Fact: The pelvic organs and tissues are linked by connective, supportive tissues that attach them to the pelvic bone structure. When a hysterectomy is performed and the uterus is removed, this structure becomes vulnerable. The tissues supporting the other pelvic organs – such as the bladder, cervix or rectum – can weaken causing these organs to collapse into the vagina. Women who have had a hysterectomy are prone to a specific type of prolapse known as vaginal vault prolapse, when the top portion of the vagina (vaginal vault) collapses into itself. In severe cases the vagina can even start to turn itself inside out. Exercising the PF can help strengthen these support structures.