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The global prevalence of pelvic organ prolapse (PoP) varies widely, but it is estimated that up to 40% of women will experience some degree of PoP in their lifetime. The likelihood of developing PoP increases with age, multiparity, obesity, chronic cough and certain occupational or lifestyle factors. 1 Women with PoP often report a fear of engaging in physical activity (PA), driven by concerns that it may exacerbate symptoms or accelerate prolapse progression.2 Surveys indicate that nearly one in three women with PoP cite their symptoms as a barrier to exercise, leading to reduced participation in both structured and recreational PA.2 3