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Pelvic Floor

Many women have pre-existing issues with their pelvic floor, either too weak or overactive. You may have already had assessment by a pelvic floor physiotherapist, and Guy would welcome an update of their findings and treatment plans

When the term ‘Pelvic floor’ is used, this is normally related to weakened pelvic floor muscles, but this can also mean overactive pelvic floor muscles. The Pelvic Floor is a group of muscles and ligaments in women and men that support the pelvic organs of the bladder, uterus and bowel.

Commonly the weakness of these muscles impacts the function of these organs resulting in varying forms of urinary incontinence, urgency and peoples’ ability to ‘hold on’ until an appropriate time.

Pelvic floor weakness is a condition commonly affecting the pelvic floor in women who are pregnant or who have had a pregnancy and birth at some point in the past.
Risk factors include:
– pregnancy
– childbirth particularly after a vaginal delivery, particularly following the delivery of a large baby or prolonged pushing
– obesity
– chronic coughing, such as asthma
– constipation (excessive straining)
– persistent heavy lifting
– family history
– growing older
– changes in hormonal levels at menopause

Yes. This is less common but can be an issue for many people particularly if they are overly anxious.

Lower back pain, problems defecating, pelvic pain and difficulties with intercourse

It is recommended that people exercise their pelvic floor muscles every day throughout their life, to prevent weakness or improve strength. Exercising weak pelvic muscles regularly, over a period of time can strengthen them and make them work effectively again.

It is often recommended to see a specialist pelvic floor physiotherapist to help teach you the most useful exercises for your specific situation.

Sometimes for selected conditions surgery maybe required. However, this would generally be considered a last resort and Guy would prefer to look at these options before considering surgery.

If you are experiencing pelvic weakness or over activity symptoms, please contact our rooms to speak with our Private Practice Midwives should you require a recommendation on specialist physiotherapists located in your area.

Your pelvic floor issues and current concerns may influence the way we deal with pregnancy and birth and Guy welcomes a discuss on the best approach to take. Guy works with a number of Pelvic Floor physiotherapists around Melbourne and guy and his midwives can help guide you to your best service