Why Surgery Shouldn’t Be Your First Step for Prolapse or Incontinence
- Amy Jaramillo
- May 11
- 3 min read
Updated: May 25

You deserve to know all your options. Not just the ones your OB-GYN rushed through in a 15-minute appointment. Not just the ones that involve stitches, implants, or the unspoken risks no one wants to talk about.
Because here’s the truth: Surgery is not the only way—and for most women, it should not be the first step.
Whether you’re navigating prolapse, leaking with movement or sneezes, or just feeling like “something’s off” down there… your body isn’t broken. It’s communicating. And it’s asking for care, not correction.
Let’s walk through what most women aren’t told—and what you deeply deserve to know.
🚫 The Hidden Risks of Surgery (That No One Warns You About)
Surgical procedures for pelvic organ prolapse and urinary incontinence are often presented as quick fixes. But the reality? They can come with real risks—both immediate and long-term.
Here’s what the research says:
⚠️ 1. Pain, Nerve Damage & Scar Tissue
Surgeries like sacrocolpopexy or sling placement can lead to ongoing pelvic pain, nerve injury, and adhesions (scar tissue that can pull on surrounding structures). For some women, the pain doesn’t resolve—it becomes a new problem to manage.
⚠️ 2. Repeat Surgeries Are Common
Up to 30% of women who have pelvic organ prolapse surgery will need a second surgery within 10 years. Not because they failed—but because the procedure did. Tissues can weaken again. Mesh can erode. Bladders can shift.
⚠️ 3. Mesh Complications
Despite recent reforms, mesh is still used in some pelvic procedures. And it has a track record of problems: erosion, infection, organ perforation, and chronic inflammation. Thousands of women have filed lawsuits due to debilitating outcomes.
⚠️ 4. Missed Root Causes
Surgery treats the structure, not the system. If muscle tension, breathing dysfunction, alignment issues, or nervous system dysregulation contributed to your symptoms—and they weren’t addressed? Surgery may not fix the problem… or it may create a new one.
💡 What We Know: The Evidence for Conservative Treatment
If conservative treatments were ineffective, surgery would be a logical first step. But research consistently shows that pelvic floor therapy and lifestyle-based interventions work. And often, they work better when started earlier.
Here’s what the science—and lived experience—tells us:
✅ Pelvic Floor Therapy Works
Studies show that pelvic floor physical therapy can significantly improve both prolapse and incontinence symptoms. In some cases, it even reverses mild to moderate prolapse or helps women avoid surgery entirely.
One landmark review found that pelvic floor muscle training improves symptoms of urinary incontinence and is more effective than no treatment or placebo (Dumoulin et al., Cochrane, 2018).
✅ Conservative First Is Internationally Recommended
Major organizations—including the American College of Physicians and international guidelines—recommend starting with conservative management first, including:
Pelvic floor training
Lifestyle strategies
Weight and pressure management
Bladder training
Behavioral therapies
✅ Whole-Body Healing Supports the Pelvis
When we combine pelvic floor therapy with postural realignment, nervous system regulation, breathwork, quantum circadian support, and core recovery, we address the why behind symptoms—not just the what.
✨ So Why Aren’t More Women Told This?
Because the system isn’t set up to support whole-body, root-cause healing. Because many OBs and urogynecologists aren’t trained in musculoskeletal or nervous system interventions. Because insurance codes faster for surgery than for mindful, multidisciplinary care.
But just because the system failed to inform you, doesn’t mean you’ve failed. You have not missed your window. Your body has not betrayed you. There is another way.
🌀 What I’m Offering (And Why It Matters Now)
It’s been five years since I offered my first pelvic healing pilot program, REVIVE—and now, I’m opening space for a new kind of experience.
🌿 I’m inviting 10 motivated women who are living with prolapse or prolapse-like symptoms to join me—free—in a deeply supportive coaching container.
We’ll explore the science, the soul, and the strategies behind:
Rebuilding pelvic floor connection
Managing and reducing prolapse symptoms
Learning to live in your body again—without shame or fear
Rewiring your nervous system and restoring energy
Creating sustainable healing routines rooted in quantum circadian health
All I ask in return? Your presence, your commitment, and your belief that your body is worth listening to.
💬 Ready to Take the First Step?
You don’t need to be “fixed.” You need to be heard, held, and supported by someone who understands both the data and the deep.
👉 Email me at Amy@bodymotionandlovemechanics@gmail.com with the subject line: Quantum Prolapse. Tell me a little about what you’re experiencing and why this matters to you now.
💬You can also head to Instagram and comment “Quantum Prolapse” on any recent post to let me know you're interested and be considered for this rare and free opportunity.
You are not alone. You are not broken. And you can come back home to your body.
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