Reduction of obstetric risk factors offers the potential to prevent subsequent POP. But until now, there is a lack of evidence in this area. Some researchers have mentioned elective caesarean section as a way to reduce risk of POP. However, until specific selection criteria allow providers to ascertain who would and would not benefit from this intervention, it is unlikely to become an effective strategy for prevention.2 Some evidence is available for lifestyle changes like reduction of weight in case of obesity. In an experimental and prospective study there is some indication that strenuous exercise increased POP symptoms and reduced pelvic floor support.35 There is also increasing attention for preventive surgery in case of hysterectomy for non-POP indications.31