Pelvic Floor Dysfunction
Definition
Pelvic floor dysfunction occurs when the muscles and connective tissues of the pelvic floor are too tight, too weak, or uncoordinated, causing symptoms like urinary incontinence, urgency, pelvic pain, painful intercourse, constipation, or prolapse. It affects people of all genders but is especially common after pregnancy, childbirth, or with aging.
Why It Matters
Pelvic floor dysfunction is extremely common but often undertreated due to embarrassment or lack of awareness. It significantly impacts quality of life, relationships, and mental health. However, it's highly treatable with pelvic floor physical therapy, lifestyle modifications, and targeted exercises.
Related Conditions
Related Modalities
Frequently Asked Questions
Common causes include pregnancy and childbirth, chronic constipation, heavy lifting, chronic coughing, obesity, aging, surgery, trauma, and chronic stress. Both weakness and excessive tension in pelvic floor muscles can cause dysfunction—assessment determines the specific issue.
Yes, very treatable! Pelvic floor physical therapy is the first-line treatment and highly effective for most types of dysfunction. Therapists assess muscle strength, coordination, and tension, then create individualized treatment plans including exercises, manual therapy, biofeedback, and lifestyle modifications.

Dr. Sanika Kshirsagar, ND
Doctorate of Naturopathic Medicine (ND)
Bastyr University, Kenmore, WA
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