Healing After Hysterectomy: Why Pelvic Floor Therapy Matters

After a hysterectomy (removal of the uterus and potentially the ovaries), many people experience changes in pelvic support, core strength, and bladder or bowel function. Think about it: there was an organ there that not only provided hormonal support but physical support to its surrounding structures. We must train those remaining structures within the pelvic floor to support each other and prevent further complications down the road. In pelvic floor physical therapy we work on restoring strength, improving mobility and reduce symptoms. This is a crucial step in healing no matter if your surgery was abdominal, vaginal or laparoscopic. With guided therapy, we can rebuild your confidence in your body and return to daily life with less discomfort and better function.  

In a close up image, patient is seated on a birthing ball with her hands on her belly while pelvic floor physical therapist is kneeling next to the patient providing compassionate support.

What's Really Causing This?

  • Uterine Fibroids
  • Endometriosis
  • Adenomyosis
  • Chronic Pelvic Pain
  • Uterine or cervical cancer
  • Abnormal Periods, usually very heavy

What You Might Be Feeling

  • Pelvic Pressure
  • Pelvic Pain
  • Leakage
  • Constipation
  • Low back pain
  • Core weakness

Why This Matters

After a hysterectomy, your pelvic floor muscles often weaken due to surgical trauma, loss of uterine support, and reduced core stability. Without pelvic floor physical therapy, patients may experience ongoing pelvic pressure, pain, urinary incontinence, or even pelvic organ prolapse. Ignoring this critical part of recovery can lead to poor healing, limited mobility, and long-term dysfunction. Pelvic floor therapy helps restore strength, improve posture and core support, and prevent complications. It’s not just about healing faster—it’s about healing better. 

How

Prosper

Can Help

We look beyond symptoms to understand the whole picture. Through our 3-phase Prosper Method, we help restore the strength, mobility, and coordination your pelvic system needs.

01

Lengthen

Release pelvic floor tension and improve stability within your pelvic girdle so over-protecting isn’t limiting your overall goals

02

Strengthen

Rebuild functional strength with breath, posture, and gentle movement.

03

Prosper

Apply your progress to real-life activities—so you can trust your body again and not need to continue care long-term.

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What to Expect in Treatment:

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Guidance on post-surgical care of your scar

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Reconnection with your core while it heals

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Scar tissue work to prevent tissue from becoming numb or restricted so you don't have future problems 

Detail image of lubrication, exercise pants, vaginal dilators, cupping tools and a business card on the therapy table.
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Confidence to return to intimacy when the time is right

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Decrease onset of pelvic pain, pressure, heaviness, or leakage

Pelvic floor physical therapist sitting cross-legged on a couch while holding an anatomy book and looking over top of the book with excitement in her eyes.

What You’ll Gain Through Personalized Pelvic Care

You’ll go from this:

  • Feeling uncertain in your body
  • Fearful of returning to intimacy
  • Dealing with leakage
  • Uncomfortable pelvic pressure

To this:

  • Confident in your body's abilities
  • Empowered to return to intimacy
  • Not having wet pants from leaking
  • Feeling strong in your pelvic floor

What to Expect During Treatment

Your first visit includes a comprehensive full-body movement screen, along with breath and pressure assessments to better understand how your body is functioning as a whole. With your consent, we will educate you on why we may consider an internal pelvic exam to help get a full body picture. We want to give you some clarification: this is not your traditional pap exam. With a gentle, holistic approach we will uncover what is contributing to your symptoms. From there, you’ll receive a personalized care plan tailored to your goals, lifestyle, and needs. Every body is different, so your treatment is never a cookie-cutter, one-size-fits-all approach.

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Discover What Other Women Are Sharing About Their Results

Hear from women just like you who proudly share their experience.

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Highly recommend Sara!
She is so educational and supportive in this journey. She is great at making everything easy to understand and do.
Thank you!

Katie, Google Reviewer (Sept 2025)
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