Did you know that pelvic floor health plays a crucial role in your overall health and well-being as a woman? The pelvic floor, a complex network of muscles and tissues, is responsible for controlling essential bodily functions like bladder and bowel control, as well as supporting your pelvic organs. When these muscles don’t function optimally, it can lead to a condition known as pelvic floor dysfunction, affecting millions of women worldwide. In this blog, we’ll delve into the significance of pelvic floor health, how pelvic floor dysfunction can impact your life, and the comprehensive treatment options available at Mt. Auburn OBGYN. Get ready to discover how taking care of your pelvic floor can positively influence your overall quality of life. Let’s dive in!

What is Pelvic Floor Dysfunction?

Pelvic floor dysfunction is a complex and often misunderstood condition that can significantly impact a woman’s quality of life. The pelvic floor is a group of muscles, ligaments, and connective tissues that form a hammock-like structure at the base of the pelvis, supporting the bladder, uterus, and rectum. These muscles play a vital role in controlling urinary and bowel functions, stabilizing the pelvic organs, and providing support to the lower back and abdominal region. When the pelvic floor muscles and tissues do not function as they should, it can lead to a range of uncomfortable and distressing mental, physical and emotional symptoms.

The Importance of Pelvic Floor Health

Maintaining a healthy pelvic floor is crucial for various reasons. It plays a vital role in supporting the pelvic organs, including the bladder, uterus, and rectum. A strong and functioning pelvic floor is essential for normal bowel and bladder control, as well as sexual function. Addressing pelvic floor dysfunction is crucial to improving a woman’s overall quality of life, especially if she is experiencing the symptoms listed below.

Signs and Symptoms of Pelvic Floor Dysfunction

The signs and symptoms of pelvic floor dysfunction can vary from woman to woman. Some common indicators include:

  • Urinary Incontinence: One of the primary symptoms of pelvic floor dysfunction is urinary incontinence, which refers to the unintentional leakage of urine. Women may experience stress incontinence, where urine leaks during activities such as laughing, sneezing, or exercising, or urge incontinence, characterized by a sudden and strong urge to urinate with little warning.
  • Fecal Incontinence: Pelvic floor dysfunction can also lead to fecal incontinence, which involves the involuntary passage of stool. Women may experience difficulty controlling bowel movements, leading to accidents or an urgent need to use the restroom.
  • Pelvic Organ Prolapse: Pelvic floor dysfunction can result in the weakening of the pelvic floor muscles, causing the pelvic organs to descend or bulge into the vaginal canal. Pelvic organ prolapse can lead to a sensation of pressure or discomfort in the pelvic area, and in severe cases, the organs may protrude outside the vagina.
  • Chronic Pelvic Pain: Persistent, non-cyclic pelvic pain that lasts for more than six months is another hallmark of pelvic floor dysfunction. This pain can be dull, aching, or sharp and may worsen during certain activities or after prolonged sitting.
  • Painful Intercourse: Pain during sexual intercourse, also known as dyspareunia, can be a symptom of pelvic floor dysfunction. It may result from tension or muscle spasms in the pelvic floor.
  • Difficulty Emptying the Bladder or Bowels: Straining during urination or bowel movements or feeling like you cannot completely empty your bladder or bowels may indicate pelvic floor dysfunction.
  • Frequent Urination or Urgency: You may experience a frequent need to urinate, even if you have just emptied your bladder. Additionally, you might feel a sudden and strong urge to urinate.
  • Pain or Discomfort in the Pelvic Floor: A general sense of discomfort or pain in the pelvic floor area, including the perineum (the area between the vagina and anus) or the pubic region, may be a symptom of pelvic floor dysfunction.

Causes of Pelvic Floor Dysfunction

Pelvic floor dysfunction can arise from various factors, including:


As women age, the natural aging process can lead to changes in the pelvic floor muscles. Over time, there may be a gradual loss of muscle tone and tissue elasticity, which can result in weakened support for the pelvic organs. The decline in estrogen levels during menopause can exacerbate these changes, leading to further pelvic floor dysfunction.


Excess weight can put significant strain on the pelvic floor muscles and the supporting structures. The added pressure can weaken these muscles and contribute to conditions such as urinary incontinence and pelvic organ prolapse. Managing weight through a balanced diet and regular exercise can positively impact pelvic floor health and overall well-being.

Chronic Coughing

Conditions such as chronic bronchitis or asthma can cause repetitive coughing, which may strain the pelvic floor muscles over time.

Chronic Constipation

Chronic constipation can lead to straining during bowel movements, which can place undue pressure on the pelvic floor muscles. The repeated straining can weaken these muscles over time and increase the risk of developing pelvic floor dysfunction. Adequate hydration, a fiber-rich diet, and proper bowel habits are essential in preventing constipation and its impact on the pelvic floor.

High-Impact Exercises

While regular physical activity is essential for overall health, certain high-impact exercises can contribute to pelvic floor dysfunction, especially if not performed with proper form and pelvic floor engagement. Activities such as running, jumping, and heavy weightlifting can place strain on the pelvic floor, potentially leading to symptoms like urinary leakage or pelvic pain.

Sedentary Lifestyle and Poor Posture

In our modern, technology-driven world, many women find themselves leading sedentary lifestyles, spending prolonged hours sitting or slouching in front of computers or using smartphones. A sedentary lifestyle can contribute to pelvic floor dysfunction by weakening the pelvic floor muscles and hindering their ability to provide adequate support to the pelvic organs.

Sitting for extended periods can place increased pressure on the pelvic floor, leading to muscle fatigue and strain. Moreover, poor posture, such as slouching or hunching over, can disrupt the alignment of the pelvis and put additional stress on the pelvic floor muscles. Over time, this combination of a sedentary lifestyle and bad posture can weaken the pelvic floor and contribute to urinary incontinence, fecal incontinence, and pelvic organ prolapse.

The Connection Between Anxiety and Pelvic Floor Tension

It is essential to recognize the link between anxiety and chronic tension in the pelvic floor. For some women, anxiety and stress can manifest in physical symptoms, leading to heightened muscle tension throughout the body, including the pelvic floor muscles. This tension can exacerbate the physical symptoms of pelvic floor dysfunction, creating a cycle of increased pain and emotional distress.

Furthermore, women who tend to be anxious may have a heightened awareness of bodily sensations, making them more prone to detect discomfort in the pelvic region. This heightened sensitivity can lead to increased tension in the pelvic floor muscles as a protective response, further intensifying the symptoms.

Treatment Options

Treatment options for pelvic floor dysfunction can vary based on the specific type and severity of the condition. Treatment options may include:

  1. Pelvic Floor Physical Therapy: This is a non-invasive and conservative approach that involves exercises and techniques to strengthen and relax the muscles of the pelvic floor. A trained physical therapist can guide the patient through these exercises and teach them how to properly engage and relax the pelvic floor muscles.
  2. Medications: In some cases, medications may be prescribed to manage specific symptoms associated with pelvic floor dysfunction, such as overactive bladder or pain. The type of medication would depend on the underlying cause of the dysfunction.
  3. Biofeedback: Biofeedback therapy involves using electronic sensors to monitor and provide feedback on muscle activity in the pelvic floor. This can help patients learn how to control and coordinate the muscles better.
  4. Electrical Stimulation: In certain situations, electrical stimulation may be used to help strengthen weak pelvic floor muscles or improve nerve function in the area.
  5. Behavioral and Lifestyle Modifications: Making changes in physical activity levels, diet, hydration, and bowel habits can alleviate symptoms associated with pelvic floor dysfunction, especially for those experiencing bowel-related issues.
  6. Relaxation Techniques: For some individuals, learning relaxation techniques such as deep breathing and meditation can help reduce pelvic floor muscle tension and pain.
  7. Pelvic Organ Prolapse Devices: In cases of pelvic organ prolapse, a supportive device called a pessary may be fitted by a healthcare professional to help support the pelvic organs.
  8. Surgical Interventions: For severe cases of pelvic organ prolapse or certain underlying conditions, surgical procedures may be considered to repair or reinforce the pelvic floor.

It is important to note that treatment plans should be tailored to each woman’s specific condition and symptoms. It is recommended to consult with a healthcare provider, such as a gynecologist, urologist, or colorectal specialist, who can properly diagnose pelvic floor dysfunction and recommend the most suitable treatment options.

Frequently Asked Questions

Q: Can pelvic floor dysfunction be prevented?

A: While some risk factors are beyond control, maintaining a healthy lifestyle, managing weight, and performing pelvic floor exercises can help prevent or alleviate symptoms.

Q: Is pelvic floor physical therapy effective?

A: Yes, pelvic floor physical therapy is highly effective in strengthening and improving the function of the pelvic floor muscles.

Q: When should I seek medical help for pelvic floor dysfunction?

A: If you experience any signs or symptoms of pelvic floor dysfunction, it’s essential to schedule an appointment with a qualified healthcare provider.


It’s essential to be proactive about pelvic floor health and take steps to prevent or address pelvic floor dysfunction. At Mt. Auburn OBGYN, we believe in empowering women with the knowledge and resources they need to maintain optimal pelvic health throughout their lives. Our compassionate and experienced team is here to support you in every aspect of your pelvic health journey. Don’t let pelvic floor issues hold you back from enjoying a full and active life.

Book an appointment with us today to take charge of your pelvic health.