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Understanding Your Pelvic Floor

The pelvic floor is a group of muscles that forms a supportive base in the lower part of your body. These muscles cradle the uterus, bladder, and intestines, helping with stability and control. They’re also involved in functions that you may not think about until something feels off, like using the restroom or being intimate.

When these muscles are too tense or too weak, it can cause symptoms that range from annoying to painful. You may hear this referred to as pelvic floor dysfunction. These muscles might hold too tightly, respond too slowly, or stop providing enough support. It can be common for women during pregnancy, postpartum, or later in life.

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Causes of Pelvic Floor Dysfunction

When the pelvic floor loses strength or coordination, things can shift. That lack of balance can result in symptoms like leaking urine, constipation, pelvic pressure, or pain during intimacy.

Some causes are tied to life stages or health events, including:

  • Aging
  • Pelvic surgeries
  • Chronic constipation or overuse
  • Injuries to the pelvic region
  • Certain medical conditions such as interstitial cystitis

Childbirth, in particular, places a lot of strain on the pelvic floor. If you’re noticing discomfort months (or even years) after delivery, it’s worth speaking with your provider.

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How Therapy Helps Your Pelvic Floor

There’s a path forward pelvic floor dysfunction, and physical therapy often plays a big part in that.

Pelvic floor therapy focuses on retraining and strengthening the muscles that need attention. It often involves guided exercises that improve coordination, circulation, and control. Depending on your needs, your provider may introduce tools like biofeedback or recommend techniques such as breathwork and gentle stretching.

Over time, therapy can reduce pain, improve bladder and bowel function, and help you feel more in tune with your body again.

When Should I Look into Pelvic Floor Therapy?

If you’ve noticed new pelvic pain, changes in urinary habits, or discomfort during physical activity or intimacy, reach out to a provider.

Here, you’ll get guidance, answers, and if needed, a referral to a pelvic floor therapist who understands exactly how to help. Through open conversation and, if necessary, exams and testing, you can receive specialized guidance based on your individual circumstances.

These are sensitive topics, and it’s completely understandable if you’ve hesitated to bring them up. Our providers take these concerns seriously and work with you in a respectful, supportive environment. Even if you’re unsure what’s causing the issue, our team can help you figure it out and talk through your options.

Learn More About Pelvic Floor Therapy

If issues in your pelvic floor area are affecting your quality of life, UWH of The Carolinas can help you understand what’s going on and find a treatment plan. Reach out to our team and schedule a consultation. Our providers are here to help you feel heard, supported, and ready for next steps.

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