Post-hysterectomy recovery · Prolapse · Pelvic floor dysfunction

Prolapse & hysterectomy
recovery.
Privately, personally.

Specialist recovery after hysterectomy surgery, and support for prolapse and pelvic floor dysfunction — from a clinical Pilates teacher and women’s health specialist who understands what surgery changes. Rebuild strength and trust in movement at a pace that respects your symptoms.

Adele Smyth teaching a private movement session

Find your starting point, in 2 minutes.

The free prolapse & hysterectomy quiz — understand your symptoms and what your body needs next.

Registered Nurse · NMCMuddy Stilettos Award winnerClinical Pilates teacherWomen’s health specialist25+ years clinical practice

Does this sound familiar?

Your body changed. Nobody gave you a map back.

Prolapse, post-hysterectomy changes and pelvic floor dysfunction can change how you move, what you trust yourself to do, and how you feel about yourself. You might recognise some of this:

In your body

  • A heavy, dragging or bulging feeling that builds through the day
  • Leaking when you cough, sneeze, laugh, lift or run
  • A core that feels absent or domed since surgery or birth — a tummy gap (diastasis) that won’t close
  • Low back, hip or pelvic ache that keeps returning

In your confidence

  • Not knowing which exercises are safe — so you stop doing any
  • Avoiding lifting grandchildren, gardening, running or the gym
  • Feeling disconnected, as if your body belongs to someone else
  • Planning your day around toilets and tiredness

In how you feel

  • Anxious that you’ll make it worse
  • Quietly grieving the strong, capable woman you were
  • Embarrassed to talk about it — even with your GP
  • Told to ‘do your Kegels’ and left to get on with it
MORNINGMIDDAYAFTERNOONEVENINGPRESSURE DOWN ON THE PELVIC FLOOR
Barely there at breakfast, unmistakable by evening. That build is pressure being managed poorly — not damage getting worse — and it responds to the right kind of retraining.

None of this means you’ve done something wrong. It means the system that supports you needs retraining — in the right order, by someone who understands it clinically.

Pelvic floor & diastasis recovery · why Kegels alone rarely work

Your pelvic floor is one part of a pressure system.

Your diaphragm, deep abdominals, back muscles and pelvic floor work together like a canister, managing the pressure every time you breathe, lift, cough or stand. Pregnancy, surgery, falling oestrogen and years of bracing disrupt that teamwork — so pressure pushes down onto tissues that are already under strain.

That’s why squeezing harder often doesn’t help. Lasting change comes from restoring the whole system — breath, pressure, deep core, hips and strength — which is exactly what my method is built to do.

DIAPHRAGMPELVIC FLOORDEEP COREpressure
Breathe in: diaphragm and pelvic floor descend together. Breathe out: they lift together. When this rhythm is lost, pressure pushes down.

Three ways to work with Adele

Private Pilates, women’s health & yoga.
Each built around where you are now.

Explore private 1:1 work
01

Private Women’s Health Sessions

Specialist support for prolapse, post-hysterectomy recovery, pelvic floor dysfunction and the core changes that can follow birth or surgery.

02

Private Pilates, Reformer & Yoga

One-to-one clinical Pilates, intelligent strength and therapeutic yoga, shaped around your history and delivered at home or in studio.

03

Studio Classes

Small Pilates and yoga classes in Thames Ditton and East Molesey — an accessible, pelvic-floor-aware way to begin.

Also available: private clinical Pilates — reformer, mat and yoga, tailored to your body at home or in studio. Explore private Pilates

The Purebody Method

Restore. Move. Reconnect.

Three pillars, in a deliberate order. Each one fixes something the others can’t — and together they address the root cause, not just the symptoms.

01

Restore

Breath, pressure & pelvic floor reconnection

Why it matters: if pressure keeps bearing down, no amount of strength work will stick. We first retrain how your diaphragm and pelvic floor move together, so heaviness eases and your deep core switches back on. This is the foundation most programmes skip.

You’ll feel: lighter, less aware of your pelvis, back in contact with muscles you thought had gone.

02

Move

Clinical Pilates & progressive strength

Why it matters: prolapse support and post-surgical recovery depend on strong hips, glutes, back and core carrying the load. Graded, clinically chosen exercise builds that support safely — and protects your muscle and bone as hormones change.

You’ll feel: capable again — lifting, walking, exercising without bracing for symptoms.

03

Reconnect

Confidence, body trust & nervous-system calm

Why it matters: fear of making things worse keeps muscles gripping and your world shrinking. With education, calm breathwork and one specialist who knows your history, you learn to trust your body’s signals again.

You’ll feel: like yourself — confident, informed and free to live fully.

A client story

“I initially came to Adele to improve my pelvic floor, but I've gained so much more than I expected. She's shown me that building strength goes far beyond Kegels. I've come away not only stronger, but much more informed and confident too. I always feel in safe hands.”

JP · One year+ together · postnatal pelvic floor & continence

Portrait of Adele Smyth

Adele Smyth · Clinical Pilates teacher · Women’s health specialist

You need someone who understands what’s happening inside — not just how to move.

You’ve probably been told it’s normal, or handed a leaflet. I spent 25+ years as a Registered Nurse before specialising as a clinical Pilates teacher and women’s health specialist, so I understand the anatomy, the surgery and the hormonal changes behind your symptoms — and exactly how to rebuild from them safely.

  • Registered Nurse (NMC), 25+ years clinical practice
  • Specialist in prolapse, post-hysterectomy recovery & core trauma
  • Muddy Stilettos Award winner
  • I work alongside GPs, consultants and pelvic health physiotherapists

What it gives you

Strength, confidence and privacy.

i

Move with less fear

Understand pressure, symptoms and safe progression instead of avoiding movement.

ii

Build lasting strength

Support your pelvic floor, bones, joints and independence for the years ahead.

iii

Regulate a wired system

Use breath, movement and recovery to create more calm and control.

iv

Be known properly

Private, unhurried care with one specialist who understands your history.

Where Adele works

A private practice, at your door.

Adele comes to you, welcomes you in studio, or works with you virtually. Private Pilates at home is available across East Molesey, Thames Ditton, Hampton Court, Esher, Walton-on-Thames, Cobham and surrounding villages.

East Molesey · Thames Ditton · Hampton Court · Esher · Cobham · Weybridge · Oxshott

By consultation · by referral · by application

Request a private consultation.

A discreet first conversation to understand your body, your history and your goals — then a plan built around what you need now.