Pelvic floor muscle training with and without hypopressive exercises for women with pelvic organ prolapse
Effects of Pelvic Floor Muscle Training With & Without Hypopressive Exercises On Strength, Dyspareunia and Quality Of Life in Pelvic Organ Prolapse
NA · Riphah International University · NCT07440875
This will test whether adding hypopressive exercises to pelvic floor muscle training helps women aged 45–65 with stage I–II pelvic organ prolapse improve pelvic floor strength, reduce pain during sex, and feel better overall.
Quick facts
| Phase | NA |
|---|---|
| Study type | Interventional |
| Enrollment | 51 (estimated) |
| Ages | 45 Years to 65 Years |
| Sex | Female |
| Sponsor | Riphah International University (other) |
| Locations | 1 site (Lahore, Punjab Province) |
| Trial ID | NCT07440875 on ClinicalTrials.gov |
What this trial studies
This is a randomized, two-arm trial enrolling 46 postmenopausal women with stage I–II uterine pelvic organ prolapse at a single center. Participants are randomly assigned to pelvic floor muscle training (PFMT) plus hypopressive exercises or PFMT alone and receive four sessions over one month. Outcomes include pelvic floor strength (Oxford Grading Scale), pain (visual analog scale), and quality of life (PFIQ-7), analyzed with SPSS using parametric or nonparametric tests as appropriate. Convenience sampling is used and standard inclusion/exclusion criteria (age 45–65, postmenopausal, no recent childbirth or prior pelvic surgery) apply.
Who should consider this trial
Good fit: Married, postmenopausal women aged 45–65 with stage I–II uterine pelvic organ prolapse who are not pregnant, not recently postpartum, and have not had prior pelvic floor surgery are ideal candidates.
Not a fit: Women with more advanced prolapse (stage III–IV), recent postpartum status, prior pelvic surgery, neuromuscular disease, active psychiatric disorders affecting compliance, or those already in other pelvic floor programs may not benefit from this protocol.
Why it matters
Potential benefit: If successful, combining PFMT with hypopressive exercises could strengthen pelvic floor muscles, reduce dyspareunia, and improve daily quality of life for these women.
How similar studies have performed: Pelvic floor muscle training alone has supportive evidence for symptom and strength improvement, while hypopressive exercises are less established and have shown mixed or limited results in prior studies.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Married women * Age 45-65 years * Post menopausal * uterine prolapse * Stage I \& II Exclusion Criteria: * Pregnancy or Postpartum (within last 6 months) * History of Pelvic floor surgery e.g.hysterectomy * Pts with other comorbidities e.g. neuromuscluar disease * Participating in other pelvic floor muscle program.e.g. pilates , yoga, Psychiatric disorders effecting compliance.e.g. schizopherenia
Where this trial is running
Lahore, Punjab Province
- Qasim Sandhu Hospital — Lahore, Punjab Province, Pakistan (RECRUITING)
Study contacts
- Principal investigator: MEHAR UN NISA, MS — Riphah International University
- Study coordinator: imran amjad, PhD
- Email: imran.amjad@riphah.edu.pk
- Phone: 03324390125
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions: Pelvic Organ Prolapse, Female, Pelvic Floor, Quality of Life, Dyspareunia, Exercise