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Pelvic Organ Prolapse

Joette Calabrese, HMC, PHom M

January 30th, 2022  |  41 Comments

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As I discussed in greater detail with my Mighty Members last week, I endeavor to write blog posts with broad appeal to both women and men. However, at times, I get so many questions on a gender-specific topic that I feel I should address it.

Such is the case with women’s pelvic organ prolapse. I notice this question pop up quite often in our social media forums, and I even received a question about it on my recent Update: Hernias and Homeopathy article.

So, first, let me say that generally, most people believe a strong pelvic floor will prevent pelvic organ prolapse. But I have found that, more often than not, a prolapse is related to hormonal issues in women entering, going through and finishing menopause. And all the Kegels in the world won’t address those hormonal fluctuations.

Now, in homeopathy, we don’t treat the hormones directly. Instead, we address the conditions that the hormone issues lay at our feet, so to speak.

If a prolapse were to begin, I would turn to one of our best little hormonal remedies, Sepia 200 — in this case, taken once every third day.

I have often used this in my practice and seen results running the complete gamut. For example, I’ve witnessed Sepia 200 completely resolve a prolapse, and I’ve seen it do nothing at all. But in most instances, the results lie in the middle between those two extremes.

The proper use of Sepia 200 can decrease the prolapse to the point that there is no longer any bleeding, no aching or pain, and no continued feeling as though one can’t stand or lift without risking a total “gravity” disaster!

I consider that outcome a success because it gives the quality of life back to the sufferer. Now, of course, as with anything that we have a propensity toward, we can’t pretend we’re Superwoman just because we have the prolapse under control. I’m not suggesting we can lift a piano or enter a pogo stick competition right away! But with a little common sense and a $15.00 tube of Sepia 200, an individual can get her life back!

As an aside, this is also one of those subjects for which modern medicine can be helpful. Certain prolapse conditions can be controlled with a pessary — a removable device inserted vaginally to support the prolapsed organ or tissue (see photo below). No surgery. No drugs. Just a removable device fitted especially for an individual’s unique body type and gynecologic condition.


Joette Calabrese



Isn’t that exactly what we wish to receive from our conventional doctors more often … the least invasive solution possible?

But — and I’m sure this comes as no surprise — I would start with homeopathy. Sepia 200 remains the best homeopathic choice! I consider Sepia to be one of the most valuable remedies for all women, so learn as much as you can about it! I’ve previously taught about a few of Sepia’s other merits in my blog post, Strong Enough for a Woman: The Ultimate Remedy for Us.

If you want to learn even more about this condition, it’s contained in my course, Feminopathy: How You Can Correct Female Ailments Using Safe, Inexpensive and Effective Homeopathy. In the course, I discuss not only Sepia for pelvic organ prolapse, but I also give a second- and third-line protocol for this condition.

Before I sign off, let me clarify that I would not use Sepia willy-nilly in an attempt to prevent organ prolapse. No, no, no. That’s not the way homeopathy generally works. However, should a prolapse become evident, Sepia 200 is the sufferer’s best bet!

You’d be surprised how many women need this information but don’t even realize there is a solution! So, pass on the good news of homeopathy!


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P.S. In Feminopathy, I also cover a myriad of women’s concerns, such as pelvic inflammatory disease, urinary incontinence, cystitis, issues with menses (in all ages), infertility, pregnancy, labor, breast pain, varicose veins … the list seems endless. I believe that you’ll find Feminopathy to be an extraordinary value.

And remember — all of my Mighties (Joette’s Mighty Members) qualify for a 10% discount on course purchases. If you need assistance getting your discount, email contact@practicalhomeopathy.com for more information.

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Joette laughingI am a homeopath with a worldwide practice working with families and individuals via Zoom. I'm also a teacher and most importantly, a mom who raised my now-adult children depending on homeopathy over the last 31 years. I lived decades of my life with food intolerances, allergies, and chemical sensitivities until I was cured with homeopathy, so I understand pain, anxiety, and suffering. You may feel that your issues are more severe or different than anyone else’s, but I have seen it all in my practice and in my work in India. My opinion is that nothing has come close to the reproducible, safe and effective results that my clients, students and I have achieved with homeopathy.

Call today and learn how homeopathy might just be the missing piece in your health strategy.

Joette is not a physician and the relationship between Joette and her clients is not of prescriber and patient, but as educator and client. It is fully the client's choice whether or not to take advantage of the information Joette presents. Homeopathy doesn't "treat" an illness; it addresses the entire person as a matter of wholeness that is an educational process, not a medical one. Joette believes that the advice and diagnosis of a physician is often in order.

We've provided links for your convenience but we do not receive any remuneration nor affiliation in payment from your purchase.

The Author disclaims all liability for any loss or risk, personal or otherwise incurred as a consequence of use of any material in this article. This information is not a substitute for professional medical advice, diagnosis or treatment.


41 thoughts on “Pelvic Organ Prolapse”

  1. Maple canner says:

    Great tip. Once every third day for how long?
    Appreciate your teachings. Thank you.

    1. Joette Calabrese, HMC, CCH says:

      We use our medicines for as long as it takes.

  2. Jodi says:

    Should the same recommended remedy be given if it’s a bladder prolapse?

    1. Joette Calabrese, HMC, CCH says:

      Sometimes we see that it can be used for a bladder prolapse but given that Sepia is specifically a female hormonal medicine, the rationale for using it would likely have to be associated with a hormonal condition.

      1. Katt says:

        When you say associated with a hormonal issue would that include the lack there of due to loosing both ovaries from a hysterectomy?

  3. Sally says:

    If you have given sepia a strong try (9 months) with no improvement of stress incontinence and prolapse, what would be the next protocol to try?

    1. Joette Calabrese, HMC, CCH says:

      This is what we call case management and requires more details to be teased out before it can be moved along.
      You might want to consider my online course “Feminopathy” where I cover these conditions fully with each of the protocols found here:

  4. Imran Lodhi says:

    Nice and Informative Article

  5. Debbie says:

    What do you recommend for bladder prolapse that resulted from pregnancy? (15 years and 3 children ago) It’s a structural issue not hormonal as best I understand the doctor. Can Sepia still tighten things up or should I look at something else?

    1. Joette Calabrese, HMC, CCH says:

      The result of pregnancy is a hormonal condition.

  6. Ava says:

    Can sepia be used for a prolapsed cervix or prolapsed vaginal wall?

    1. Joette Calabrese, HMC, CCH says:

      It’s a well-known medicine for pelvic organ prolapses. But just like any medicine that I discuss, be sure to read up on it in your materia medica to be certain.

  7. Janette says:

    Would this be helpful for a rectal prolapse that happened after giving birth 6 weeks ago?

    1. Joette Calabrese, HMC, CCH says:

      In Dr. Will9am Boericke’s materia medica (you should own a materia medica) under Sepia he states the following: “Prolapse of the anus.”

  8. Christi says:

    Yes! So happy to see this addressed on your blog. Thank you Joette!

  9. Beth says:

    Will Sepia 30c suffice (it’s what I have on hand) or is the 200 crucial? I’m still confused about potency most of the time!

    Thank you!

    1. Joette Calabrese, HMC, CCH says:

      No need to be confused by potency. We’re not classical here.
      I give the exact protocol.
      Any potency may be used but if you hope to see what I see on a regular basis you might want to stick to the protocol.

  10. Jayne says:

    I don’t remember where I saw it now, but I’ve seen somewhere that said not to take sepia when you’re menstruating. Do you find that to be true? If so, I’m curious as to the reason behind it.

  11. Elisabeth says:

    Is this safe to take while breastfeeding? 2 wk postpartum and my cervix prolapsed immediately following delivery

  12. Sandra Ward says:

    Where do I purchase an individual remedy sepia 200?

    1. Joette Calabrese, HMC, CCH says:

      Amazon. Boiron. OHM Pharma. Washington pharmacy. etc.

  13. Amber G says:

    Hi Joette!
    How long to take this, if not noticing any change? I’ve just taken my third dose, spacing them out every 3 days. I’m 3 weeks postpartum, I’ve also not been doing any workouts because I am trying to let my body heal. I’m sorry I can’t afford to take your course, that’s why I’m wondering how long should I take this in order to get a result? Symptoms, constipated, feeling like I have a small ball or swolleness in vagina, extremely antsy and agitated that I can’t do as much as I usually do, bleeding is only after being a bit active like going to grocery store,I’m cold most of the time even though the house is at 78, I crave chocolate in my smoothies, salty/savory food and bread. I did have really loose ligaments while pregnant, leading to me actually rolling my ankle at one point.

  14. Jo P. says:

    I’m postmenopausal and have just been diagnosed with Pelvic Organ Prolapse; my doctor wants me to try a pessary and to use Premarin (conjugated equine estrogen) vaginal cream 2x weekly to thicken the vaginal walls. After reading the product insert, I’m going to say no to the Premarin due to the relative risk rating of 1.49 for dementia in women over 65.
    I’ve just started Sepia 200c, as well as collagen supplements in the event that collagen might help strengthen my pelvic floor.
    What are your thoughts about the Premarin? Is there anything else you would be doing?

    1. Joette Calabrese, HMC, CCH says:

      ‘Sounds like you already “get it” about that drug.

  15. Becky says:

    I took sepia 200c for 2-3 months for prolapses accumulated from pregnancies, and it helped a little (made my umbilical hernia feel “softer”), but after doing the sepia I noticed on myself and had it confirmed by a specialist that I have no perineum – I am compensating with other muscles, apparently. (I know the perineum ripped out during birth with kid 4, was repaired, and then I forgot and kept on tailor sitting and suspect it ripped the stitches out… 11 years later now and there’s no perineum left to reattach.)

    Anyway, is there any chance that continuing the sepia would help any, or is improvement unlikely due to the lack of a pelvic floor muscle to hold the stuff up once it shifts back into place?

    1. Joette Calabrese, HMC, CCH says:

      I don’t offer personal advice here on this forum. I strongly urge you to take the Online class titled “Feminopathy” found here

  16. Katt says:

    I am a 62 year old female who has had bladder prolapse for several years now due to having a hysterectomy at the age of 40. The gynecologist had me on vaginal steroid cream to thicken the vaginal wall in order to have surgery, but I stopped because of the side effects they have. I don’t desire to have surgery and am wondering if Sepia would help in this type of case.

    1. Joette Calabrese, HMC, CCH says:

      Katt, I’m sorry but I don’t offer medical advice here. Should you be interested you might want to consider taking my online course titled “Feminopathy” where I teach how to consider remedies for specific female conditions.
      You can find it here:

  17. Tara says:

    Hi! I’m looking for information/resources on rectal prolapse in men (internal primarily). I appreciate any pointing to resources!

  18. Jan says:

    Homeopathically speaking, would any misalignment of the uterus be considered the same as far as treatment protocol? Specifically, A retrograde retroverted uterus where the fundus is tipped backwards and down. Not technically a prolapse, but still not where it belongs. Thank you!

  19. Katie Roll says:

    My trusted product source doesn’t have 200C. They have 30c or 1M. Could I do the 1M less frequently than every third day or the 30c more frequently? And if so, how often? Thanks!

    1. Joette Calabrese, HMC, PHom M says:

      Folks may use whatever potency they choose but…
      if they hope to observe the kind of results that I’ve noted when using a protocol it would behoove them to follow the protocol as written.

      Having said this, why not just use the link I include in the article?

      1. Katie Roll says:

        As mentioned, I have a trusted source. I’m a practitioner with a Fullscript account and I can save on shipping by ordering this with other things. I was just trying to understand how many c’s are in 1M. If that information is in your book, I’m happy to make a purchase.

        1. Joette Calabrese, HMC, PHom M says:

          1M is 1,000c

          1. Katie Roll says:

            Thank you. I can see why that would not be suitable.

  20. Sandy Chinchar says:

    Since hormone levels keep going down as we age past menapause, can an older woman continue to take sepia real long term if it seems to make things less saggy?

    1. Joette Calabrese, HMC, PHom M says:

      The reduction of hormone levels is not a disease; its natural and is what’s supposed to happen. That is, unless you want to get pregant at 50.
      Sagging? Well, please as always read up on the medicine before committing to taking it for a period of time. There should be more than only one symptom to hang your hat on.

  21. Sandy Chinchar says:

    That makes sense. But when hormone levels decrease with age and there is dry thinning vagina, would that be a pathology to treat? Or normal aging process?
    OB/Gyn thinks everyone should take vaginal estrogen for this, which is not in keeping with your teachings. She says it prevents urgency. Hm, if there is urgency, that is a pathology, isn’t it?

    1. Joette Calabrese, HMC, PHom M says:

      You’re much smarter than your OBGYN, Sandy.

  22. Sandy Chinchar says:

    So this begs the question for me- is a drying and atrophying vagina post menapause something we treat with homeopathy if that is the only symptom? Ie, is it just the facts of life?

    1. Joette Calabrese, HMC, PHom M says:

      We consider something worth treating with homeopathy when there is suffering associated with it and II don’t consider atrophying normal.

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