 9

No exercise beats pelvic floor trainingStrong evidence

Reviewing seven trials, Bø and colleagues wrote that "no recommendation can be made regarding hypopressive, yoga, and inversion hip exercises for POP. PFMT remains the first-line treatment of POP." (POP is pelvic organ prolapse, and PFMT pelvic floor muscle training.) Pelvic floor training beat hypopressive exercise (a breathing and posture technique) in one trial, and the 2026 review found no reliable evidence that yoga or other programmes do better.

Sources 8, 41, 34

Your pelvic floor exercises with a prolapse

From the UK pelvic health physiotherapists' prolapse booklet, which expects an improvement in 3 to 5 months and says to keep practising once a day after that. NICE suggests a supervised programme of at least 16 weeks, so ask your GP about a pelvic health physiotherapist.

  1. Sit or lie down. If your prolapse bulges beyond the entrance to your vagina, lying down may be easier.
  2. Imagine stopping yourself passing wind and passing urine at the same time. You should feel a squeeze and a lift inside.
  3. Breathe normally. Try not to hold your breath or squeeze your legs or buttocks.
  4. Long squeezes: tighten, hold, then let go and relax fully. Note how long you can hold and how many times you can repeat it.
  5. Short squeezes: tighten quickly, then let go straight away, until the muscles tire.
  6. Build up to 10 long squeezes of 10 seconds and 10 short ones, at least 3 times a day. Start little and often if you need to.
  7. As you get stronger, do them standing, then while walking and bending, and squeeze before you cough, sneeze or lift.

See the movement on the 3D figure: Pelvic floor exercise (Kegel)

Pressure, breathing and the squeeze

No study has measured pressure during yoga posesStrong evidence

Our search found no study measuring pressure in the tummy during yoga poses, inversions or yoga breathing. Lists of yoga poses to avoid with a prolapse are expert caution, which researchers describe as "a widely held, but untested, belief".

Sources 15, 18

Everyday movements raise it as much as exerciseEmerging evidence

In 20 women doing 22 Pilates mat and reformer moves, none raised the peak pressure clearly more than standing up from a chair. In 147 women with pelvic floor problems, "Common activities such as standing up and coughing generate significantly more IAP than lifting up to 20 lb" (IAP is intra-abdominal pressure). In 57 women, the same activity gave very different pressures in different people.

Sources 16, 17, 27

"Pelvic floor safe" versions don't reliably helpEmerging evidence

In 53 women, the gentler "pelvic floor safe" versions of exercises didn't reliably lower the pressure. For most women, straining gave more pressure than any exercise, and in 593 first-time mothers, pressure during lifting didn't differ between women with better and worse pelvic floor support.

Sources 18, 12, 42

Squeeze first, and breathe out on the effortEmerging evidence

In 15 women after a birth, a crunch widened the opening in the pelvic floor, while bird dog and plank were no different from a pelvic floor squeeze on any measure. In another 15 women, squeezing before an exercise cut how far the bladder neck dropped. UK physiotherapists teach a squeeze before you cough or lift. In a lab study of yoga poses, locust pose switched the pelvic floor on more than the others tested.

Sources 13, 14, 2, 43

The one rule every source agrees on

Don't hold your breath and push down. Breathe out as you lift, rise or hold a pose, lift your pelvic floor gently as you do, and let it go fully as you breathe in.

Sources 2, 12

What helps, and how much

Every day: your pelvic floor exercises

Up to 10 long squeezes of 10 seconds and 10 short ones, at least 3 times a day, as the steps above say, for at least 16 weeks, ideally supervised. This is the treatment, so it comes first.

Sources 2, 3, 5

Two or three times a week: the yoga class

Our editorial starting point: the 30-minute pelvic floor yoga class 2 or 3 times a week, with the squeeze built into the poses as the pelvic yoga trial for leaking did. NICE's line on yoga is about supervised exercise alongside pelvic floor training, so a teacher who knows about prolapse is worth finding.

Sources 5, 10

Low-impact activity on other days

UK physiotherapists suggest low-impact exercise in the short term, such as cycling, a cross trainer, fast walking, Pilates or swimming, and the NHS suggests regular gentle exercise like walking, which also helps avoid constipation.

Sources 2, 1

Avoid constipation and straining

The NHS lists long-term constipation and straining as a cause, and suggests more fibre, plenty of water and gentle exercise like walking. UK physiotherapists suggest 1.5 to 2 litres of fluid a day and these toilet habits:

  • Sit fully on the toilet rather than hovering, so the right muscles can relax.
  • Have your feet apart and raised on a stool, with your arms resting on your legs.
  • Keep your tummy relaxed and breathe easily; don't hold your breath or strain.
  • Some women find that gently supporting the area between the back passage and the vagina helps them empty fully (splinting).

Sources 1, 2

Learn the squeeze and the release

Pelvic floor exercise: "Start with 8 slow holds of up to 10 seconds and 8 quick squeezes, three times a day, and build towards 10 of each", lying down if your prolapse bulges outside; pelvic floor relaxation: "5 to 10 slow breaths, 1 to 3 times a day", never pushing down; slow breathing: "At least 5 minutes, done regularly as part of your daily routine", with no holds (the move pages' doses). Sit to stand: 8, squeezing just before you rise and breathing out as you stand, the knack in practice (our strength workout with a prolapse).

Standing poses: lift as you breathe out

Mountain pose: "Stand for 5 to 10 slow breaths, 2 or 3 times", lifting gently as you breathe out and letting go as you breathe in (the move page's dose). Chair pose: 3 holds of 5 breaths; warrior II: 5 breaths each side; triangle: 3 breaths each side, a hand on your shin or a block; extended side angle: 5 breaths each side (our yoga for the pelvic floor class). Shorten the stances later in the day if heaviness builds (our suggestion).

On the floor

Locust: 3 holds of 3 breaths, lifting your pelvic floor as you rise; pelvic tilt into bridge: 6 to 8 slow reps, squeezing on the way up and letting go at the bottom; hamstring stretch with a strap: 45 seconds each side; supine twist: 30 seconds each side, knees together on a cushion (our yoga for the pelvic floor class). Bird dog, one limb at a time: 5 each arm and leg, breathing steadily (our postnatal yoga class).

Let go and rest

Happy baby: "Hold 30 to 60 seconds, about 5 to 10 slow breaths, 2 rounds"; child's pose: "Hold 1 to 3 minutes, breathing into the back ribs"; reclining bound angle: "Rest 2 to 5 minutes with a support under each thigh"; corpse pose: "Lie still for at least 5 minutes, up to 10" (the move pages' doses). Legs up the wall: 2 minutes, which may feel easier at the end of the day but doesn't lift a prolapse; follow its page's cautions (our yoga for the pelvic floor class).

Poses to change while you have symptoms

Leave out or keep short boat pose and long head lifts (UK physiotherapists advise avoiding long rises in pressure such as double leg lifts if you leak with exercise); step back rather than jump in sun salutations, as the NHS advises against running and trampolining with a prolapse; keep squats shallow; skip fast belly-pumping breaths, breath-holding and bearing down; and leave out headstands, shoulder stands and the plough, which don't treat a prolapse and have their own cautions. Our suggestions, labelled as caution because no study has measured pressure during yoga poses: stop any pose that brings on heaviness, dragging, a bulge or leaking, and bring poses back gradually if they cause no symptoms.

Lifting, jumping and going upside down

Lifting: expert caution, weak evidenceMixed evidence

The NHS says to avoid activities that put a lot of strain on the pelvic floor, like heavy lifting, running and trampolining. NICE's committee made its advice from experience because "There was no evidence available on lifestyle modification". UK physiotherapists suggest squeezing before each lift, splitting loads and breaking up long spells of standing. In 47,674 women, moderate and vigorous activity weren't linked with a new prolapse, though more light activity was linked with a slightly higher risk, and a review of small studies found strenuous exercise raised symptoms and lowered support in the short term.

Sources 3, 5, 1, 2, 25, 44

Impact: swap it for nowMixed evidence

UK physiotherapists say high-impact exercise, any activity where both feet leave the floor, may worsen symptoms, especially if your pelvic floor muscles aren't strong, and suggest low-impact exercise instead "in the short-term". An NHS service says that once your pelvic floor is strong with good endurance, you may try other exercise, but stop if symptoms worsen.

Sources 2, 6

Inversions: comfort at mostMixed evidence

No study has tested headstands, shoulder stands, legs up the wall or inversion tables for a prolapse. In 40 women, adding breathing and hip exercises with the hips raised on a 15 cm wedge to pelvic floor training improved some secondary measures "but not in the primary outcome, POP stage", meaning how far the prolapse comes down. Lying down can make the exercises easier when a prolapse bulges outside, and may ease the dragging feeling for a while: comfort, not treatment.

Sources 19, 8, 15, 2

With a pessary, after surgery and after a birth

With a pessaryStrong evidence

UK guidance for women using a pessary: "You should be able to continue exercise with a pessary. Many women find they can be more active once they have a correctly fitted device in place." Keep doing your pelvic floor exercises too. NICE suggests considering a pessary alone or with supervised pelvic floor training, and in the TOPSY trial (340 women), looking after your own pessary worked as well as clinic care. Change any pose that makes it shift or hurt (our suggestion).

Sources 45, 3, 46, 47

After prolapse surgeryEmerging evidence

Your surgical team's limits come first. The RCOG says to lift only light loads for the first month, nothing heavy or strenuous until 4 to 6 weeks, and "There is no evidence that normal physical activity levels are in any way harmful". UK physiotherapists suggest low-impact exercise such as low level Pilates from 6 to 12 weeks, once any discharge or bleeding has stopped, and at least 3 months before high-impact exercise. In trials, liberal activity advice did no worse than restrictions. Gentle yoga fits the low-impact stage (our reading).

Sources 48, 49, 50, 51

After a birth, and around the menopauseMixed evidence

Pelvic floor training after a birth lowered the chance of a prolapse in one trial of 123 women with a tear or a cut, but not when two trials were pooled. Our postnatal yoga guide covers the first weeks. A prolapse is more common after 50; our yoga for the menopause guide covers that stage.

Sources 52, 1

A pelvic floor yoga class and other workouts

Our 30-minute pelvic floor yoga class builds the squeeze and the release into standing, floor and rest poses, with no boat pose, no jumps and no deep squats. With a prolapse, shorten the warrior II and triangle stances later in the day if heaviness builds, and lie down for the pelvic floor block if your prolapse bulges outside (our suggestions). Do the daily pelvic floor workout every day; the strength workout with a prolapse on 2 or 3 other days; the relaxation routine instead of squeezes if you have pelvic pain, pain with sex or trouble emptying.

Yoga for the pelvic floor: a 30-minute class with the squeeze built in

A 30-minute yoga class for your pelvic floor: poses from a trial programme, a gentle lift as you breathe out, a full release, and supported rest poses.

30 minBeginner17 movesStep, firm cushion

Daily pelvic floor workout

A 5-minute daily pelvic floor workout for women and men: slow holds and quick squeezes, three times a day, with how to find the right muscles.

5 minBeginner2 movesNo equipment

Strength workout with a prolapse: pelvic floor first, no impact, no crunches

A 25-minute strength workout for a pelvic organ prolapse: pelvic floor squeezes, sit-to-stands, push-ups, rows, bridges and side-lying work, with no jumping or crunches.

25 minBeginner12 movesBench or box, wall

Pelvic floor relaxation exercises

An 8-minute routine for a tight pelvic floor: slow breathing and comfortable positions to help the muscles let go, with no strengthening squeezes.

8 minBeginner5 movesFirm cushion

Pilates for your pelvic floor: squeeze, move, release

A 20-minute Pilates workout for your pelvic floor, built on UK pelvic health physiotherapists' booklet: squeeze as you breathe out, move, then fully release.

20 minBeginner18 movesWall, bench or box

Gentle postnatal yoga: a 20-minute class from the first weeks after birth, with an early stop point and caesarean options

A gentle 20-minute yoga class for after a vaginal birth or a caesarean: breathing and your pelvic floor first, then lying, all-fours, seated and standing poses.

20 minBeginner18 movesBench or box, firm cushion

Plans

The walking plan builds low-impact activity for the other days; the postpartum plan is for after a birth.

Warning signs and when to get help

These are the warning signs from our pelvic floor and Pilates for prolapse guides, word for word, including one line the Pilates page labels as our suggestion. This is general information, not a diagnosis. A&E means accident and emergency; in the US, call 911 for 999.

Call 999 or go to A&E: a spinal emergency, not a pelvic floor problem

New problems with your bladder or bowels together with back pain or numbness can be a spinal emergency rather than a pelvic floor problem. Call 999 (911 in the US) or go to A&E if you have back pain with:

  • pain, tingling, weakness or numbness in both legs
  • a loss of feeling around your genitals or anus
  • changes in your bladder or bowels, such as difficulty peeing, or peeing or pooing yourself

Source 53

From our pelvic floor guide: go to A&E or call 999

These can be signs of a serious problem with the nerves at the base of the spine (cauda equina syndrome), or of a serious infection. Don't drive yourself to A&E.

  • Numbness around or under your genitals, or around your bottom.
  • Finding it hard to start peeing, being unable to pee, or being unable to control when you pee, when this isn't normal for you.
  • Not noticing when you need to poo, or being unable to control it, when this isn't normal for you.
  • Sciatica in both legs, or weakness or numbness in both legs that is severe or getting worse.

Source 53

Not being able to pee

You can't pee at all.

If you cannot pee at all, get urgent help from a GP or NHS 111, and if it comes on suddenly with severe tummy pain, call 999 or go to A&E.

Source 1

A bulge that won't go back

A bulge that has come outside the vagina and is sore, bleeding or won't go back in: see a GP soon, and get help the same day if you also can't pee (our suggestion, from the NHS's advice to see a GP about any lump and our "can't pee at all" line; the NHS prolapse page gives no urgent line for this).

Source 1

See a GP

The NHS says see a GP if:

  • you have a lump in or around your vagina
  • you have any other symptoms of a pelvic organ prolapse, such as heaviness, discomfort or pressure, pain or numbness during sex, or changes in peeing or pooing

Source 1

Leaking, blood in your pee, or bleeding after the menopause

"See a GP if you have any type of urinary incontinence", the NHS says, and don't feel embarrassed: it's common. See a GP too about a lump or bulge in or around your vagina, or other signs of a prolapse such as heaviness, dragging or problems emptying your bladder or bowel. NHS continence services, with specialist nurses and physiotherapists, can diagnose the problem and start treatment.

Blood in your pee, or you think there may be: it can look pink, red or dark brown, and it must be checked because it can be a sign of cancer.

See a GP if you notice bleeding from your vagina after the menopause, "even if it's only a small amount or it's only happened once", the NHS says.

Source 1

See a pelvic health physiotherapist

In many areas you can refer yourself. See one if the exercises are hard to do, if your symptoms haven't improved after about 3 months of regular practice, or before you go back to running, jumping or heavier lifting.

Source 2

If yoga brings on symptoms

Stop, drop back to an easier level and rest if you feel heaviness, dragging, pressure or a bulge, or you leak, during or after an activity. If you see or feel a bulge when you squeeze, stop the pelvic floor exercises and get help.

Stop a pose that brings on leaking, heaviness, dragging, a bulge or pain, and make it smaller or leave it out. POGP says pain when you exercise the pelvic floor, or tummy or pelvic pain afterwards, needs advice from a specialist physiotherapist; meanwhile, stop adding squeezes and use the relaxation practice (our suggestion). For men's symptoms such as a weak flow or dribbling, see our pelvic floor exercises guide.

A joint pain that is sharp, gets worse during a session, lingers into the next day or changes how you move is a reason to use an easier version, and to see a GP or physiotherapist if it keeps happening (the rule in our plans). Muscle soreness for a day or two after something new is normal. In a hot class, stop if you feel dizzy, sick or unwell; our hot yoga guide lists the signs of heat illness.

You can say no to any hands-on adjustment, and a teacher registered with Yoga Alliance must get your explicit consent each time.

Sources 2, 11

With a pessary

See your clinic for bleeding, pain or a smelly discharge, or if your pessary keeps falling out. If it's stuck, contact the clinic where it was fitted, your GP or the nearest A&E.

Source 45

After prolapse surgery: seek medical advice

  • burning or stinging when you pee, or peeing often
  • vaginal bleeding that becomes heavy or smelly, especially with a high temperature
  • a painful, red, swollen, hot leg, or difficulty putting weight on your legs
  • Chest pain, shortness of breath or coughing up blood can mean a clot in the lung: the RCOG says seek medical help immediately.

Source 48

Chest pain or fainting while exercising: call 999

Call 999 if:

  • You get sudden pain or discomfort in your chest that doesn't go away; it can feel like squeezing or pressure, burning or indigestion.
  • The pain spreads to your left or right arm, or your neck, jaw, stomach or back.
  • You have chest pain and feel sweaty, sick, light-headed or short of breath.
  • Someone faints while exercising, can't be woken within 1 minute, or has chest pain or a pounding, fluttering or irregular heartbeat.

Sources 54, 55

Head-down poses, bones and pregnancy

With glaucoma, or high blood pressure that isn't under control, skip headstands, shoulder stands and long head-down holds. With osteoporosis, swap deep forward folds for a flat-back hinge from the hips, and twist smoothly. In pregnancy, our yoga in pregnancy guide covers the changes. NCCIH advises beginners to avoid headstands, shoulder stands, the lotus position and forceful breathing.

Sources 56, 57

Before you start

The NHS advises getting advice from a healthcare professional first if you have a health problem, an injury or symptoms, or have recently had a heart attack or an operation.

Myths

"Yoga cures a prolapse" or "yoga can reverse a prolapse"Strong evidence

No study shows it. The only trial called yoga was pelvic floor training with unreliable statistics, and reviewers say it "cannot be used as evidence for yoga as such". Even pelvic floor training eases symptoms by a modest amount and lifts the prolapse a little in some women.

Sources 7, 8, 4, 31

"Mula bandha works better than pelvic floor exercises"Emerging evidence

Mula bandha is a pelvic floor squeeze. In the trials it changed little, and in healthy women it didn't build strength more than no programme. Do your squeezes, lift on the out-breath and let go fully.

Sources 7, 35

"Pelvic floor exercises are only squeezes"Strong evidence

Letting go matters too: UK physiotherapists say to "Always let the muscles fully relax after each squeeze". Using the squeeze in daily life, before you lift, cough or sneeze, is part of the training.

Sources 11, 2

"Headstands or legs up the wall put a prolapse back"Mixed evidence

No study shows it, and exercises with the hips raised didn't improve prolapse stage in a small trial. Lying down may ease the dragging feeling for a while, because symptoms are often worse after long standing. That's comfort, not a repair. Inversion tables haven't been tested either.

Sources 19, 15, 2

"Yoga causes prolapse"Emerging evidence

Childbirth, age and body weight are the risk factors that hold up. Moderate and vigorous activity weren't linked with a new prolapse in a large UK study, and lifetime activity wasn't linked with it in another.

Sources 21, 25, 26

"With a prolapse you can't do yoga"Strong evidence

An NHS pelvic health service lists "Yoga and Pilates, adapt any uncomfortable positions" among exercise that is generally safe, and NICE says supervised exercise such as yoga may help alongside pelvic floor training.

Sources 6, 5

"Never lift anything again"Mixed evidence

Advice to cut down heavy lifting is expert opinion: NICE found no evidence on lifestyle changes, and standing up and coughing raised pressure more than lifting 20 pounds. UK physiotherapists suggest squeezing before you lift and frame lighter, low-impact exercise as a short-term swap.

Sources 3, 17, 2

"Some poses are proven to harm the pelvic floor"Emerging evidence

No study has measured pressure during yoga poses, and "pelvic floor safe" versions of exercises didn't reliably lower pressure. The changes on this page are caution; breathe out on effort and never bear down.

Sources 15, 18

"You need surgery if you have a prolapse"Strong evidence

Many prolapses need no treatment, and pelvic floor training and pessaries come first. Surgery is an option if those aren't enough.

Sources 1, 3, 45

Questions people ask

Is yoga good for a prolapse?

It can be a good way to stay active alongside the treatment with the evidence, pelvic floor muscle training, which NICE suggests for at least 16 weeks for a mild prolapse with symptoms. NICE also says supervised exercise such as yoga may help women doing that training. Build the squeeze into your poses and change the ones that strain or jolt.

Can yoga cure or reverse a prolapse?

No study shows it. The only trial called yoga tested a pelvic floor squeeze and was too flawed to rely on, and even pelvic floor training eases symptoms by a modest amount rather than curing them. A pessary or surgery are the other options if training isn't enough.

Can yoga make a prolapse worse, or cause one?

There's no evidence that it does. Childbirth, age and body weight are the main risk factors, and no study has measured pressure in the tummy during yoga poses. Stop any pose that brings on heaviness, dragging, a bulge or leaking, and make it smaller.

Which yoga poses should I avoid with a prolapse?

While you have symptoms: jumps, deep squats such as garland pose, long boat pose holds and long head lifts, fast belly-pumping breaths, and any breath-holding or bearing down. This is caution rather than proof of harm, so bring poses back gradually if they cause no symptoms.

Which yoga poses help a prolapse?

None treats it, but standing poses, bridges, bird dog and locust with a pelvic floor lift on each out-breath fit the evidence for pelvic floor training. In a lab study, locust switched the pelvic floor on more than other poses tested. Our free pelvic floor yoga class puts them together.

Are inversions good for a prolapse? Should I use an inversion table?

No study has tested yoga inversions or inversion tables for a prolapse, and exercises with the hips raised didn't improve prolapse stage in a small trial. Lying down may ease symptoms for a while, but it isn't a treatment, and headstands and shoulder stands have their own risks.

Is it OK to do yoga with a prolapsed bladder or womb?

Yes, with the same changes: the advice on exercise is the same for a bladder, bowel or womb prolapse. See a GP first about any lump or bulge, and a pelvic health physiotherapist for a training plan.

Is chair yoga good for a prolapse?

It's a comfortable option, especially when symptoms build later in the day, since they're often worse after long standing. Seated breathing and pelvic floor squeezes, upper-back turns and sit-to-stands with the squeeze all fit.

Is yoga or Pilates better for a prolapse?

Neither has been tested on its own for a prolapse. The large PREVPROL trial used Pilates-based classes on top of one-to-one pelvic floor training. Choose the one you'll keep doing, and squeeze on purpose during it.

Can I do yoga with a pessary?

Yes. UK guidance says you should be able to carry on exercising with a pessary, and to keep doing your pelvic floor exercises. See your clinic for bleeding, pain or a smelly discharge, or if it keeps falling out.

When can I do yoga after prolapse surgery?

Follow your surgical team. UK leaflets suggest light loads only for the first month, gentle low-impact exercise from about 6 weeks, and at least 3 months before high-impact exercise.

Is yoga good for a prolapsed disc?

That's a different problem: a slipped disc in your back, not a pelvic organ prolapse. Our yoga for a herniated disc guide covers it.

Sources

  1. NHS · Pelvic organ prolapse (read in full)
  2. POGP 2023 · Pelvic organ prolapse: a guide for women (physiotherapy booklet, for review 2026; read in full)
  3. NICE NG123 · Urinary incontinence and pelvic organ prolapse in women: management, recommendations and rationale (2019; read in full)
  4. Hagen 2014 · One-to-one pelvic floor muscle training for prolapse in 447 women: the POPPY trial (randomised trial, Lancet; a 2014 erratum exists, which we couldn't open)
  5. NICE NG210 · Pelvic floor dysfunction: prevention and non-surgical management, recommendations and rationale (2021; read in full)
  6. Royal Berkshire NHS Foundation Trust 2024 · Exercising with a pelvic organ prolapse (pelvic health physiotherapy leaflet, past its review date: written October 2024, review due October 2026; read in full)
  7. Sweta 2018 · Mula bandha for mild prolapse in 50 women (randomised trial with inconsistent statistics, Int J Yoga; read in full)
  8. Bø 2023 · Hypopressive, yoga-labelled and inverted-position exercise programmes for prolapse: 7 trials (systematic review, Int Urogynecol J; read in full)
  9. PubMed · Our search for yoga trials in pelvic organ prolapse: 9 records, with Europe PMC and ClinicalTrials.gov searches finding no other trial (2 November 2026)
  10. Huang 2024 · Pelvic yoga or a physical conditioning programme for leaking: 240 women aged 45 to 90 (randomised trial, Ann Intern Med; read in full)
  11. POGP 2018 · The pelvic floor muscles: a guide for women (physiotherapy booklet, past its review date: reviewed 2018, review due 2024; read in full)
  12. Dietze-Hermosa 2020 · Pressure in the tummy and pelvic floor health: 55 women (lab study, Female Pelvic Med Reconstr Surg)
  13. Siff 2020 · Common exercises and the pelvic floor after birth: 15 women (ultrasound study, Female Pelvic Med Reconstr Surg)
  14. Baeßler 2017 · Gym exercises and the bladder neck: 15 women (ultrasound study, Geburtshilfe Frauenheilkd)
  15. Europe PMC · Our search for studies measuring pressure in the tummy during yoga poses, inversions or yoga breathing: 14 records, none measuring it during poses (2 November 2026)
  16. Coleman 2015 · Pressure inside the tummy during 22 Pilates mat and reformer moves in 20 women (lab study, Int Urogynecol J; read in full)
  17. Yamasato 2014 · Pressure inside the tummy when lifting, standing up and coughing in 147 women with pelvic floor problems (clinical study, J Reprod Med)
  18. Tian 2018 · Pressure in the tummy during exercises recommended for women at risk of pelvic floor problems: 53 women (lab study, Int Urogynecol J)
  19. Gorji 2020 · Hip exercises with the hips raised, added to pelvic floor training, in 40 women with prolapse (randomised trial, Low Urin Tract Symptoms)
  20. RCOG · Pelvic organ prolapse (patient leaflet, past its review date: updated May 2022, review due May 2025; read in full)
  21. Vergeldt 2015 · Risk factors for pelvic organ prolapse: 15 studies (systematic review, Int Urogynecol J)
  22. Jørgensen 1994 · Heavy lifting at work and prolapse surgery in Danish assistant nurses (registry study, Occup Med)
  23. Gillor 2021 · Smoking, asthma, heavy lifting, family history and prolapse in 662 women (retrospective study, Eur J Obstet Gynecol Reprod Biol)
  24. Forner 2020 · Prolapse symptoms in 3,934 women who lift heavy weights for exercise (survey, Int Urogynecol J)
  25. Si 2024 · Measured physical activity and new prolapse in 47,674 UK women over 8 years (cohort study, Int J Behav Nutr Phys Act)
  26. Nygaard 2014 · Lifetime physical activity and prolapse in 382 middle-aged women (case-control study, Am J Obstet Gynecol)
  27. Shaw 2014 · Pressure inside the tummy during everyday activities and exercise in 57 women (lab study, J Sports Sci; read in full)
  28. Wiegersma 2014 · Pelvic floor training or watchful waiting in 287 women aged 55 and over with a mild prolapse (randomised trial, BMJ; read in full)
  29. Fenocchi 2023 · POPPY women 11 years on: further prolapse treatment in 293 women (record-linkage follow-up, Int Urogynecol J)
  30. Hagen 2017 · Pelvic floor training with Pilates-based classes for prolapse in 414 women: PREVPROL (randomised trial, Lancet)
  31. Brækken 2010 · Pelvic floor muscle training and prolapse stage in 109 women (assessor-blinded randomised trial, Am J Obstet Gynecol)
  32. Hagen 2011 · Conservative prevention and management of pelvic organ prolapse: 6 trials (Cochrane review)
  33. Li 2016 · Pelvic floor muscle training for prolapse: 13 trials, 2,340 women (systematic review and meta-analysis, Int Urogynecol J)
  34. Cong 2026 · Pelvic floor muscle training for prolapse: 16 trials, 2,063 women (systematic review and meta-analysis, BMC Urol; read in full)
  35. Sweta 2021 · Mula bandha and pelvic floor strength in 50 healthy women (randomised trial, J Ayurveda Integr Med; read in full)
  36. Li 2021 · Weekly yoga and the pelvic floor on ultrasound after a vaginal birth: 128 women, described as randomly assigned (study, J Phys Ther Sci; read in full)
  37. Li 2025 · Yoga and pelvic organ position after a vaginal birth: the same 128 women, described as a prospective study (study, Int Urogynecol J)
  38. Journal of Healthcare Engineering 2023 · Retraction notice: Li 2022, yoga and the pelvic floor after birth, is retracted (read in full)
  39. Sharma 2024 · Yoga in pregnancy and pelvic floor symptoms: 200 women (randomised trial, Int Urogynecol J)
  40. Wieland 2019 · Yoga for urinary incontinence in women: 2 trials, 49 women (Cochrane review)
  41. Resende 2019 · Pelvic floor training or hypopressive exercise for prolapse (assessor-blinded randomised trial, Neurourol Urodyn)
  42. Nygaard 2021 · Pressure in the tummy and pelvic floor support in 593 first-time mothers (cohort study, Female Pelvic Med Reconstr Surg)
  43. Blagg 2023 · Pelvic floor muscle activity in selected yoga poses (lab study, Complement Ther Clin Pract)
  44. Bø 2023 · Strenuous physical activity, exercise and prolapse (narrative scoping review, Int Urogynecol J)
  45. POGP and the UK Clinical Guideline Group 2021 · Information for women using a pessary for vaginal prolapse (patient leaflet; read in full)
  46. Bugge 2024 · Pessary self-management or clinic-based care in 340 women: the TOPSY trial (randomised trial, Health Technol Assess)
  47. Bugge 2020 · Pessaries for managing pelvic organ prolapse: 4 trials, 478 women (Cochrane review)
  48. RCOG · Pelvic floor repair operation: recovering well (patient information, reviewed June 2025; read in full)
  49. POGP 2022 · Fit following surgery: advice and exercise after major gynaecological surgery (physiotherapy booklet, past its review date: reviewed 2022, review due 2025; read in full)
  50. Mueller 2017 · Liberal or restricted activity after prolapse surgery: 95 women analysed (randomised trial, Obstet Gynecol)
  51. Cacheiro Bofarull 2025 · Activity restrictions after prolapse surgery: 5 trials, 434 women (systematic review and meta-analysis, Urogynecology)
  52. Beamish 2025 · Exercise after birth, pelvic floor problems and the tummy gap: 65 studies (systematic review and meta-analysis, Br J Sports Med; read in full)
  53. NHS · Back pain (read in full)
  54. NHS · Chest pain (past its review date: reviewed August 2023, review due August 2026)
  55. NHS · Fainting
  56. Jasien 2015 · Eye pressure in four common yoga positions: 10 people with glaucoma and 10 without (lab study, PLoS One)
  57. NCCIH 2023 · Yoga: effectiveness and safety (US National Center for Complementary and Integrative Health)

Exercise education, not a personal prescription, and clinical review of these guides is pending. If you are pregnant, have a health condition such as glaucoma, high blood pressure or osteoporosis, or have had recent surgery, check with a doctor, midwife or physiotherapist before starting, and stop for sharp or increasing pain. Health disclaimer.