Safe Lifting Weight Limit With Prolapse or After Hysterectomy

Want to know much you can lift with prolapse problems or after hysterectomy?

Unfortunately most women receive very little information about safe lifting to help them manage their pelvic floor problems. safe lifting weight limit

Here’s your Physiotherapist guide to learn about:

1. Your individual safe lifting weight limit

2. How to reduce your risk of worsening pelvic floor problems with safe lifting

Important Facts About Heavy Lifting & Your Pelvic Floor

Fact 1: Heavy lifting increases the load on your pelvic floor

Fact 2: Heavy lifting increases your risk of internal pelvic floor strain and pelvic floor dysfunction (e.g. prolapse and/or incontinence)

Fact 3: It’s not just the weight of the load you lift that increases internal strain – other lifting factors also come into play

Fact 4: Every woman is different when it comes to safe lifting weight limit – there is no single safe lifting weight for all women!

There’s NO Safe Lifting Weight Limit for ALL Women

Pelvic floor strainMany factors determine how much weight your pelvic floor can withstand to avoid pelvic floor descent and strain (shown right).

Internal and external factors determine your individual safe lifting weight limit.

Some ladies are given instructions like “never lift more than 10kg or 22lb” after prolapse surgery or hysterectomy. This doesn’t take into account the other factors that determine safe lifting weight.

When it comes to safe lifting you need to consider more than just a single number to avoid worsening prolapse and other pelvic floor problems.

A. Individual factors that determine your safe lifting weight include:

  • Your overall physical strength
  • Your pelvic floor strength and functioning
  • Your abdominal body fat (surrounding your abdominal organs)
  • Your history of pelvic floor surgery (prolapse, incontinence and/or hysterectomy)
  • Your surgical procedure
  • Your menopausal status

B. External lifting factors that influence your safe lifting weight include:

  • How often you lift the load (repetitive lifting increases the risk of strain) Lunge Lifting Technique
  • The height from which you lift (lifting from a low height increases the risk of strain)
  • The distance you carry the load
  • Your lifting posture and technique
  • Movement forces during lifting e.g. lifting a wriggling toddler
  • Your ability to grip the weight (influenced by size, shape, handles etc).

You can see the many factors that come into play when it comes to safe lifting weight limits making this a challenging issue for women and health practitioners alike.

How to Reduce Your Risk of Strain With Safe Lifting Safe lifting alterative

Here’s how to stay active and reduce your risk of worsening pelvic floor problems with lifting:

  1. Avoid heavy lifting
  2. Avoid repetitive lifting
  3. Never strain with lifting
  4. Use good lifting posture
  5. Use safe lifting techniques
  6. Maximize your grip before lifting
  7. Keep your whole body strong with pelvic floor safe strength exercises
  8. Listen to your body – if you notice symptoms with lifting stop, modify or avoid altogether
  9. Keep your pelvic floor muscles strong and working well
  10. Engage your pelvic floor muscles immediately before and during all lifting and carrying
  11. Manage your abdominal body fat levels to avoid loading your pelvic floor
  12. Lift from waist height – avoid lifting from below your waist where possible
  13. Avoid deep squatting if you need to lift off the ground use lunge technique
  14. Use equipment to move a load rather than carrying e.g. trolley, pram, golf buggy
  15. Seek assistance with heavy lifting
  16. Follow your surgeon’s instructions regarding safe lifting weight after a hysterectomy, incontinence or prolapse surgery

Key Points for Safe Lifting Weight

There is no single safe lifting weight limit for women with or at risk of pelvic floor problems.

Your safe lifting weight is determined my internal and external factors that may increase the load on your pelvic floor with lifting.

Minimize your risk of pelvic floor strain and worsening pelvic floor problems by using these simple safe lifting techniques during your everyday activities.

Further Reading Lifting With Prolapse

» 7 Safe Lifting Techniques That Avoid Prolapse Worsening

Prolapse Exercises Book

This complete exercise guide is especially for women with prolapse and after prolapse surgery seeking to exercise safely, reduce the risk of prolapse worsening and improve prolapse support.

Prolapse Exercises Book

Prolapse Exercises teaches you how to:

  • Relieve prolapse symptoms
  • Avoid unsafe exercises
  • Choose pelvic floor safe exercises
  • Reduce your risk of prolapse worsening
  • Improve prolapse support
  • Increase your strength and fitness
  • Recover after prolapse surgery
  • Return to exercise safely
  • Strengthen your core
  • Lose weight

    Learn More

ABOUT THE AUTHOR, Michelle Kenway

Michelle Kenway is an Australian Pelvic Floor Physiotherapist. Michelle lectures to health professionals and promotes community health through her writing, radio segments, online exercise videos and community presentations. She holds dual post graduate physiotherapy qualifications in women’s health and exercise.

We Welcome Your Comments



  1. Dear Michele,

    Thank you for this interesting article. My doctor who did two surgeries on my bladder, and a rectocele with tape had to do a further surgery using fascia from my thigh after my small intestine fell. After my last examination I asked if I could go back to the gym, as I had always been very active teaching Yoga and aroebics. She told me that I should only work out with low weights, and only those that I can carry easily in one hand. I therefore only go with 5-lb weights.
    My doctor also belongs to a gym, and only uses low weights with more reps. She is in really good shape.

    I have found your book and your newsletters very helpful on my way back from recovery.
    Thank you so much.


    • Michelle Kenway says

      Hi Jean

      Lovely to hear from you again!

      Yes I think lighter weights with more reps is a great solution in the gym as opposed to heavy lifting. it won’t give quite the same strength benefits however it will still strengthen and improve endurance with less risk of compromising the pelvic floor.

      Keep up your great work Jean

      Best wishes

  2. You Showed on your video which exercise ball exercises to avoid but which ones are safe? Would beverygrateful to know if there are any safe ones Thanking you Paula

  3. Hi Michelle, Thanks for your website which looks fantastic. Recently I was asked by a physio to do a double leg weight press (of 16 kg) in an upright seated position (not reclining but pushing level, not pushing upwards) to assess leg strength [after rehab for surgery to remove metal for a previous tibial plateau fracture]. I asked if this was bad for (ie exert downwards pressure on) my pelvic floor and he said as long as I didn’t feel ‘strain’ on my pelvic floor it was ok. Afterwards, I did experience a few drops of urine leakage but didn’t feel ‘strained’ at the time – what do you think please? Love your work! Gail

    • Michelle Kenway says

      Hi Gail

      Lovely to hear from you! I think with a history of prolapse surgery upright seated leg press is definitely not an appropriate exercise to be performed repetitively on a regular basis. Seated leg press is one of the first exercises I take out of an exercise program in women with prolapse/pelvic floor problems. As a one off at 16 kg it’s really hard to say for you – some ladies with very weak pelvic floor supports wouldn’t cope well with this exercise. Since you are young and quite strong and didn’t feel strain I don’t see a major issue but I would leave it on a regular basis for sure. I understand he needed to set a baseline for your leg strength – it’s a shame another measure of leg strength can’t be used in this instance as I imagine now he’ll want to do repeat testing at a higher weight. Did he say this will be used as an ongoing measure Gail?

      Best wishes

  4. Catherine says

    I love all your posts. I’m off for a hysterectomy and pelvic floor repair in June. I’ve been following your advice. I would just like to know about afterwards, is hooping with non weighted hoop ok, and torpedo pilates move. Also a non exercise question. I played the oboe , but have stopped as it seems to cause downward pressure as you have to blow quite hard, but would it be ok afterwards. Is Nordic walking ok afterwards. Any walking is quite uncomfortable at the moment so I use an exercise bike. Many thanks

    • Michelle Kenway says

      Hi Catherine

      Good questions here thank you – torpedo Pilates move is a trunk strength exercises that shouldn’t be an issue when you are fully recovered (i.e. at least 3 months post op and with your doctor’s approval). Start with the single top leg raise only for a few weeks and see how you feel – any strain then stop. Re hoola hoop unweighted does still recruit the upper/outer abs so this is an exercise to be very careful with. Having never played Oboe I can only guess that you need to blow hard into the mouth piece to generate sound? In this case this will increase pressure on your pelvic floor. If a particular activity causes discomfort now it will be likely one to avoid post op. long term. Exercise bike is a great option for cardiovascular fitness. When you say nordic walking do you mean hills and long walks using poles?


      • Catherine says


        Thank you for that. I am now home recovering! Nordic walking I would use long poles, but usually on the flat, not steep hills. Sad about the oboe though, but I think it would cause pressure. I’m so determined to everything I can’t to keep my pelvic floor safe. Thank you for your excellent advice.

  5. I have been a gym ‘rat’ for a few years now, and at age 70, doing very well. Obviously don’t want to loose ground, but don’t want to be stupid aftr the supracrv hysterectomy. Will switch to low weight and more bike. Thank you for the advice. My question is how about the eliptical? I will assume that the treadmill is OK. I always rotate my cardio and go everyother day, when possible. Had the surgery 11 days ago, so I will only be walking for awhile.

  6. hi Michelle,

    your website is great and i start to the kegel exercise.

    i had my hysterectomy in March and recover well. I will do as possible as i can to keep my pelvic floor safe because i know that hysterectomy increased my risk of pelvic floor problem. but there is not many pelvic floor experts in my place not to mention a Pelvic Floor Physiotherapist like you. My gyn tell me not to lift more than 3 kg in one hand in the first 3 months and that’s all.

    my problem is, i would like to know if climbing upstairs/downstairs put extra pressure on my pelvic floor? Because i have to climb upstairs to my flat in 5th floor. i think with my hands empty , that is ok. (is that right or wrong?) but if i have to carry the stuff upstairs after my grocery-shopping or lifting my washing blanket downstairs? now i can ask for help from my family but i would like to know if i can do more.

    now i use backpack or carry the weight (all less than 5 lbs)in a bag with one shoulder instead of lifting the shopping bag with my arm straight (down), which i guess that will cause more harm to my pelvic floor. (i am only 99 lbs and not very strong muscle. ) what do you think, and do you have advise?

    best wishes

    • Michelle Kenway Physiotherapist says

      Hi Yi-Ling you are wise in listening to your doctor’s guidelines and avoiding heavy lifting. Yes you’re probably better using a backpack however you are still carrying the additional load in your backpack so take care not to carry too much in the back pack. The load of the backpack still has potential to load your pelvic floor so just because your hands are free doesn’t mean that you’re safe to lift greater than 3 kg. Yes get your family to help where you can or carry in small loads not large ones. It may sound silly but step down lightly on your feet when walking down the stairs so this means taking your time. The fact is, you still have to get on with your life so do the best you can – it sounds as though you’re being very careful so keep up your good work and yes don’t forget to keep doing your kegels or pelvic floor exercises after hysterectomy too.

  7. My wife has been informed that she will never be able to lift the same sort of weights she used to and is considering not having surgery. We have an adult son with special needs and there will be some lifting for the rest of our lives – and more than a bag of sugar. Is she right to be reluctant to have surgery? We were also told that if a lift reversed the surgery she would be worse off than before. It’s nearly time to make decisions and I want her to make the best, most informed choice for her well being.

    • Author: Michelle Kenway Pelvic Floor Physiotherapist says

      Hi Andy
      My apologies for the delayed reply. At the end of the day your wife needs to be able to function to care for your son’s needs. Has she trialed using a pessary? If so and this was unsuccessful then surgery is the next course of intervention. Different women can lift different loads after surgery there is no hard and fast rule in my mind. It can depend on many factors including whether the patient has a levator avulsion (in which case surgery is likely to fail anyway), her body weight, bowel habits, preexisting strength and fitness, age and more. I think a Pelvic Floor Physio could help your wife know her risks to make a well informed decision. Is it possible for your wife to use a hoist to assist with transfers? Once again apologies for the delay, I was unaware of your comment until just now.

  8. Any advice for learning to play golf after repeat surgery for prolapse including hysterectomy ?
    I am not sure about the technique impacting on pelvic floor and obviously would need to use a trolley to carry clubs
    Many thanks
    Love the website and advice

    • Author: Michelle Kenway Pelvic Floor Physiotherapist says

      Hi Julie
      Avoid carrying the golf buggy, use a golf cart if you’re playing 18 holes, bend forwards using a lunge action where you can and take care with the big swings trying to manage keep the force to a manageable level to avoid abdominal strain

  9. I’m interested in your response to Andy 30 August 2018 as I have similar reservations. At the moment I am able to exercise as I wish, swimming, competing in triathlons, lifting heavy weights. I would prefer to put up with the symptoms of prolapse then give up on my present lifestyle which is very important to me.

    • Author: Michelle Kenway Pelvic Floor Physiotherapist says

      Hi Sue
      Many thanks, I’ve responded to Andy’s comment and hope my response helps you too.

Pelvic Exercises Physiotherapy


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