Pelvic prolapses, including posterior vaginal prolapse, affect many women, yet little is said about them. Around 50% of middle-aged women have some degree of pelvic prolapse, with symptoms appearing as early as around the age of 35. Frequent accompanying symptoms include initial urinary incontinence and difficulty passing stools.

The pelvic floor is a disc consisting of muscles and connective tissues that stretch out between the pubic bone and the tailbone (coccyx) and is attached to the pelvis on both sides. This tissue mesh supports the bladder, the uterus and the rectum, performs closing and opening functions, and also plays an important role in sexuality, as a receptive, sensory organ that helps both partners reach orgasm and form the birth canal.

Weaknesses in the pelvic floor muscles can cause the sinking of organs, such as uterine prolapse (initially descensus uteri, later prolapsus uteri), bladder hernia, bladder prolapse (cystocele), urethral prolapse (ureterocele), posterior vaginal prolapse (rectocele), vaginal wall prolapse without uterine prolapse, usually after hysterectomy.

Rectocele is a slow-onset lesion that can be prevented by keeping the pelvic floor muscles fit and by good habits. If the symptom has already developed, it can be significantly reduced or eliminated by learning the Kriston Intimate Training curriculum and personalised exercises.

Rectocele in advanced stages can be cured by surgery. After surgery, it is recommended that you acquire the Kriston Intimate Training as soon as possible and then do the exercises to prevent recurrence.

The development of posterior vaginal prolapse, rectocele:

Rectocele, develops when the posterior vaginal wall (made up of the fascia of the muscle and connective tissue separating the rectum and vagina) weakens, making it unable to perform its supporting function. The lower part of the rectum sort of "leans" against the vagina, becoming lodged in it, forming a barrier that deforms the vagina, the rectum and its surroundings.

All factors that increase the pressure on the pelvis play a role in its development. These include regular, strenuous physical work or sport, chronic constipation, chronic coughing, obesity, prolonged childbirth and other individual habits.

Initially, rectal prolapse is asymptomatic and is not usually detected by a doctor during examination, because when lying supine the bowel is pressed backwards away from the vagina. Therefore, the lesion is usually detected by the doctor when the condition is slightly more severe. The home-based, self-testing techniques learnt in the Kriston Intimate Training can detect the lesion at an early stage, when the support of the muscular surface can be easily restored. So even at the beginning, you can feel the bulge in the vagina under certain conditions, which is a soft, retractable small bulge in the back wall of the vagina. Initially, there are no other noticeable changes.

More severe symptoms of posterior vaginal prolapse, rectocele:

Later, discomfort occurs in the vagina during coughing, sneezing, lifting, sports and sexual intercourse. Then, independently of these, there may be an increase in a pulling sensation in the lower abdomen, defecation may become difficult and it may be necessary to push back the bulge through the perineum or through the vagina (manually) to help evacuation. Pain in the lower abdomen may appear occasionally, then in later stages it can become permanent, and sexual intercourse may be painful as well. In advanced cases, there may be an organ protrusion in the vulva, resembling a soft-boiled egg to the touch. In later stages, this symptom may increase and may even extend into the vaginal entrance or even protrude in front of it.

In cases that do not require medical intervention, the personalised pelvic floor muscle developing exercises of the Kriston Intimate Training can achieve terrific results, even in advanced stages and in old age.

Surgical repair of posterior vaginal prolapse:

The diagnosis of a posterior vaginal prolapse is made by a gynaecologist, a proctologist or a rectal surgeon. If surgery is recommended, it is definitely worth doing a personalised series of exercises to develop the pelvic floor muscles and to acquire habits to protect the rectal area for 4 months before the operation. Some doctors recommend taking the course before the operation, because the Kriston Intimate Training strengthen the muscles, making the operation more successful (doctors are not indifferent to the tone of the muscles they're working with), and because it is possible to achieve such improvement that surgery can be avoided. It is common for the prolapse to recur after successful surgery. The reason for this is that the person has not eliminated all the triggers that previously caused the strain on the rectum and vagina, so the symptoms of strain may reappear.

For lesions requiring surgery, a posterior vaginoplasty is performed, and in more severe cases, a vaginal mesh or a mesh to hold the pelvic floor muscles in place is implanted. These surgeries are intended to achieve the best results, but they are no substitute for a conscious change made by the client. This is what the client with a posterior vaginal prolapse learns in the Kriston Intimate Training course. Muscle development, muscle, cannot be created by any surgery. Sooner or later, there is no other solution than the proper development of the pelvic floor muscles. In Hungary, the most experienced pelvic muscle developing procedure in this field is the Kriston Intimate Training. 

In the case of minor posterior vaginal prolapses, it is common for the doctor to recommend a pelvic floor muscle exercise. Even in this case, however, the effect is not always the same. It is worth avoiding trainers who offer their services unprepared and with good marketing. The Kriston Intimate Training exercises are only taught by instructors who have completed the Kriston Intimate Training instructor programme.

Local oestrogen treatment is often recommended, which can improve the tightness of the vaginal mucosa, but does not act on the muscle, whose dysfunction is the cause of posterior vaginal prolapse. In our experience, vaginal pessaries, cube pessaries and pessary rings only make matters worse, as they put pressure on the vaginal wall, restricting its blood circulation and making the nutrient-deficient tissue less able to function properly. The muscles of the vagina, which should give support, are less able to do their job.

Electrostimulation or laser treatments are also commonly recommended procedures. Neither intervention can develop the muscle to the extent that they could compete with active, targeted movement.

Posterior vaginal prolapse can be a very unpleasant and painful condition that can lead to physical and psychological deterioration, so prevention is always the goal. Both in prevention and in the elimination of the lesion, exercising the perineal muscles has been proven to be effective, and today numerous doctors send their patients to Kriston Intimate Training for prolapses in the pelvis.

The advantage of Kriston Intimate Training and perineal muscle development over other methods is that they harness the body's own self-healing regenerative ability to achieve significant improvement in the condition without side effects. It offers an alternative solution, either as a stand-alone treatment or as complementary medicine in combination with other methods, complementing their effects.

Kriston Intimate Training is a trademarked, proven to be effective, natural health educational method, recognised in medical and naturopathic circles. By strengthening the vaginal wall, its strength multiplies many times over, so that it can support the rectum as it pushes in or, if necessary, the bladder that leans against it on the other side. The training strengthens the muscles of the perineum that enclose both the rectum and the pelvic floor horizontally, tightens the connective tissues and increases the holding and supporting strength. Regular exercise and maintenance of the pelvic floor muscles can prevent the formation of posterior vaginal prolapse, they have a good chance of eliminating the lesions that have developed, and in cases requiring surgery, they prevent recurrence by making the lower abdominal muscles "self-rehabilitating".  

The symptoms of rectal prolapse are similar to the previous ones, but are easier to diagnose. The protrusion of the lowest part of the intestine towards the sphincter is visible and palpable in the anal sphincter even at an early stage. Rectal prolapse can occur in both men and women. Sometimes the protrusion of the rectum may be visible in childhood, only appearing in response to exertion and then retract on its own, or remain in its anatomical position until the next push after repositioning with a finger, or it may be so severe that the parent is unable to push it back. Without help, the symptom usually worsens and may eventually require surgery. Kriston Intimate Training focuses on the prevention of these symptoms and, in more severe cases, educates the client in self-rehabilitation, who then can bring about the cessation or significant improvement of the symptom.