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.
Post-hysterectomy recovery · Prolapse · Pelvic floor dysfunction
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.

The free prolapse & hysterectomy quiz — understand your symptoms and what your body needs next.
Does this sound familiar?
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:
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 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.
Three ways to work with Adele
Specialist support for prolapse, post-hysterectomy recovery, pelvic floor dysfunction and the core changes that can follow birth or surgery.
One-to-one clinical Pilates, intelligent strength and therapeutic yoga, shaped around your history and delivered at home or in studio.
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
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.
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.
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.
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

Adele Smyth · Clinical Pilates teacher · Women’s health specialist
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.
What it gives you
Understand pressure, symptoms and safe progression instead of avoiding movement.
Support your pelvic floor, bones, joints and independence for the years ahead.
Use breath, movement and recovery to create more calm and control.
Private, unhurried care with one specialist who understands your history.
Where Adele works
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
A discreet first conversation to understand your body, your history and your goals — then a plan built around what you need now.